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Migraine with aura and contraception — MCCQE Part 1 MCQ

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ModerateContraceptionMigraine with aura and contraceptionMCCQE Part 1

A 35-year-old woman requests contraception. She has migraine with visual aura and smokes 10 cigarettes daily. Which of the following is the safest option?

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Correct answer: C — Progestin-only or non-hormonal contraception rather than combined estrogen-containing contraception

Migraine with aura and smoking increase stroke risk, so estrogen-containing contraception is generally contraindicated. Progestin-only methods and copper IUD are safer ongoing options. Emergency contraception is not an ongoing contraceptive plan.

Reference: SOGC Canadian Contraception Consensus