skip to main content

Contraception migraine with aura — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

HardOB/GYN (prenatal care, contraception, screening)Contraception migraine with auraUSMLE Step 3

A 35-year-old woman requests contraception. She has migraine with visual aura and smokes half a pack daily. Blood pressure is 118/76 mm Hg. She wants a highly effective reversible method and has no pelvic infection. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Offer a levonorgestrel intrauterine device

Estrogen-containing contraception is contraindicated with migraine with aura and smoking risk; LARC methods are safe and effective options.

Reference: CDC U.S. Medical Eligibility Criteria for Contraceptive Use: https://www.cdc.gov/contraception/