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Hormonal Contraception in a Woman with Headache 

Hormonal Contraception in a Woman with Headache
Hormonal Contraception in a Woman with Headache

M. Angela O’Neal

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date: 21 October 2021

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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