This article was clinically reviewed by Haley Collins, FNP.
Introduction
Migraines are more than just severe headaches; they are a neurological condition that can significantly disrupt your life. For LGBTQIA+ individuals, additional stressors and healthcare disparities can exacerbate migraine symptoms and our ability to get the right treatment. At FOLX, we understand these unique challenges and are dedicated to providing empathetic, inclusive care tailored to your needs.
This guide aims to empower you with the information and support necessary to manage your migraines effectively with FOLX.
How do I know when I should see a clinician about migraines?
You should seek professional help if you experience recurrent, severe headaches, nausea, vomiting, sensitivity to light or sound, or visual disturbances. For those of us in the LGBTQIA+ community, the stress of societal pressures can intensify these symptoms, and make it harder for us to access care. Consulting a clinician who understands your unique context can make a significant difference in managing your migraines effectively.
If you have been diagnosed with migraines, and you want FOLX to take over your care for this condition we can do that too!
There are some symptoms during a headache that should be evaluated in person. If you experience a sudden, severe headache described as the "worst headache of your life," stiffness in your neck, recent head injury, confusion, weakness, or severe vomiting you should seek prompt in person evaluation in an urgent care or emergency department.
Headache vs Migraine
Migraines and headaches are different conditions with distinct characteristics. A headache generally involves pain or discomfort in the head or face, often caused by stress, muscle tension, or sinus issues, and typically features dull, aching pain. Migraines, however, are a neurological condition marked by intense, throbbing pain on one side of the head, often accompanied by nausea, vomiting, and heightened sensitivity to light and sound. Migraines can last from 4 to 72 hours and may include sensory disturbances called auras. Headaches are usually shorter in duration, while migraines can be triggered by factors such as hormonal changes, certain foods, and stress. Both conditions require different management approaches, with headaches often treated with over-the-counter pain relievers and lifestyle changes, and migraines needing specific medications and preventive strategies
Folx can help you if you are having headaches or diagnosed with a migraine condition.
What kind of treatment options are there for migraines?
FOLX clinicians provide a comprehensive range of treatments to address migraines, including:
Medications:
- Abortive Medications: These include triptans and ergotamines, which are used to stop migraine attacks as they start.
- Preventive Medications: Beta-blockers, anticonvulsants, and antidepressants can help reduce the frequency and severity of migraines.
- Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen can help relieve mild migraines.
- Anti-nausea medications: Ondanestron or other antiemetics to relieve symptoms of nausea associated with migraines
Lifestyle Adjustments:
- Guidance on avoiding migraine triggers such as certain foods, stress, and lack of sleep. (Keeping a symptom diary can be helpful to identify triggers)
- Recommendations for regular exercise and healthy eating habits.
Other treatments:
- Cognitive Behavioral Therapy (CBT): Helps manage stress and reduce the frequency of migraines. We offer talk therapy in select states and referrals anywhere we don’t have our own therapists.
- Biofeedback: Teaches you how to control certain body functions, such as muscle tension, to reduce migraine pain.
- Acupuncture: May help relieve migraine symptoms for some people. FOLX can help you find an acupuncturist near you.
Is there anything I should prepare for my visit?
To make the most of your visit, document any migraine symptoms, triggers, and the frequency and duration of your attacks. Knowing your medical history and any previous treatments you've tried can help your FOLX clinician develop a personalized care plan. Be open about how your identity and experiences impact your health, as this can inform the most effective treatment approach. Being in a private and quiet place for your appointment is best.
What should I expect during a FOLX visit for migraines?
In a telehealth visit for migraines, you can expect comprehensive care similar to an in-person appointment. Your clinician will discuss your symptoms, triggers, and any challenges you're facing. Your clinician will likely complete a virtual neurological assessment during your appointment. This includes observing actions like looking up and down, puffing out your cheeks and sticking out your tongue. Together, you'll develop a migraine management plan, discuss medication options, and explore lifestyle changes to manage your condition. Your FOLX clinician will provide ongoing support and tools to help you control your migraines effectively.
After your visit, we can send any prescriptions to a pharmacy of your choice.
If your clinician recommends further evaluation with a specialist we can provide a referral to a specialist in your area.
Other Resources / Further Reading
For more information and support on managing migraines, explore these resources:
- Migraine Overview - Mayo Clinic
- Migraine - American Migraine Foundation
- National Institute of Neurological Disorders and Stroke - Migraines
- The Migraine Trust
- CDC - Migraines
FAQs
Q: Can migraines be cured?
A: Migraines cannot be cured, but they can be effectively managed with the right treatment plan. Many people with migraines live full, active lives by following their migraine action plan and avoiding triggers.
Q: How does lifestyle impact migraine management?
A: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, proper hydration, minimizing stress, and a consistent sleep schedule, can significantly improve migraine control. Stress management techniques are also beneficial.
Q: What should I do during a migraine attack?
A: Follow your migraine action plan, take your acute medications, and rest in a dark, quiet room. If your symptoms do not improve, seek medical attention. It's crucial to have a clear plan in place for managing attacks.
Q: Are there specific challenges for LGBTQIA+ individuals with migraines?
A: LGBTQIA+ individuals may face additional stress and healthcare disparities that can impact migraine management. Finding a clinician who understands these unique challenges and provides affirming care can greatly improve your health outcomes.
With FOLX, you have a supportive partner in managing your migraines, ensuring you receive the personalized, compassionate care you deserve.
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FOLX Health is the first digital healthcare company designed by and for the LGBTQIA+ community. Our services include primary care, gender-affirming hormone therapy including estrogen and testosterone (HRT), mental health care, sexual and reproductive health care, and fertility consultations. FOLX memberships give you access to LGBTQIA+ expert clinicians, peer support, thousands of LGBTQIA+ resources, and more. Whether you’re lesbian, gay, bisexual, transgender, queer, gender non-conforming, nonbinary, or another identity, you can find LGBTQ-specialized health care that helps you meet your wellness goals. Get all the benefits of becoming a FOLX member and sign up today!
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