An evidence-based approach to hormonal contraception and headaches.
Some 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.
Harris
Marissa
M
Department of Family Medicine, Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, NY 10467, USA.
Kaneshiro
Bliss
B
D000328:Adult; D003267:Contraception / Q000379:methods*; D003277:Contraceptives, Oral, Combined / Q000009:adverse effects; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects; D000075202:Contraindications; D019317:Evidence-Based Medicine; D005260:Female; D006261:Headache / Q000145:classification / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008881:Migraine Disorders / Q000150:complications / Q000188:drug therapy; D012307:Risk Factors; D020521:Stroke / Q000139:chemically induced / Q000209:etiology; D055815:Young Adult
D003277:Contraceptives, Oral, Combined; D003278:Contraceptives, Oral, Hormonal