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

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

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Dr. Calhoun is cofounder of the Carolina Headache Institute and Professor, Departments of Psychiatry and Anesthesiology, University of North Carolina, Chapel Hill.

Dr. Calhoun reports receiving research support from ElectroCore and GlaxoSmithKline, serving as a speaker for Nautilus Neurosciences and Zogenix, and consulting to Allergan, Nautilus, and Zogenix.

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OBG Management - 25(10)
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migraine,oral contraceptives,premenopausal women,premenopause,migraine with aura,stroke,OCs,estrogen,headache,Anne H. Calhoun MD
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Author and Disclosure Information

Dr. Calhoun is cofounder of the Carolina Headache Institute and Professor, Departments of Psychiatry and Anesthesiology, University of North Carolina, Chapel Hill.

Dr. Calhoun reports receiving research support from ElectroCore and GlaxoSmithKline, serving as a speaker for Nautilus Neurosciences and Zogenix, and consulting to Allergan, Nautilus, and Zogenix.

Author and Disclosure Information

Dr. Calhoun is cofounder of the Carolina Headache Institute and Professor, Departments of Psychiatry and Anesthesiology, University of North Carolina, Chapel Hill.

Dr. Calhoun reports receiving research support from ElectroCore and GlaxoSmithKline, serving as a speaker for Nautilus Neurosciences and Zogenix, and consulting to Allergan, Nautilus, and Zogenix.

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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

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

Issue
OBG Management - 25(10)
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OBG Management - 25(10)
Publications
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Display Headline
Is it time to rethink the use of oral contraceptives in premenopausal women with migraine?
Display Headline
Is it time to rethink the use of oral contraceptives in premenopausal women with migraine?
Legacy Keywords
migraine,oral contraceptives,premenopausal women,premenopause,migraine with aura,stroke,OCs,estrogen,headache,Anne H. Calhoun MD
Legacy Keywords
migraine,oral contraceptives,premenopausal women,premenopause,migraine with aura,stroke,OCs,estrogen,headache,Anne H. Calhoun MD
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