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[Migraine and contraception].

H Cappy1, C Lucas2, S Catteau-Jonard3

  • 1Service de gynécologie endocrinienne et médecine de la reproduction, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; Service de gynécologie médicale, orthogénie et médecine du couple, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.

Gynecologie, Obstetrique & Fertilite
|March 3, 2015
PubMed
Summary
This summary is machine-generated.

Migraine attacks in women are often linked to hormonal changes and the menstrual cycle. This review examines how hormonal contraceptives affect migraine occurrence, especially in those with migraine with aura.

Keywords:
Contraception hormonaleCéphaléesHeadacheHormonal contraceptivesInfarctus cérébralIschemic strokeMigraine avec auraMigraine sans auraMigraine with auraMigraine without aura

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Area of Science:

  • Neurology
  • Women's Health
  • Endocrinology

Background:

  • Migraine is a prevalent neurological disorder in women, often correlated with hormonal fluctuations and the menstrual cycle.
  • Migraine with aura is recognized as a stroke risk factor, with risks amplified by combined oral contraceptives and smoking.

Purpose of the Study:

  • To review the influence of various contraceptive methods on migraine occurrence.
  • To analyze the impact of different oral contraceptive regimens and estrogen types on migraine.

Main Methods:

  • Literature review of studies on hormonal contraceptives and migraine.
  • Analysis of data concerning oral contraceptive regimens and estrogen content in relation to migraine.

Main Results:

  • Hormonal fluctuations associated with the menstrual cycle frequently trigger migraine attacks.
  • Combined oral contraceptives, particularly those containing estrogen, can increase stroke risk in women with migraine with aura.

Conclusions:

  • Understanding the relationship between hormonal contraceptives and migraine is crucial for patient management.
  • Guidelines recommend caution or contraindication of combined oral contraceptives in women with migraine with aura due to increased risks.