- Preface
- Contributors
- 1 Hormonal Contraception in a Woman with Headache
- 2 A Young Woman with Jerking Movements
- 3 Headache
- 4 Seeing Spots
- 5 Seizures Occurring Once a Month
- 6 Multiple Ovarian Cysts in a Woman with Epilepsy
- 7 Newlywed with Headache, Morning Sickness, and Subjective Right-side Weakness
- 8 Routine Long-Term Epilepsy Follow-up
- 9 A Young Woman with Infertility
- 10 A Woman with Weight Gain and Fatigue
- 11 A 27-Year-Old Woman with Epilepsy Planning for Pregnancy
- 12 What Imaging Test Do I Order?
- 13 A Lady with a Headache in the First Trimester
- 14 A Lady with a Headache in the Second Trimester
- 15 Ringing in the Ears and Pain in the Head
- 16 A Pregnant Woman with Aphasia and Right-Sided Weakness
- 17 Postpartum Visual Disturbance
- 18 Postpartum Thunderclap Headache
- 19 Postpartum Left-Sided Numbness and Right-Sided Shaking
- 20 Acute Headache in Pregnancy
- 21 The Worst Headache of Her Life
- 22 A Woman in Labor with Hypotension and Dyspnea After Epidural Placement
- 23 Weakness in the Hand of a Woman During Pregnancy
- 24 A Woman with Leg Weakness after Delivery
- 25 A Young Woman with Double Vision and Fatigue
- 26 Multiple Sclerosis
- 27 A Mother Who Could Not See Her Baby
- 28 “I Am Pregnant; Why Can’t I Sleep?”
- 29 Convulsion in a Pregnant Woman
- 30 Cognitive Concerns
- 31 “Will I Have a Stroke?”
- 32 Involuntary Movements
- 33 Memory Concerns in Middle Age
- 34 Pain in the Back
- Index
(p. 3) Hormonal Contraception in a Woman with Headache
- Chapter:
- (p. 3) Hormonal Contraception in a Woman with Headache
- Author(s):
M. Angela O’Neal
- DOI:
- 10.1093/med/9780190609917.003.0001
This chapter examines key issues around contraception in women with migraine. There is a small risk of stroke in migraine with aura. This is magnified when combined with other risk factors, such as smoking and hypertension. The use of combined oral contraceptive pills, or OCPs, contributes independently to stroke risk. This risk appears to be correlated with estrogen, but not with progesterone. In addition, the interactions of migraine-prophylactic medications with OCPs are delineated. The appropriate choice of contraceptive method should be made on an individual basis, taking into account their headache type, medications they are using, and cerebrovascular risk factors.
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- Preface
- Contributors
- 1 Hormonal Contraception in a Woman with Headache
- 2 A Young Woman with Jerking Movements
- 3 Headache
- 4 Seeing Spots
- 5 Seizures Occurring Once a Month
- 6 Multiple Ovarian Cysts in a Woman with Epilepsy
- 7 Newlywed with Headache, Morning Sickness, and Subjective Right-side Weakness
- 8 Routine Long-Term Epilepsy Follow-up
- 9 A Young Woman with Infertility
- 10 A Woman with Weight Gain and Fatigue
- 11 A 27-Year-Old Woman with Epilepsy Planning for Pregnancy
- 12 What Imaging Test Do I Order?
- 13 A Lady with a Headache in the First Trimester
- 14 A Lady with a Headache in the Second Trimester
- 15 Ringing in the Ears and Pain in the Head
- 16 A Pregnant Woman with Aphasia and Right-Sided Weakness
- 17 Postpartum Visual Disturbance
- 18 Postpartum Thunderclap Headache
- 19 Postpartum Left-Sided Numbness and Right-Sided Shaking
- 20 Acute Headache in Pregnancy
- 21 The Worst Headache of Her Life
- 22 A Woman in Labor with Hypotension and Dyspnea After Epidural Placement
- 23 Weakness in the Hand of a Woman During Pregnancy
- 24 A Woman with Leg Weakness after Delivery
- 25 A Young Woman with Double Vision and Fatigue
- 26 Multiple Sclerosis
- 27 A Mother Who Could Not See Her Baby
- 28 “I Am Pregnant; Why Can’t I Sleep?”
- 29 Convulsion in a Pregnant Woman
- 30 Cognitive Concerns
- 31 “Will I Have a Stroke?”
- 32 Involuntary Movements
- 33 Memory Concerns in Middle Age
- 34 Pain in the Back
- Index
