Combined pill /migraine with aura @drpaula

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#1

I’m considering the combined pill at 44

I’ve tried POP with horrendous side effects and simply can’t tolerate POP physically with spotting and hormone side effects .

In my 20’s I tolerated combined pill really well . I have had migraines with aura but not for years . I’d say 6-10 years .

Would this still be too risky for a combined pill to be tried


#2

Hello Apple123

Many thanks for your question. The UK Medical eligibility criteria rank all health problems in relation to different types of contraception as 1,2,3 or 4.

Ranks 1 and 2 generally mean that the benefits outweigh the risks.

Ranks 3 and 4 generally mean that the risks outweigh the benefits.

A history of migraines with aura more than 5 years ago at any age is ranked as a 3 - that is the risks outweigh the benefits of the combined pill.

Current history of migraine with aura is a 4 that is completely contraindicated.

People tend to be very careful about migraines as they increase your risk of stroke - and so does the pill. Separately these risks are very small indeed, but combined they become much more significant.

Hope this is helpful.

Paula