Migraine headaches can sometimes become more severe in women with PCOD because hormonal fluctuations, stress, poor sleep, irregular meals, and emotional strain may trigger headaches more easily. A severe headache lasting 2 days may still be related to migraine, especially if accompanied by light sensitivity, nausea, vomiting, dizziness, or visual disturbances. Lack of hydration, excessive screen use, and missed meals may also worsen migraine attacks. Resting in a quiet, dark room, drinking enough fluids, sleeping properly, and avoiding loud noise or bright screens may help reduce headache intensity gradually. Regular meal timings and stress control are also important because both migraine and PCOD can worsen with irregular lifestyle habits. Warm or cold compresses over the head, along with relaxation techniques, may provide some comfort during mild to moderate attacks. Because the headache is severe and persistent, a medical review may be needed to check whether the migraine treatment requires adjustment or if another cause is contributing. Medicines for migraine should be taken only under proper medical guidance. Seek medical attention urgently if she develops weakness, confusion, fever, vision loss, difficulty speaking, or a sudden worsening headache.

Amitriptyline should not be stopped suddenly without medical advice. Stopping it all at once may cause symptoms such as headache, nausea, sleep disturbance, or mood changes. The dose usually needs to be reduced slowly to avoid withdrawal effects. Consult your doctor so the medicine can be stopped safely and gradually if needed.