A 30-year-old woman with a history of migraine with aura is requesting combined oestrogen-progestin oral contraception. She is a non-smoker with no ot...

Question

A 30-year-old woman with a history of migraine with aura is requesting combined oestrogen-progestin oral contraception. She is a non-smoker with no other risk factors. According to Canadian contraception guidelines, what is the most appropriate advice?

Accepted Answer

Combined hormonal contraception is contraindicated due to migraine with aura; recommend a progestin-only or non-hormonal method

Answer

Combined hormonal contraception is safe without restriction

Answer

Advise against any form of hormonal contraception

Answer

Recommend emergency contraception as regular birth control

Answer

Start high-dose oestrogen to stabilise migraines

ca-mccqe1 MCQ (SBA): Contraception in migraine with aura

A 30-year-old woman with a history of migraine with aura is requesting combined oestrogen-progestin oral contraception. She is a non-smoker with no other risk factors. According to Canadian contraception guidelines, what is the most appropriate advice?