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Which contraceptives are recommended for women with a history of migraine with aura?

Any method without restrictions

Progestin-only pill (POP) or non-hormonal

Women with a history of migraine with aura are at an increased risk of stroke, especially when combined with estrogen-containing contraceptives. Therefore, the recommended contraceptives for these women are the progestin-only pill (POP) or non-hormonal options to minimize the risk of adverse events like stroke. It is crucial to avoid combined oral contraceptives which contain both estrogen and progestin, as well as contraceptives containing drospirenone, which also have an increased risk of blood clots.

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Combined oral contraceptives

Drospirenone containing contraceptives

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