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Migraine Prevention Rare in Women

Only 3% to 5% of Women With Migraines Seek Preventive Treatment

4. Talk to Your Doctor

If lifestyle changes don't sufficiently curb your migraines, it's time to talk to your doctor.

Currently, there is no single medicine guaranteed to knock out migraines. But there are options that may help.

For instance, some women with hormonally sensitive migraines find relief with birth controlbirth control pills. Others may use certain antidepressants or pain relievers.

The researchers also note "emerging evidence" that Botox injections may help prevent migraines, but that's not certain yet.

Each patient is different, so women and their doctors should work together to weigh the risks and benefits of migraine-preventing medicines.

For instance, some migraine-prevention drugs, such as valproic acid, divalproex sodium, and ergot derivatives, shouldn't be taken during pregnancypregnancy due to the risk of birth defects.

5. Keep Age in Mind

Migraines can happen at any point in life, but they're most common during the childbearing years.

After menopausemenopause, migraines often improve. That's probably due to stabilizing hormone levels, note Tozer and colleagues.

"Migraine beginning after age 65 is extremely uncommon and warrants thorough investigation," the researchers write.

In other words, if you're older than 65 and getting migraines for the first time in your life, see a doctor to rule out other illnesses.

Also, doctors generally recommend lower doses of all preventive medicines in elderly patients "to avoid untoward effects," the researchers write.

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