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Contraception in migraine with aura — ABFM Board MCQ

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HardWomen's health/OB/GYNContraception in migraine with auraABFM Board

A 19-year-old woman requests contraception. She has migraine with aura, smokes occasionally, and wants a highly effective reversible method. Pregnancy test is negative. Which of the following would you advise this patient?

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Correct answer: E — Copper or levonorgestrel intrauterine device

Estrogen-containing contraception is contraindicated in migraine with aura due to ischemic stroke risk. Long-acting reversible contraception such as copper or levonorgestrel IUD is highly effective and avoids estrogen.

Reference: CDC U.S. Medical Eligibility Criteria for Contraceptive Use