Expert Commentary

Is it time to rethink the use of oral contraceptives in premenopausal women with migraine?

OBG Manag. 2013 October;25(10)
By
Anne H. Calhoun, MD
Author and Disclosure Information

In this in-depth interview, hear headache expert Dr. Anne Calhoun discuss how oral contraceptives can help your patients with migraine—despite ACOG’s concerns, voiced in its 2006 practice bulletin, of OC use in this patient population.
PDF Download

 

Part 1 Data dissection

  • Migraine versus migraine with aura versus tension headache
  • Baseline risk of stroke in patients with migraine
  • What does the literature suggest about the risk of stroke associated with combination oral contraceptives (OCs) in women with migraine?
  • What have been the objections in the past to OC use in women with migraine?

Part 2 Successful interventions for avoiding menstrual headache

  • How might women with migraine benefit from OCs?
  • Estrogen dose: Does it make a difference in headache avoidance?
  • Is low dose or continuous OC use the best option for contraception in women with migraine?
  • Should an ObGyn consult with a headache specialist before prescribing combination OCs to women with migraine?

Download transcript for Part 1

Download transcript for Part 2

Recommended Reading

LARC use leads to dramatic drop in teen pregnancies
MDedge ObGyn
Feds back down on emergency contraception
MDedge ObGyn
FDA approves Plan B One-Step OTC for all ages
MDedge ObGyn
HHS issues final rule on contraceptive coverage
MDedge ObGyn
LARCs hold key to reducing unplanned pregnancy rate
MDedge ObGyn
UPDATE ON CONTRACEPTION
MDedge ObGyn
Why one effective emergency contraceptive isn't meeting its potential
MDedge ObGyn
UPDATE ON TECHNOLOGY
MDedge ObGyn
5 IUD myths dispelled
MDedge ObGyn
Women’s use of STD-related services up 27% since 2002
MDedge ObGyn

Related Articles