Combined hormonal contraception and migraine: are we being too strict?

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ID: 57374
2019
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Abstract
Combined hormonal contraception has been contraindicated in migraines, especially in migraines with aura, because of ischemic stroke risk. Newer formulations are now available and physicians may unnecessarily be limiting access to contraceptive and medical therapeutic options for patients with migraines. This review summarizes the available data regarding ischemic stroke risk of modern combined hormonal contraception in the setting of migraines.Limited data exists on current formulations of combined hormonal contraception and outcomes in migraine patients. Studies indicate ischemic stroke risk may be estrogen dose related with high dose formulations having the highest risk. Absolute risk of ischemic stroke with combined hormonal contraception and migraines is low.Ischemic stroke risk in combined hormonal contraception users in the setting of migraines is low and an individual approach may be more appropriate than current guidelines.
Reference Key
voedisch2019combinedcurrent Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Voedisch, Amy J;Hindiyeh, Nada;
Journal Current opinion in obstetrics & gynecology
Year 2019
DOI
10.1097/GCO.0000000000000586
URL
Keywords
Management treatment .headache cervical error exam misdiagnosis underdiagnosis

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