Do I count as having a history of migraine with aura?


Question:
I know that women aren't supposed to take any medication or contraceptive with estrogen if they have a history of migraine with aura, but I don't know if I count as having a history. I'm 18 now, and I had about 8 migraines with aura all while I was 13 years old. I haven't gotten one ever since, but I don't know if it still counts as me having a history of them from the standpoint of whether I can take estrogen-containing contraception or not. Thanks so much!

Answers:
You'll probably be fine, although this is definitely something that you should be mentioning to the doctor who will prescribe you the pill. They'll be able to take a look at your history and give you an actual qualified medical opinion. Unlike me. But, about a quarter of people will have a classic migraine (with aura) at some point in their lives... the fact that it's been so long is probably a good indicator that you can give it a try. If you're a smoker or have other stroke risks, however, it might be good to look into a different form of contraception.

If you are concerned about the increased risk of stroke, ask about lower-dose formulations (30-40 micrograms) or the mini-pill, which is a progestin-only pill. The mini-pill is slightly less effective than the combination pill but it has milder side effects and is often prescribed to women who wish to avoid estrogen.
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