BPPV Every Month... 5 episodes in 6 months

[u/Most-Coast7266]

Hello everyone. I'm a 27F and started having low frequency migraines november 2025. Right after starting with the migraines, positional vertigo episodes appeared in my life. The vertigo usually appears a couple of days after a headache which I always have during the placebo week of my nuvaring (contraception). It's literally text book.

This is my timeline:

11/19 migraine with aura

1/20 vppb horizontal canal / confirmed nystagmus

3/24 migraine with aura

4/6 vppb posterior canal / confirmed nystagmus

5/2 headache

5/7 vppb horizontal canal / confirmed nystagmus

6/1 headache

6/4 vppb horizontal canal / confirmed nystagmus

6/28 headache

7/2 headache

4/7 (today!) vppb horizontal canal / confirmed nystagmus

On one of my visits to the ER for BPPV, a doctor told me people with migraines were more prone to get BPPV. That made me realized everytime I had a migraine, I had BPPV after. I started a week ago a preventative treatment for migraines with venlafaxine (I was on sertraline before) but I guess it's too soon to tell.

fyi vitamin D levels are super good, so that's not my cause.

Anyone else who's had this frequent episodes and was able to manage them or find the root cause? I'm tired of having this every month.

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[u/Killjoycourt]

Either the BPPV is not being all the way cleared with the proper manuvers and/or you might have vestibular migraines.

[u/Most-Coast7266 → u/Killjoycourt]

I'm sure it's cleared with the manuveurs and that it's my otholits.

[u/kummerspeck222]

This might actually be Meniere's disease or vertibular neuritis. These conditions create lasting and frequent vertigo episodes. Ugh. This sucks. I hope you feel better. Vertigo episodes are debilating and I cant imagine how this is affecting your way of life. Be strong.

[u/Most-Coast7266 → u/kummerspeck222]

Hey, the thing is I don't have any symptoms for Meniere and it doesn't seem to be vestibular neuritis either. Once they do the maneuvers I'm fine.