OpenHealth Q&A

Get answered by medical professionals

Migraines and Estrogen Levels

6/16/2025, 5:10:18 AMMale25-34

What are the implications for an individual who experiences migraines accompanied by an aura and simultaneously has low estrogen levels? This describes my own circumstances as a 30-year-old female. Is it true that I must avoid estrogen in all its forms due to my history of migraines associated with aura, even if my estrogen levels are deficient? I would be grateful for a detailed clarification on this matter, thank you.

InsomniaAnxietyDepression

Answers (1)

Cony

6/16/2025, 5:10:36 AM

OpenHealth AI

It’s important to understand that migraines, especially those with aura, can be influenced by hormonal changes, including estrogen levels. You’re right to seek clarity on whether low estrogen and a history of aura headaches necessitate avoiding estrogen treatments altogether.

Main Points:

  1. Migraines and Hormones: Estrogen fluctuations can trigger migraines in some individuals, particularly women.
  2. Low Estrogen Levels: Low estrogen can also contribute to headaches and other symptoms like mood changes.
  3. Managing Treatment Options: Balancing the management of migraines with low estrogen requires careful consideration and should be tailored to your specific situation.

Explanation:

Migraines that come with an aura may indicate a heightened sensitivity to hormonal changes. In women, estrogen can fluctuate notably during menstrual cycles, leading some to experience migraines. If you have a history of migraines with aura, it’s true that some treatments containing estrogen (like certain hormonal contraceptives) can increase the risk of these types of migraines. However, this doesn’t mean that all sources of estrogen need to be avoided, especially if you have low levels of this hormone.

Next Steps:

  1. Monitor Symptoms: Keep a diary of your migraine episodes, noting their frequency, duration, and the presence of aura, along with any factors like hormonal changes or medications.
  2. Lifestyle Modifications: Focus on triggers such as stress, sleep patterns, diet, and hydration. Regular exercise and a balanced diet can help stabilize mood and potentially reduce migraine frequency.
  3. Consult a Specialist: While I won't suggest direct consultations, consider reviewing your options with a healthcare provider who specializes in migraines or hormonal health. They can assess whether low estrogen therapy may be beneficial for you.

Lastly, discussing any potential treatment options with a healthcare professional can help strike a balance between managing your migraines and addressing low estrogen levels safely. Let me know if there's anything specific you wish to explore further!

Related Questions

Exhausted Beyond Belief

For the past eight years, I, a 23-year-old man, have been grappling with a peculiar health condition that's significantly impacted my quality of life. Despite my efforts, I've yet to encounter a medical professional who can accurately diagnose my issues. At this point, I’m willing to explore any avenue for help, even if it means reaching out on platforms like Reddit. The symptoms resemble cholinergic urticaria but remain largely unaffected by most treatments. The only medications that have provided some relief are Ketotifen and Hydroxyzine, but their effectiveness is minimal at best. Instead of a conventional itch, I experience an overwhelming sensation akin to thousands of needles piercing my skin—excruciatingly painful. Even slight emotional shifts can trigger a flare-up. A simple sneeze? Flare-up. Engaging in physical activities, consuming hot foods or drinks, or experiencing fluctuating environmental temperatures can also provoke intense reactions. Don't even get me started on constipation or feeling an urgent need to urinate. My sensitivity skyrockets when my bladder isn’t empty, often resulting in another flare-up. Apart from medication, one method that eases my discomfort involves running cold water over my hands. However, the water can’t be too cold. Typically, I notice the pain subsiding and red spots fading within 10 to 20 seconds. My feet are particularly vulnerable; just removing a single sock initiates an immediate response. Coincidentally, for the past four years, I’ve also dealt with persistent cold hands and feet, which seems to be worsening. Another concern is my inability to sweat properly, which I suspect is closely linked to my other symptoms. I’ve observed that my feet have not sweat since middle school, coinciding with the onset of my first symptoms. Additionally, my back hardly sweats at all, while areas with hair do not exhibit this issue. Interestingly, I tend to feel slightly better during the summer months when everyone is warm. My body seems to acclimate, and I can sweat more effectively. However, during cooler periods, particularly in winter, I again struggle with cold extremities. The transition seasons of spring and fall are especially challenging, as my body becomes excessively sensitive and easily agitated during these times. Furthermore, I experience unusual reactions to certain foods, especially sweet baked goods. The moment I begin to chew, I often face a flare-up, sometimes accompanied by symptoms resembling anaphylaxis—panic, difficulty breathing, and so forth. I'm at a loss concerning how to manage this relentless situation.

InsomniaAnxietyStress
Male25-34
33 minutes ago

Feeling Uneasy and Confused About My Health

I'm a 22-year-old male, approximately 5'11" to 6' tall, and I'm feeling really disoriented about my health right now. As mentioned in the title, I've been feeling unwell for the past week. Just yesterday, I noticed my voice sounded quite raspy, reminiscent of Steve-O from the show "Jackass." My manager ended up sending me home because my throat was sore and I simply didn’t sound well at all. Today, I woke up experiencing a pain level of around 5 or 6 in my throat and wasn't able to make any sounds. Additionally, I've been having sporadic headaches in different areas of my head throughout the week (just to clarify, the headaches started earlier this week). I frequently check for fever, but so far, I haven't had one. Since I work in the food industry, I’m concerned about the implications if I am ill. I genuinely don't know what's happening to my body; sometimes, the bottom of my throat has a burning sensation. Moreover, I also woke up with a burning feeling in my eyes. I'm trying to provide as much information as possible because I need assistance in figuring out what's going on with me.

TherapyAnxietyDepression
Male25-34
53 minutes ago

Seeking Guidance for Health-Related Anxiety

At just 18 years old, I frequently find myself consumed by thoughts that something may be seriously wrong with my health. Currently, I’m particularly worried about my mental state, feeling as though there's an issue with my brain. It's challenging navigating these worries on my own, especially as I also deal with various other mental health struggles without having consulted a healthcare professional. I would greatly appreciate any advice or support on how to manage these feelings.

InsomniaAnxietyDepression
Male25-34
1 hour ago

Navigating Medical Chaos: A Cry for Guidance Following an Outburst

I'm a 39-year-old woman with a complicated history of mental health and gynecological challenges. The year 2023 was marked by unexpected upheaval, culminating in the onset of menopause, which exacerbated my mental health struggles. Today, I share my experience within our strained healthcare system that pushed me towards what I consider a reactive outburst, along with a request for your advice on how to cope after losing my temper with a nurse during an exhausting quest for a medication refill that shouldn’t have been abruptly halted. If you're short on time, the summary is at the end. Since March 2024, I've been a patient of the same primary care physician, having transitioned to him after receiving recommendations from physical therapists about his ability to help women with sexual health issues. I waited nearly six months to have my first appointment. Once I started hormone replacement therapy (HRT) following initial evaluations, I appreciated his willingness to discuss treatment options, along with his extensive knowledge and compassionate demeanor. However, my experience soured about six months ago. In October 2025, I experienced a sudden cardiac issue, later recognizing it was probably linked to the discontinuation of a psychiatric medication we were managing together earlier that August. Nonetheless, my prescriptions were consistently reviewed at every appointment with both my primary care physician and the nurse practitioners in his office. With my doctor overbooked, I was seen by a nurse practitioner during walk-in hours for my cardiac concerns. I was equipped with a two-week cardiac monitor and prescribed a beta blocker, but my psychiatric symptoms also began to intensify. Ultimately, the monitor showed no abnormalities, and no one seemed to connect the medication changes to the disturbances in my autonomic nervous system, even though I had reached out several times for support, including a desperate call overnight. My discomfort began here, as I felt the need to piece information together on my own. On December 5, I saw my doctor for a procedure. He analyzed the data I'd collected and adjusted my medications in hopes of alleviating my psychiatric symptoms as well. He generously proposed to manage my psychiatric medications, simplifying my treatment process. In late November, I transitioned from one hormone treatment to another (a steroid) we previously discussed. I delayed this change until I had fully consumed the old medication. Unfortunately, I soon experienced fungal side effects in multiple areas stemming from the injection site around my abdomen. I consulted five different medical professionals, three of whom were from my current doctor's practice, regarding this issue. None associated these symptoms with my switch to the steroid, which I believed caused immune suppression. Once I made the connection regarding the steroid and the fungal issues, I submitted a request through the health portal on January 13 to revert back to the previous hormone. After receiving no updates, I sent a follow-up message on January 21 and followed up with a phone call in the afternoon. My appointment with my doctor was set for January 27. During that visit, the nurse acknowledged my previous message and suggested she would handle the communication issues by sending a new message through the portal, to which I could respond for any needs. We discussed my desire to switch hormones, addressing the fungal symptoms in detail and informing him I was running low. After contacting the mail-order pharmacy regarding the payment, I followed up with the nurse on January 28 about the hormone switch. I touched base again on January 30. However, on February 6, twelve business days after my initial request, I learned they were still waiting for instructions on the dosage. At this point, my emotional strain peaked, and I found myself raising my voice in frustration. It was disheartening to realize that such a simple request had taken so long, and my mental health was deteriorating because abruptly halting this medication wasn’t safe. I’m not looking to justify my actions, but my mental health challenges are well-documented and sadly not currently managed effectively. My doctor was aware of my difficulties, having recently discussed a challenging incident I faced on January 21. Feeling cornered, I had done everything possible to advocate for my needs, and the nurse suggested the solution of seeking inpatient care through the emergency room if my thoughts were overwhelming me. I argued that this advice was unrealistic; after past experiences, I knew this path would only provide temporary stabilization and not address the underlying issues. Given that my distress was likely a direct result of the hormone absence, I knew any relief depended on receiving my medication. I also pointed out the impracticalities regarding costs and the potential disruption to my job due to needing time off for such an admission. While I recognize that my primary care physician has some psychiatric training, it doesn’t mean all his staff shares the same level of understanding, likely leading the nurse to prioritize safety for herself in her advice. I enlisted my partner, who is authorized under my HIPAA forms, to call on my behalf. Immediately after his outreach, the pharmacy expedited my hormone order, and I opted for rush shipping to ensure timely delivery. Later that same afternoon, I received a notification via the portal that stated my doctor would no longer provide care if I continued to display disruptive and inappropriate behavior towards the clinic staff. I’m now seeking advice on how best to proceed. I feel I’ve been pushed into a corner leading to a cycle of reactive behavior. It was never my intent to express my frustration in a harmful way, particularly towards the nurse, who I believed understood my exhaustion and intended to assist me. Throughout the last six months, I have spent countless hours between work breaks reaching out to the doctor's office or pharmacy, resulting in significant emotional exhaustion. I felt overlooked for so long that it pushed me into a mental health crisis when I lashed out at the nurse, someone I assumed would be sympathetic to my struggles. While I anticipate some may suggest finding a new healthcare provider, I genuinely don’t believe my physician is the issue. Rather, it is the overwhelmed system he operates in that has led to this strain on him and his staff. I recognize that he may be the only practitioner in my area capable of providing HRT within an insurance-accepting practice. Many clinics dedicated to hormone treatments do not work with insurance. Moving forward, what steps should I take? How can I express my remorse while simultaneously demanding higher standards of care? Or should I merely try to endure this situation and explore alternative options? One idea I’ve considered is to bring an advocate—perhaps my partner or mother—with me to my upcoming appointment later in February. However, if my mental health does not improve alongside the arrival of my medication, I might risk losing my composure elsewhere in my life, jeopardizing both my professional and personal relationships. If only they could understand the underlying issues generating these symptoms; yet, I must admit that at my age, I should have a better grip on my mental wellbeing and should not have lashed out at a nurse, but here I am, needing guidance.

Bipolar DisorderAnxietyDepression
Male25-34
1 hour ago

Facial Asymmetry Impacting My Speech

At 18 years old, I've recently found myself reflecting on something rather peculiar—my facial asymmetry. This isn't an urgent issue, but it's certainly piqued my interest. To be specific, the left side of my lip appears significantly larger than the right. It has a notably fuller and thicker quality; when I gently press on it, I can feel that the left side is almost double the thickness of the right. This oddity only became apparent to me about three to four years ago. Moreover, I've noticed that I can only lift my left eyebrow while my right one remains stationary when trying to raise just one brow. Conversely, attempting to elevate my right eyebrow while dropping the left simply doesn’t work for me. I'm fairly certain that my left cheek also has a bit more fullness compared to the right—though I wonder if I'm just imagining that part for amusement. Due to this notable discrepancy in my lip, I've begun to notice some irregularities in my speech; it feels as though I'm predominantly speaking out of the right side of my mouth. I'm intrigued to know if there's a specific reason behind this facial difference or if perhaps I've simply inherited unfavorable genetics. Is there a method to address this? My primary concern is to speak without the discomfort of favoring one side of my mouth, which appears unbalanced. This situation is compounded by my past speech challenges, and as the thickness of my lip continues to increase, I feel my speech may be deteriorating further. Are there exercises or therapies that could assist me? Any advice would be greatly appreciated!

TherapyAnxietyDepression
Male25-34
1 hour ago