I (37f) have had migraines my whole life, which increased in frequency + severity once puberty hit and by the time I was 22 I was having them daily. I'm pretty sure I've tried every drug, treatment and therapy out there, but currently I'm having the best luck with Vyepti infusions every 3 months, plus imitrex tabs/injections 3-4x/week. (It's a vast improvement from before the infusions started). I'm also on gabapentin and methadone, although we've been working on tapering off the methadone for the past year and a half. I also have Fibromyalgia plus Rheumatoid Arthritis that my rheumatologist and I have been struggling to find a treatment plan for, since I'm already immunocompromised, so taking RA drugs (which are mostly immunosuppressives) hasn't gone well and I keep ending up catching every virus or bug that comes along. On top of that, I have endometriosis, and have had a Nexplanon implant for the last 7 years, which keeps me from having periods AND has helped greatly with my migraines.
The problem now, is that I got my 3rd Nexplanon implant put in last October, and for some reason this time around, my libido just absolute shut off within a few days of it going in. I'm demi sexual, so I don't usually have a ton of interest in sex to begin with, but I do engage (or I used to) with my husband on a fairly regular basis (every 2-3 weeks-ish). Instead, I've had absolutely no interest in doing anything with him at all, and can't even get worked up if I try, which is hurting our relationship. It also seems like it's abruptly causing my depression to have skyrocketed, which is making the whole rest of my life suffer as well.
I spoke to a hormone specialist OB/GYN today, who wants me to get the Nexplanon pulled & instead have me go onto progesterone only birth control, but I'm really worried my migraines are going to become severe again, since I don't know if it's the estrogen or progesterone portions of the nexplanon that is helping with that. I just know I can't continue like this.
Side note: so you guys don't get worried: I'm also trying to find a counselor to work with for the depression, since that's making me feel really numb in general, but the working theory is if it's being caused by the implant, then removing it should help. I've been having a hard time finding counselors in my area who accept my insurance, and it's hard to search when you feel so "meh", but I also don't feel like doing any kind of self harm.
Has anyone else had success on progesterone only birth control for migraines? Either pills or the IUD? My cervix is extremely sensitive so I'm worried about getting an IUD, since I've heard SO MANY horror stories, but oral birth control and my frequent migraine-induced-vomiting has some track record issues for me as well.
I know I've got a ton going on physically here, but I'm hoping someone can at least relate to some of it and provide a little input.
Thanks in advance, kind strangers!