Clinical case review

Contraception choice dilemma. A woman with migraine with aura

Clinical case review

Contraception choice dilemma. A woman with migraine with aura

Deborah Bateson, Kathleen McNamee, EMILY LATHLEAN

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© RFBSIP/stock.adobe.com
© RFBSIP/stock.adobe.com

Abstract

The onset of migraine with aura in a 43-year-old woman impacts her contraceptive options, the condition being a contraindication to combined hormonal contraception. The evidence-based UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) system is a useful framework for considering contraindications to contraceptives.

Article Extract

Case scenario

Rene, a 43-year-old woman, has been taking the combined oral contraceptive (COC) for around five years. She says ‘it changed my life’ as she has been skipping the hormone-free break, resulting in absent withdrawal bleeding, and she feels it has been helpful for her mood after previously experiencing negative mood changes with other hormonal contraception.