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Chronic Headache and Migraine while planning Pregnancy

Hi everyone!

I’m hoping one or a few of you would be able to share your experiences.

I had my first appointment with my new OB-GYN yesterday to discuss the potential of my husband and I beginning to try for a family later this year. I provided a list of current medications prescribed to me by Dr. Silberstein (which are working wonderfully!!) and after doing her research she stated that she does not feel it would be in my (let alone my future fetus’) best interest to remain on any of the medications (that I provided) during pregnancy. I even mentioned the possibility of Botox injections that Dr. Silberstein did bring up at my last appointment with him and she said that there is no research in regard to Botox in pregnant woman; however, there is information pertaining to nerve blocks since anesthetics are not known to be harmful to the mother or child. I have an appointment with Dr. Silberstein April 18th and then again with my OB May 19th – where she will begin prenatal testing and speak to my husband and I about different possibilities and hopefully different medications recommended by Dr. Silberstein.

Overall, I am at a complete loss and don’t know where to turn.


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  • Sarah Hackley
    2 years ago

    Hi, Danielle! I know too well the difficulties and fears associated with becoming pregnant and/or planning a pregnancy while living with chronic migraine. I’ve done it twice. I wrote this primer article in 2015: Maybe that will help. Also, everyone’s experiences with migraine and pregnancy are different. Some women find their migraines get substantially better throughout the 9 months. Others see no change. Mine were much better late in the second trimester, but intensified in the first and the third. I took as much advantage of the second trimester break as I could. I think, as with most parts of living with chronic migraine, a little planning can go a long way toward reducing the stress and uncertainty of the every day. There also are some medications you can take during pregnancy and/or while you’re trying to conceive. Your obgyn or headache specialist can look them up. Some are safe in the beginning, others are safe at the end. You may have to play around a little to see what works and is available. Regardless, I wish you well in your journey. It’s an exciting time! – Sarah

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