That is a good question. I wish I had a crystal ball. I believe my problems could be for life because the MAV began 6 months after my last period. Seems like it was definitely hormone (or lack of) related. (To be honest, however, I was also under a lot of stress at the time.) My whole system had/has changed. But a friend of mine had migraines up to menopause and then they disappeared. If you have read my blog, you know that when left untreated, I get the full range of horrible symptoms. The GOOD NEWS, so far, is that it is treatable and I can have control over this problem. I follow both the the Migraine Diet of no alcohol, no coffee, no major MSG, and some foods like banana, avocado, aged cheese or more than a taste of chocolate. I also add the histamine diet which really overlaps the MIgraine diet, but adds no dairy, no berries and a few other things. Swelling of the sinus aggravates the nerves, etc. There is a strong relationship between histamine intolerance and migraine. Much overlap. When I am overloaded from uncontrollable triggers (heat of summer, too much activity and head motion, series of storms coming in, maybe too much exercise, etc.) and I cannot recover with ;Allegra or an occasional Advil, then I can go on a short course of Nortriptyline. In the beginning, I was on 25mgs for 3 weeks, 50 mgs for 3 weeks and then 25 mgs for three weeks. Then I was off for 14 months. The second time I went on I was on 10 mgs and then 25mgs and then 10. My allergies are getting worse and I am aging and I have a hard time controlling the ear fullness. My right inner ear is probably damaged. My doctor is trying me on 2 weeks of 10 mgs. just to get my system back on track. I have been dealing with MAV for 8 years. I t seems like it will always be here but I can control it with diet, trigger avoidance and medication as needed. I have a good oto-neurologist who works with several patients like me, but I have permanent ear damage and hearing loss. I have to accept this, deal with solutions that are offered and not get bogged down worrying about what is in the future. Hope this is helpful. (www.vertigotalesandtastes.blogspot.com)
But maybe you are young. When I was in my early 40's, I had 2-day episodes. First day was loud tinnitus in my right ear. Second day I was nauseous and then vomited (sorry!). Then the episode was over. This happened 3 times so I went to the first ENT. He thought I could have a brain tumor and wanted me to go to a world renowned Ear clinic in Los Angeles. I said "nah". I went to another ENT I knew, and she did a RAST blood test for allergies. (This was before anyone knew about MAV, etc.) The test revealed that I had high histamine levels for Egg whites, legumes (soy), peanuts, citrus,white potatoes and wheat. Low levels for tomato and milk. So I strictly avoided these for a few months and the whole thing disappeared for 18 years. I drank coffee, ate chocolate and had a drink on Saturday night and had no problems. I even eventually consumed rotated amounts of the other foods. No problems until menopause. Funny, those foods are on the histamine and/or migraine list. Maybe it is a good idea to try avoiding the foods on the migraine diet. Maybe it will help you.