Hi,
As per your clinical history, please follow like this:
1) Do a clinical examination by your Doctor [Neurologist] and if confirmed then discuss preventive medicines like [Amitriptyline] which you have to take regularly.
2) As per your description, please take the medicine which contains less [estrogen] because both are same combined pills.
Do follow lifestyle modifications like this:
1) Try to avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them.
2) Try to reduce your caffeine and alcohol intake and avoid tobacco.
3) Try to establish a daily routine with regular sleep patterns and regular meals. In addition, try to control
stress.
4) Do exercise regularly. Regular
aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming, and cycling.
5) Obesity is also thought to be a factor in migraine
headaches, and regular exercise can help you maintain a healthy weight or lose weight.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Uday Nath Sahoo