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Contraception after migraine with aura — USMLE Step 3 MCQ

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

A 31-year-old woman requests contraception. She has migraine with visual aura twice monthly and smokes 5 cigarettes daily. Blood pressure is 118/72 mm Hg and pregnancy test is negative. Which of the following is the most appropriate next step in management?

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

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Correct answer: ELevonorgestrel intrauterine device placement

Estrogen-containing contraception is avoided in migraine with aura; a levonorgestrel IUD is highly effective and may reduce bleeding.

Reference: CDC US Medical Eligibility Criteria for Contraceptive Use