Migraine therapy has come a long way in two decades, and those who know or suspect that they have migraines would be wise to see a neurologist or a headache specialist to obtain a proper diagnosis and the best treatment now available. Surveys have indicated that only about half of “classic” migraine sufferers are reaping the benefits of what modern medicine offers. If those presumed to have sinus headaches are included, the numbers of underserved migraine sufferers could easily be doubled. The World Health Organization ranks migraines among the most disabling ills. About 28 million Americans suffer from severe migraines that leave them temporarily unable to function at work, at home or at play. Many more millions have them in milder forms. All told they cost employers about $13 billion a year in lost productivity, with another $1 billion spent on medical care. The higher rate among women is linked to fluctuations in blood levels of estrogen; the drop in estrogen just before menstruation sets off menstrual migraines, which tend to be more severe and longer lasting than other forms. I suffered from estrogen withdrawal migraines three times a month from age 11 until menopause. Each attack lasted three days. Pregnancy, when estrogen levels remain high, was my only respite until menopause ended the estrogen fluctuations.
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Mar 14