• Contraception · Nov 2009

    An evidence-based approach to hormonal contraception and headaches.

    • Marissa Harris and Bliss Kaneshiro.
    • Department of Family Medicine, Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, NY 10467, USA.
    • Contraception. 2009 Nov 1;80(5):417-21.

    AbstractSome controversy exists regarding contraceptive management in women with migraines, particularly migraines with aura. The available scientific literature indicates that combined hormonal contraception is safe with most headache subtypes. However, it should be avoided in women with migraine with aura and women with simple migraines who have other risk factors for stroke. Progestin only contraceptives as well as the copper intrauterine device can be safely used in women with migraines. Accurate classification of a patient's headache type can avoid unnecessary restriction of effective contraceptive methods, particularly those containing estrogen.

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