HomeAnswersObstetrics and GynecologymigraineWhat are the safest low-dose birth control options for menorrhagia, ideal for someone with an IUD?

Can a history of using Camrese for severe amenorrhea aggravate chronic migraines?

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Published At October 12, 2023
Reviewed AtJanuary 2, 2024

Patient's Query

Hello doctor,

I am seeking the lowest dose birth control option for menorrhagia due to my chronic migraines. I prefer not to consider IUDs, implants, or shots as it is the cause of my current condition. I take Camrese, skipping the placebos to have an extended or no cycle. However, I am worried that Camrese may be exacerbating my migraines. I use Camrese for severe amenorrhea. Since pregnancy is not a concern as I already have a IUD placed, I focus on managing my chronic migraines, which are status migrainosus. I take several migraine medications without exceeding the recommended dose. My recent blood work and past MRI results have been within normal limits.

My current medication details include Camrese, Propranolol LA 120mg at bedtime, Zonisamide 100mg at bedtime, Oxybutynin ER 10mg once daily, Focalin ER 20mg once daily, Focalin IR 5mg once daily, Magnesium 500mg once daily, Flaxseed oil 1000mg once daily, Zyrtec once daily, Melatonin 1mg at bedtime, CoQ10 100mg twice daily, Vitamin B12 400mcg once daily, Vitamin B2 200mg twice daily, Multivitamin (MVI), Vitamin D 400 microunits once daily, Zofran, ODT 4mg as needed, Maxalt ODT 10mg as needed, Fioricet as required, Epipen as needed

Previous medications used for the same complaint include Depo shot, Copper IUD, Topamax, Amerge, Imitrex, Prozac, Pamelor, Effexor, Seroquel, Toradol, and Ketoprofen.

I am seeking alternative birth control options that will not aggravate my migraines. Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Camrese should be suitable for you. Alternatively, I suggest you Femilon tablets (Desogestrel 0.15 mg and Ethinylestradiol 0.02 mg) with the lowest possible dose of estrogen can be considered. However, if you already have an IUD (intrauterine device) inserted, pills may not be necessary. If you experience excessive bleeding, I suggest you take sylate-like medicines during the first few days of your period and increase your water intake. Remember that taking oral contraceptive tablets while having migraines puts you in the high-risk group. I suggest you to consult a gynecologist for a detailed discussion about contraception. If menorrhagia persists even after taking tablets to reduce blood flow, oral tablets can be considered. A sonography can help identify any fibroids or other pathologies. Femilon tablets are known for their lowest possible dose of estrogen. Make sure to have regular follow-ups with your physician for your migraines. Identify and avoid any precipitating factors, as it may help manage your condition.

I hope this helps.

For further inquiries, feel free to consult me at icliniq.com.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mavani Jimesh Himatbhai
Dr. Mavani Jimesh Himatbhai

Obstetrics and Gynecology

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