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Recovering from Hysterectomy and Chronic Migraine

Recovering from Hysterectomy and Chronic Migraine

I have had stage four endometriosis since 2003 and chronic migraines since 2009. I was never informed that the two conditions could have any connections until I began my own advocacy for chronic migraine. The only time I had a doctor mention these two conditions together was regarding one of the medications for controlling my endometriosis, and he simply wanted me to stop it because there was a possibility that it could be increasing my migraines. My endometriosis was the only condition I had under control until 2018, in which I decided to take the step and have a hysterectomy. While I packed my abortive medication in my hospital bag, I still had not considered how my hysterectomy could affect my chronic migraine.

While in the hospital

They struggled so much to control my surgical pain so much in the hospital that it was extremely hard to focus on anything else. At one point I even had my husband go home to sleep and get out of the hospital. Even with him not there, the pain from the hysterectomy was so forefront and centered. I very well could have been having some migraine issues while at the hospital but the pain from my surgery was too much to allow my body to process that pain and let me know about it. The IV bag of fluids could have also helped some as well.

Managing surgical pain at home

Once home and trying to manage the surgical pain, I was given pain medication that was above what is traditionally used for endometriosis and chronic migraine. While the pain medication was needed for the hysterectomy pain and complications that manifested, it definitely did not sit well with the chronic migraine. A migraine always followed the use of the stronger pain medications that I was given and needed for the recovery. When I attempted to ‘tough it out’ to just manage the surgical pain on my own, I could barely move but my head was much happier from not having the narcotics. A normal medication that a surgeon and neurologist would agree on in this case would generally be something like tramadol but unfortunately in my case, I am highly allergic to tramadol.

Lesson learned – the hard way

This has definitely been a lesson learned for me. It is a confirmation that when having surgery and considering pain medications for treatment afterwards, I need to make sure the doctors take all of my health issues into consideration and not just the one they are working on. It is also a confirmation for why the neurologists have certain pain type medications that they are okay with us using and others that they say are not good for us to use with migraines.

Hopefully when the hormone replacement therapy starts, there will not be any conflicts between endometriosis medications and what is the best path for my chronic migraine therapy. As I finish physically healing from my hysterectomy, I have those stronger pain pills in my basket and make sure I weigh all options prior to choosing to go that route.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • Migraine Cindy
    1 year ago

    I just had a hysterectomy on Dec. 21st….and since then I haven’t had a migraine. I would get migraines every week…lasting no less than 2 days…and even going into weeks…after not getting them for 6 weeks up to now, I feel like I was reborn…I feel awesome….but you know that we(people with migraines) always fear when our next migraine will hit…and I am scared that it might be a huge one. I feared getting worse migraines after the surgery but up to now I have been migraine free and feel alive. I didn’t have any problems with pain medication after surgery. I hope that you continue to recuperate and feel better soon.

  • OctoberLily
    1 year ago

    My mother was a migraine sufferer for years. She did not have a full hysterectomy, but had her ovaries removed in her late 40s. She is now 71, and hasn’t had a proper migraine since the surgery.

  • lizzietishlizard5566
    1 year ago

    My migraines were never worse than the two courses of Lupron I did for endometriosis. Last year I elected to undergo a hysterectomy but kept my ovaries. I so hope things work out for you.

  • Sunny
    1 year ago

    Besides pain meds, migraines can also be worsened by drugs to induce anesthesia, and then the ones they give you to get you out of it.
    Also, beyond the pain med issue –
    surgical menopause (ie hysterectomy and ooferectomy) can cause a dramatic drop in calcium and magnesium. This can worsen migraines, especially right after surgery, and also cause bone loss. Make sure your total for calcium (from both foods and supplements) is about 1200mg/day and magnesium 400-600mg/day.
    Here’s the medical journal if you want more info

  • lizzietishlizard5566
    1 year ago

    Thanks for the info on mag and calcium…I think know ppl often forget bat this piece of the equation.
    Be well.

  • wendy408
    1 year ago

    I hope you will be able to take HRT. unfortunately for me, it caused more headaches and was not an option. Not having HRT plus Chronic Daily Migraine is not a life for anyone.

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