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Speaker 1: Hey, this is Fannie and Samantha. I'm welcome to stuff

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Speaker 1: I've never told your protection if I heart radio. So

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Speaker 1: today's question is an easy one. Do you suffer from

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Speaker 1: migraine Samantha. Nope, I don't, I will say. I know

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Speaker 1: that just sounds like such an easy, privileged answer. I've

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Speaker 1: probably had a migraine three times in my life, and

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Speaker 1: they're intense, but I don't typically suffer from migraines. That's

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Speaker 1: not one of my tortures. Well, I'll lucky for you

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Speaker 1: because I do. And I go through phases where I'll

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Speaker 1: get them a lot and then phases where I don't

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Speaker 1: get them that much. So I recently have entered a phase, unfortunately,

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Speaker 1: where I'm starting to get them a lot again. I mean,

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Speaker 1: it takes you out for an entire day. And I

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Speaker 1: used to get them so much I was a kid,

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Speaker 1: Like I just have so many memories of being at

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Speaker 1: media play and throwing up all over the store because

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Speaker 1: that's that was one of the things, Like the pain

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Speaker 1: would get so intense, I would throw up and sometimes

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Speaker 1: I would like pass out, like I would see spots.

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Speaker 1: I know not everybody gets warning signs, but mine was

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Speaker 1: like kind of a dimness and a flashing in front

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Speaker 1: of my eyes, and then I would know, oh no,

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Speaker 1: that I'm going to be freezing cold and vomit and

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Speaker 1: it's gonna last for hours and I'm gonna want to die,

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Speaker 1: and that's my next. There's nothing I can do about

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Speaker 1: it because I didn't go to a doctor for it,

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Speaker 1: and they gave me this like really quickly dissolve herble tablet.

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Speaker 1: Yeah yeah, but as far as I could tell, it

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Speaker 1: never worked. So maybe I should revisit getting treatment. But um,

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Speaker 1: it was just something I had to live for me

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Speaker 1: when I would have the migraines, if I didn't catch

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Speaker 1: it in time, and I had the warning signe to it,

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Speaker 1: like I know it well enough, even though I'm only

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Speaker 1: head of the times. But it was so significant that

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Speaker 1: I knew the minute that my next started hurting and

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Speaker 1: going on. My head felt it like it was just

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Speaker 1: a severe pain, and then the such sensitivity, and I

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Speaker 1: had the splots too. I don't ever threw up. The

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Speaker 1: only thing that would ever help me was going to sleep.

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Speaker 1: We're taking it neck closing my eyes, making everything dark.

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Speaker 1: But if I caught it in time and I actually

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Speaker 1: took medication, so and I say medication, like except in migraine,

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Speaker 1: the one with cassine. If I took too, I was

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Speaker 1: actually okay, So it was it's not obviously for it

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Speaker 1: to be that treatable. It's great, but if I didn't

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Speaker 1: catch it, it was over and I the only thing

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Speaker 1: I could do was laid down. So yeah, I absolutely

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Speaker 1: hear that that is an intense level of pain. Yeah. Yeah,

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Speaker 1: it's sort of those things where and and this is

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Speaker 1: also in a lot of very privileged thing to say,

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Speaker 1: but we don't realize how much you value not being

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Speaker 1: in pain until your anything, like, how is it possible

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Speaker 1: that my head hurts this badly? And I've never been

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Speaker 1: appreciative of it not hurting right, And yeah, that is

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Speaker 1: the understanding. It was like this chronic pain that we

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Speaker 1: don't understand that people just live with. Yeah, yeah, it's thing.

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Speaker 1: Was a thing of mine too. And I remember once

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Speaker 1: I was at a friend sleepover and I had the

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Speaker 1: signals and you know, usually, as you know, Samantha, I

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Speaker 1: am the last to sleep and the first to get up,

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Speaker 1: And especially then that was at the time where you

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Speaker 1: didn't want to be judged or you didn't want to

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Speaker 1: be pranked at these sleepovers. But I remember looking at

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Speaker 1: my friend and saying, I am going to sleep. Do

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Speaker 1: not wake me up, because this is my only chance

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Speaker 1: avoid this if I can fall asleep in time. And

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Speaker 1: I did. But yeah, they're quite quite painful, and as

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Speaker 1: this episode goes into, more women than men have migraines,

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Speaker 1: or at least report have migraines. So if you want

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Speaker 1: to know why, then please enjoy this classic episode. Welcome

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Speaker 1: to Stuff Mom Never told You from house stuff Works

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Speaker 1: dot com. Hey Molly, Hey Kristen, I've got a riddle

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Speaker 1: for you. Okay. What does Susan Olson, who played Sydney

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Speaker 1: on The Brady Bunch, and Joan Didion have in common? Okay,

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Speaker 1: so we've got um Sydy Brady, Syndy Brady adorable pigtails

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Speaker 1: and Joan Didion not as adorable. That's harsh. Author of

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Speaker 1: the Year Magical Thinking and Essay Collections from the Ventes.

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Speaker 1: What do they have in common? I'm going to go

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Speaker 1: with fashion sense and love of asparagus. You're wrong. Although

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Speaker 1: they both were pretty fashionable. Uh, Dideon and Olsen both

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Speaker 1: had problems with chronic migraines. Yikes, they're but they're not alone. No,

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Speaker 1: they're not alone. Um, they are two of many women

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Speaker 1: who have problems with chronic migraines, because the fact of

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Speaker 1: the matter is women have far more migraines than men.

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Speaker 1: So real quick, before we examine why that might be, UM,

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Speaker 1: let's talk about what a migraine is. Because I think

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Speaker 1: the first time I first time I had a migraine

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Speaker 1: for a long time, I thought was some other kind

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Speaker 1: of headache. I thought it was like a sinus headache

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Speaker 1: or something. But UM, to have a migraine here, you

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Speaker 1: gotta have some of these moderate to severe pain often

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Speaker 1: described as pounding or throbbing pain that affects the whole

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Speaker 1: head or shifts from one side of the head, sensitivety

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Speaker 1: sensitivity to light, noise or odors, yep, blurred vision, nausea

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Speaker 1: or vomiting, stomach upset, abdominal pain, loss of appetite, UH,

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Speaker 1: sensations of being very warm or cold, paleness, fatigue, dizziness

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Speaker 1: either and UH. You might have an aura, which is

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Speaker 1: bright flashing dots or lights that appear to you. And

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Speaker 1: this list of symptoms courtesy of web md, which also

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Speaker 1: notes that no migraine is really ever the same from

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Speaker 1: person to person. I always had teeth pain, pain in

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Speaker 1: my teeth when I had a migraine. Really yeah, the

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Speaker 1: few migraines that I've had were always preceded by auras.

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Speaker 1: So you were an AURA suffer. I was an AURA sufferer.

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Speaker 1: And I think one thing also about about migraines is

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Speaker 1: that if you haven't had a migraine, you cannot understand

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Speaker 1: or relate to what it is. Oh no, I remember

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Speaker 1: when I had my first time. I was trying to

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Speaker 1: describe it to the coworker of mine. She like gave

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Speaker 1: me a hug when she realized that, like someone else

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Speaker 1: understood that she was going through m Well, maybe she

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Speaker 1: have your hug too, because you are a fellow woman

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Speaker 1: who's had migraine problems. Um sevent of women, according to

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Speaker 1: the Mayo Clinic, have migraine pain. Well, only six percent

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Speaker 1: of men do. So it begs the question why do

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Speaker 1: women have more migraines than men? Well, maybe first we

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Speaker 1: should talk about UM triggers. Okay, just environmental triggers that

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Speaker 1: might cause migraines. We've got things like stress, bright lights,

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Speaker 1: weird smells, changes in season, medication, alcohol, aged cheese, I

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Speaker 1: mean pretty much anything it seems like can can bring

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Speaker 1: on a migraine. Yes, it's actually kind of frustrating because

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Speaker 1: some of these things you really just can't avoid. So

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Speaker 1: it doesn't seem like the triggers would really be gender specific.

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Speaker 1: I mean, men and women both encounter aged cheese and

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Speaker 1: alcohol at some point. But what you do have to

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Speaker 1: remember is that people might respond to triggers in different ways.

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Speaker 1: Um Like, let's say there's a cup of coffee and

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Speaker 1: you have it has this caffeine that might trigg our migraine. Uh,

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Speaker 1: it's probably gonna hit you a little harder as a

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Speaker 1: woman than it's going to hit a man, just because

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Speaker 1: men are bigger. And that's one thought. Maybe maybe just

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Speaker 1: these triggers affect people differently. We also have to take

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Speaker 1: family history into account. Um. For instance, identical twins who

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Speaker 1: have my are more likely to have both of them

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Speaker 1: to have migraines zan fraternal twins. The closer you are

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Speaker 1: to a family member who has migraines, the more likely

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Speaker 1: you are to have migraines. Like my mom had terrible migraines.

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Speaker 1: I remember when I was growing up, and so you

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Speaker 1: know I have migraines, and I know that at least

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Speaker 1: one of my sisters also suffers from migraines sometimes, so

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Speaker 1: the fact that you knew that this family history was

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Speaker 1: there probably led you to understanding what was going on

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Speaker 1: when you've had your first migraine. You know, there's family history,

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Speaker 1: We've got some environmental things, the way that we process

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Speaker 1: our bodies, processings different from men. And then they're the hormones,

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Speaker 1: the eight words hormones. Women seem to get screwed with hormones.

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Speaker 1: I gotta say, I know we have. We have many

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Speaker 1: articles on our site about all the things that hormones

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Speaker 1: to screw up for us, and the big one is estrogen. Well,

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Speaker 1: I was going to talk about how we just have

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Speaker 1: more migraines, but talk about the role of estrogen and migraines. Okay, Well,

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Speaker 1: there there's a pattern between the levels of estrogen and

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Speaker 1: woman's body and the frequency of migraines. And we can

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Speaker 1: trace all of this to the menstrual cycle. Whenever our

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Speaker 1: periods come right before during our periods are estrogen levels drop.

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Speaker 1: And it's also during those times that estrogen levels drop,

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Speaker 1: migraine levels rise. So the more estrogen that we have

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Speaker 1: surging through our blood means the fewer migraines that we

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Speaker 1: have And if you want like some backup for this,

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Speaker 1: up until the time that girls go through puberty, they

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Speaker 1: have the same number migraines as boys. You know, if

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Speaker 1: you are a childhood suffer migraines, it's it's all about

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Speaker 1: the same until you hit puberty. Yeah. And as many

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Speaker 1: as sixties seventy of women who get migraines for court

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Speaker 1: that their monthly cycle is related to when they get migraines.

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Speaker 1: So when that, you know, that estrogen level drops, then

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Speaker 1: then the headaches come. So if you're on let's say

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Speaker 1: a hormonal contraceptive, is your form of birth control, that

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Speaker 1: might be helping it because it's getting your hormones a

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Speaker 1: little bit more level, or it can even worse than it. Um.

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Speaker 1: But the positive side is that you know, it can

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Speaker 1: be one of the things that you work with your

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Speaker 1: doctor to kind of regulate so that you can find

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Speaker 1: a form of breath control that both relieves the migraines

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Speaker 1: and serves as an effective contraceptive. Yeah. Um. And then

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Speaker 1: there's also a chance that it could be triggered by

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Speaker 1: an underlying central nervous system disorder, and basically when that happens,

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Speaker 1: this disorder would cause a release of neuropeptides or brain

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Speaker 1: chemicals which would excite your brain too much and then

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Speaker 1: cause migraines. So those could be a couple of other

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Speaker 1: m underlying reasons for it, but I think so. The

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Speaker 1: newest research to come out about migraines and why we

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Speaker 1: get them has to do with something called cortical spreading

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Speaker 1: depression or CSD, and CSD is um sort of a

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Speaker 1: fan the term for brain excitability, or a literal brain storm,

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Speaker 1: if you will. Yeah, it's like your brain. It's just

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Speaker 1: there's just too much going on in your brain. And

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Speaker 1: maybe that's why women have more migraines, they just have

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Speaker 1: busier brains. No, Molly, that's not true. Cortical spreading depression

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Speaker 1: happens when you've got these series of waves, waves of

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Speaker 1: activity that move across your cortex or the outer layer

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Speaker 1: of your brain um. And when these waves occur, first,

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Speaker 1: you have a lot of rapid neuron firing, okay, and

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Speaker 1: that causes your brain to get more excited, increases the

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Speaker 1: blood pressure and the blood flow to your brain because

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Speaker 1: all those neurons are firing. And then after that there's

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Speaker 1: a wave of what's called neuron inhibition when Basically, the

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Speaker 1: neurons aren't totally dormant, but they're really not um they're

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Speaker 1: not firing as much. And so once that activity sort

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Speaker 1: of slows down in the cortex, that reduces the blood flow.

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Speaker 1: So you have this sort of sudden change in blood

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Speaker 1: pressure in your brain and that change in press sure

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Speaker 1: is where the headache pain from migraines comes from. Gotcha.

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Speaker 1: So it's like a roller coaster basically with drops and

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Speaker 1: then like even parts. Yes, And a study in Science

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Speaker 1: Daily was telling me was that women are just more

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Speaker 1: susceptible to these pressure changes. Women have much lower thresholds

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Speaker 1: for this, about two to three times lower than men. Yeah,

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Speaker 1: it's just a lot easier for for women to experience

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Speaker 1: CSD than men. So okay, so now we know why

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Speaker 1: it happens. But I think really quickly should go over

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Speaker 1: what you should do if it happens, because web md

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Speaker 1: reports that even though more than twenty eight million American

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Speaker 1: women get migraines, only three to five percent of them

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Speaker 1: actually seek any help for it. Yeah, I just go

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Speaker 1: to bed if I can. I have to leave work

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Speaker 1: and go to bid Well. That sort of attu is

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Speaker 1: what is contributing to migraine being one of top four

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Speaker 1: disabling conditions. Yeah, that was reported by World Health Organization

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Speaker 1: and they also contributed seventeen billion dollars a year ac

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Speaker 1: cording to Scientific American in a lost work, disability payments

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Speaker 1: and healthcare expenses. So these headaches are certainly not having

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Speaker 1: imaginary effects, even though some people don't sympathize with them.

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Speaker 1: But what can we do, Molly, if we have if

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Speaker 1: the aura comes on and our head starts pounding, well,

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Speaker 1: even if you just want to go straight to bed,

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Speaker 1: what you should do is you should make a note

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Speaker 1: of it in a journal, Try and remember all the details,

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Speaker 1: what you might have eaten, how much sleep you might

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Speaker 1: have gotten, so you can start to figure out your triggers,

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Speaker 1: because that's really going to help the doctor kind of

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Speaker 1: determine what might be the best course for you. And

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Speaker 1: then once you figure them out, I mean this sounds,

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Speaker 1: you know, kind of overly silly, but then you just

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Speaker 1: sort of trying to avoid them, avoid migraines, avoid your triggers,

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Speaker 1: regular sleep, exercise, no aged aged cheese. If that's what

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Speaker 1: does it for you. You got back on the caffeine,

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Speaker 1: and then after that, once you've got your journal, and

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Speaker 1: you know your triggers, then you know then the doctor.

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Speaker 1: Don't be one of those people who don't seek help

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Speaker 1: for it. Talk to your doctor and see what kind

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Speaker 1: of medications might be available. And speaking of medications, there

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Speaker 1: is a new drug that they've been looking into that

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Speaker 1: could be the key to migraine relief. It's a drug

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Speaker 1: called ment mementine, mementine that's kind of hard to say,

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Speaker 1: and it's being studied UM for its uh, the ability

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Speaker 1: to block cortical spreading depression, that brain excitability, So you

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Speaker 1: might be able to take mementine and UM and it

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Speaker 1: will calm your brain down so that you don't have

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Speaker 1: all that active firing and the changes in blood pressure

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Speaker 1: and at the end of the day a debilitating headache.

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Speaker 1: And regardless of how that turns out, there, I know

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Speaker 1: some things work, like pain relieving medications, UM, beta blockers, antidepressants,

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Speaker 1: even botox injections have been studied as a way to

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Speaker 1: relieve migraines. Goodness, well, I guess I'll make some women

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Speaker 1: happy multitasking yep. But also on the upside, if you

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Speaker 1: are suffering from migraines, okay, you're a woman, you're suffering

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Speaker 1: from migraines and you don't you know, mementine is not

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Speaker 1: yet an option for you. You can wrestle easier at

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Speaker 1: night because you have a thirty percent lower chance of

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Speaker 1: getting breast answer who says that it's a new study

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Speaker 1: that just came out. Um, that was reported in a

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Speaker 1: bunch of different sources actually, but the one that I

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Speaker 1: found was in CBS News, and um, it all has

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Speaker 1: to do with those estrogen levels. They're basically saying that

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Speaker 1: women who have a lot of migraines have low estrogen levels.

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Speaker 1: And if you have low estrogen levels and you're less

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Speaker 1: likely to develop breast cancer because women with higher estrogen

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Speaker 1: levels are more likely to develop it, then you're always

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Speaker 1: looking on the bright side of things. I mean, that's

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Speaker 1: a pretty big number, Molly though, that is. But I'm

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Speaker 1: more concerned about the number of women who already suffer migraines,

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Speaker 1: and I think that if you are one of those women,

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Speaker 1: you should maybe try some of the tips we tried,

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Speaker 1: and also find out more information about pains in the

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Speaker 1: brain on how stuff works dot com for moralns and

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Speaker 1: thousands of other topics because it has stuff works dot

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Speaker 1: Com