The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
Thanks for your question.
Norethisterone is a progesterone used to stop the persistent bleeding.
However, as you rightly surmised, this can worsen migraine headaches.
This can also cause mood changes including depression.
Hence, you are experiencing the side effects from this medication.
The medication should be discontinued after discussing with your doctor.
Your current bleeding pattern is consistent with perimenopausal phase.
If the bleeding is not heavy, this can be observed currently.
oral NSAIDs like ibuprofen or naproxen can be used to control the excessive bleeding which should also help with the headaches.
Mefenamic acid is another NSAId that is commonly used with success.
Otherwise, endometrial ablation is your next option since hormonal pills will worsen your migraine.
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