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1) I have had a constant headache for the past 3 years without much relief from medications. My neurologist believes that my headache started out as status migrainousus and then became a transformed migraine. I have tried pretty much every class of medication to both prevent and abort the headache without any success. I have had several neurological exams, a CT scan and MRI (both without contrast), lumbar puncture, and various blood work (TSH, Magnesium, ESR, Prolactin) - everything has come back normal to date. Lately I have been wondering if my headaches might be due to a hormonal problem. Prior to my headache starting I was on OCP for several years and about 4 or 5 years ago I began spotting towards the end of my cycle every month despite trying various different pills. When I stopped taking the pill, my periods were often several months apart which my GP diagnosed as dysfunctional or anovulatory uterine bleeding. I tried two 3 month courses of OCP's and still have not been able to establish a regular menstrual cycle (periods are 35-45 days apart usually). As well, over a year ago I was taking amitriptyline for my headaches when I began to notice my left breast was expressing a small amount of milky discharge. The discharge continued even after the medication was stopped and my doctor ordered a prolactin level, which came back with normal results. Is it possible that my headaches could be due to a pituitary problem or would it have been ruled out by the tests I have already had?
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2) I have suffered from chronic migraines from age 7 and have had cluster headaches now for the past 6 years. I am now 43. Over the years I have taken more medications than I can count, including Imitrex, Maxalt, DHE45, Cafergot, to name a few, with disappointing results. I currently have 1-3 cluster headaches a day, and medications do little to help at this point. Given I have to work full time, I can't continue on this path. Recently I read that Dr. David Dodick of the Mayo Clinic in Scottsdale, Arizona, reported at the Migraine Trust International Symposium, that his team had implanted a device under the skin of a patient who was suffering up to five cluster headache attacks per day. The stimulator is a pacemaker-sized device that sends impulses via electrodes placed under the skin over the occipital nerves on the back of the neck, under local anesthetic. This device seems to be able to do what medications can't - stop the attack in it's tracks. Is this something area doctors are considering, or do people like me have to go elsewhere for this treatment? Thanks, Doneau.
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3) I have been diagnosed with a "chronic daily tension headache." I have had a 24/7 for 17 years, with no relieve. I have tried "everything." I have been seen by some of the best doctor and in-patient clinics in the country, tried over 100 meds, all test, and most non-traditional. The pain "never' goes away. I stopped seeing specialist 5 years ago because "we tried it all," and doctors didn't have any more suggestions. I have just begun to see a new pain specialist, and we are trying new meds, but with the same results. Is there anything a patient can so to minimize the pain? Thank You, Jerry.
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4) My migraines seem to be worse around my menstrual cycle. I asked my family doctor if the headaches could be caused by something hormonal. I asked about estrogen and birth control pills. He shrugged off my questions and said that it could help it or hurt it and that he didn't advise I take that chance. Please let me know if migraines in women can be triggered by a hormonal imbalance. If so, how is this diagnosed and what is the usual treatment. I thank you in advance for any insight you can give me. Dinna.
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