In this issue

Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Migraine headaches and fertility?

By Stephanie Faubion, M.D.

Options and explanations | DEAR MAYO CLINIC: I've had migraine headaches since I was 12 years old. I'm now 33. I take preventative medication which helps. I still have the biggest problem the week of my period. Is there anything I can do about this?

ANSWER: Migraine headaches are common in women during their reproductive years. These headaches often get worse around the time of the menstrual period. Some women have pure menstrual migraine headaches, which only occur during a menstrual cycle. Others have menstrual-related migraine attacks. These happen around the menses, but may occur at other times, too. Your situation sounds like the second category.

Migraine can cause intense throbbing pain in one area of the head or all over, typically accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Menstrual migraine headaches are not usually associated with aura (flashing lights, blind spots in vision, or numbness or tingling of the face or hands). Compared to non-menstrual migraine, menstrual migraine headaches may be more severe, last several days, and be less responsive to treatment.


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Changes in a woman's estrogen levels can trigger a migraine attack, particularly during the days leading up to a menstrual cycle, when estrogen levels fall rapidly. One way to manage menstrual migraine headaches is to take a combined hormonal contraceptive. These contraceptives can stabilize a woman's estrogen levels and curb the hormone changes that can trigger a migraine attack.

If you take the contraceptives as pills, a variety of choices are available. The standard way of taking these pills is to take three weeks of active hormone pills followed by one week of inactive pills without hormones. Several new formulations are available that provide active hormone pills for three months (allowing for a menstrual cycle every ninety days); continuous active hormone pills (with no inactive pills and no periods); or shortening the hormone-free interval (providing only four days of inactive pills for the menstrual cycle), thereby lowering your risk of a menstrual migraine.

Other forms of combined hormonal contraceptives can be used continuously, as well. For example, a contraceptive vaginal ring can be used at four-week instead of three-week intervals. You can immediately replace the old ring with a new one. These methods decrease the frequency or duration of the hormone-free interval, thereby decreasing your chances of experiencing a migraine headache related to fluctuating estrogen levels while providing effective contraception.

In addition to pregnancy prevention and migraine management, the use of combined hormonal contraceptives offers other benefits. They keep your menstrual cycle regular and can help treat acne and ovarian cysts. They also control heavy menstrual bleeding and can lessen menstrual pain.

If you don't need birth control, or if you prefer not to take a contraceptive, an estrogen patch is an option. Applying the patch to your skin five to seven days before your menstrual cycle and continuing through the first or second day of your period can help prevent menstrual migraine headaches.

Although hormonal contraceptives have been associated with stroke risk in the past, the newer, lower-dose formulations seem to carry a lower risk. Having migraine headaches may raise your stroke risk, particularly if you have migraine headaches with aura. Other risk factors for stroke include age, obesity, smoking, high blood pressure and high cholesterol. These factors should be carefully assessed in any woman considering the use of combined hormonal contraceptives for any reason.

Taking a combined hormonal contraceptive to minimize the fall in estrogen levels during your menstrual cycle can be an effective way to prevent menstrual migraine headaches. When considering the use of these contraceptives, take into account your contraceptive needs, the non-contraceptive benefits, your risk factors for stroke and your personal preferences. With these considerations in mind, you can work with your health care provider to formulate a plan to treat your migraine headaches. -- Stephanie Faubion, M.D., Women's Health Clinic, Mayo Clinic, Rochester, Minn.

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