Reproductive Health
Contraceptive decision-making in women with migraine: integrating guidelines, vascular risk, and clinical practice
Abstract Purpose of review This narrative review evaluates the relationship between migraine and hormonal contraception, with emphasis on stroke risk, guideline recommendations, and practical clinical decision-making. Special consideration is given to migraine subtypes, estrogen dose, and patient-specific vascular risk factors. Recent findings Migraine with aura (MA) is consistently associated with increased ischemic stroke risk, and combined hormonal contraceptives (CHCs) further amplify this risk. Guidelines unif …