Help Please! Headaches - Risks? Posted: 01-13-07 14:38pm
So I was on ovcon-35 for a month and went
off because of persistant, gentle
headaches. I recently got switched to
portia because my doctor said it had a
lower progestin content, but reading up on
it i've found the progestin content is
actually high because the synthetic
progestin (although in a lower dose) is
much more potent than many.
I want to give ovcon another go... I
have read on askapatient.Com a lot of
things about people on ovcon-35 getting
headaches the first two months of being on
the pill, so I am thinking of sticking it
out for two months and seeing if it goes
away in the second or third month. What
I would like to know is are the headaches
indicative of an increased risk of stroke
or something?
What do you think I should do?
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Carifairy
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Posted: 01-13-07 15:17pm
Hormones cause headaches in some women,
especially at certain doses while on the
pill.
You coudl try and give ovcon another go,
and see if the headaches eventually
stop.
A more potent progestin means that it is
effective in a lower dose.
Potentcy has nothing to do with this,
dosage does. If it was not potent, then
the progestin would not work as a birth
control!
This is why (i am a healthcare
professional) 'lay people' should not self
prescribe, they can misunderstand the
difference bewtween potent and dosage.
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postfetalphase
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Joined: 17 Nov 2006 Posts: 58
Posted: 01-13-07 21:16pm
Well exactly, all the doctor was looking
at was the dosage, not the potency. I
found a chart and did my math and it's
actually higher in progestin although it
has a lower dose of the chemical.
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Carifairy
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Posted: 01-14-07 00:12am
The dose is what counts for headaches
though.
You are misunderstanding...
There are different types of progestin,
some are weaker than others, which means
you need a higher dose, some are more
potent, which means you need a lower
dose.
Dose is all that matters, not potentcy!
Try the lower dose pill, even though it is
hgiher potentcy.
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postfetalphase
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Joined: 17 Nov 2006 Posts: 58
Posted: 01-14-07 12:23pm
I also don't want to go on portia because
I have read it is high in androgen
activity and makes acne worse, which the
whole reason I am on bc is to improve
acne. Are you positive headaches from
bc aren't indicative of a higher stroke
risk or anything?
portia is generic for nordette, which is
listed as "lower estrogen, higher
progestin potency, higher androgen
potency" and ovcon-35 is listed as "higher
estrogen, lower progestin potency".
Which to my understanding, high progestin
potency = depression and headaches (i'm
also medicated for depression), and low
estrogen potency = not as good for acne.
Are you actually a doctor or just a nurse
or something?
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Carifairy
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Posted: 01-14-07 16:25pm
Yes I actually am a nurse that works for
planned parenthood.
You did not mention depression, or acne,
you only mentioned headaches. When you
ask for advice you gotta lay it all out
for me so I can help you!
Estrogen in pills also can worsen
depression. You shuld also consider using
a low estrogen pill. I cannot use birth
control pills at all because I suffer from
depression, so I use a non hormonal iud
method.
Headaches can signify a stroke but part
of your body droops and you have numbness
and tingling in your limbs that can be
quite painful.
Your risk of a stroke from birth control
is so low that it is not even funny.
Discuss your concerns with your doctor.
Birth control is like trial and error,
sometimes you have a few misses before you
get a "win"
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postfetalphase
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Joined: 17 Nov 2006 Posts: 58
Posted: 01-16-07 04:54am
Can't headaches mean increased stroke risk
if they are caused by high blood pressure,
though?
Should I be monitering my blood pressure
when I go back on ovcon-35?
I mean the slightly increased risk of
stroke would be easier to ignore if I
didn't get any side effects like that.
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rachelnicole
Experienced User , Rather EHEALTHy
Joined: 19 Sep 2006 Posts: 86
Posted: 01-18-07 16:57pm
Um... I think you might be worrying about
this stuff way too much, hon. :d
listen to the nurse-- she knows what she's
talking about! Are you over 35 years
old? If not, there's pretty much no
chance of you getting a stroke. The
headaches are normal... Unless you think
all pregnant women who get headaches get
them because they're at a higher risk for
a stroke! All the pill does is trick
your body into thinking it's already
pregnant, so the headaches you get are
just like the headaches pregnant women
get, or like the headaches you sometimes
get before you start your period.
If you're worried about acne and
depression, you might *look into* (not
assume it's right for you!) estrostep...
I took it for those two things, and was
very, very happy with my results in both
areas. But please! Discuss it with
your doctor, ask him/her why they
recommended what they did, what they think
about estrostep, etc.
But the headache thing? calm down, love.
You're fine. :d totally normal!
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postfetalphase
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Joined: 17 Nov 2006 Posts: 58
Posted: 01-20-07 08:17am
The only other reason I don't want to take
it is because last time I was on it I
would get this fluttering, crunching
feeling in my heart almost daily...
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Carifairy
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Posted: 01-20-07 17:30pm
Bc pils do not cause that though ...
You sound like you suffer from anxiety and
worry, that will cause that feeling you
describe.
Strokes do not happen in the heart, they
happen in the brain.
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postfetalphase
Experienced User , Rather EHEALTHy
Joined: 17 Nov 2006 Posts: 58
Posted: 01-21-07 10:50am
I know that. I'm not saying the
heart thing is indicative of a stroke, i'm
just saying i've never had it off of bc
and I got it daily on it. I am on
meds for anxiety. If you care to know,
I have depression, anxiety, and a
dissociative disorder called
depersonalization. The anxiety and
dissociative disorder are post-traumatic
stress related symptoms from an overdose
about a year ago. Pre-medication, my
biggest recurring fear was brain
damage/stroke from the od. I also have
an iq of like 120 so please don't talk
down to me because of these things.
And the reason I was worried about a
headache/stroke connection is because on
the pamphlet it says "10. Headache
the onset or exacerbation of migraine or
development of headache with a new pattern
that is recurrent, persistant, or severe
requires discontinuation of the oral
contraceptives and evaluation of the cause
(see warnings 1.C.).
And then warnings 1..C. Talks about
strokes and says: "women with migraine
(particularly migraine with aura) who take
combination oral contraceptives may be at
an increased risk for stroke."
to me this implies there is an indication
that headaches = higher stroke risk, plus
I was diagnosed with migraines a few
months ago, but they have since went
away....
Anyways, today is the day I would start bc
if I were going to, and I am going to go
back on ovcon and ask my psychiatrist
about the heart thing when I go see him on
wednesday.
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Carifairy
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Posted: 01-21-07 15:43pm
There is a 'slight' increase in risk,
which is normally evaluated by a doctor to
determine what your increased risk
actually is. Since you do not smoke, your
overall risk even with migraines is still
not significantly high.(that is in
general, I cannot know exactly..Just in
general most women that suffer migraines
can safely use hbc)
depression and anxiety are worsened by
hormonal bc as well.
Have you considered non hormonal methods
like an iud? It would definately not
increase your risk for a stroke, and it
has no hormones, so headaches would not be
an issue.
Usually women with migraines can take bc,
they do typically take a lower dose method
like nuva ring though.
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postfetalphase
Experienced User , Rather EHEALTHy
Joined: 17 Nov 2006 Posts: 58
Posted: 01-21-07 23:20pm
Well i'm not sexually active. I only
want the bc to clear my skin and regulate
my off-beat periods (they're typically a
week or two late).