Contraceptive Options for Women with Headache Disease

  • Deborah Bartz
  • M. Angela O’Neal
  • Andrea G. Edlow
Chapter

Abstract

This chapter addresses the effects of hormonal contraceptives on headache, in particular, migraine. The definition, incidence, and prevalence for migraine with and without aura are reviewed. The discussion explores the stroke risk associated with both hormonal contraception and migraine and also includes the special contraceptive concerns regarding estrogen withdrawal headache, menstrual migraine, and idiopathic intracranial hypertension. A case-based approach is used to allow practitioners an understanding of how to implement best practice recommendations, especially the selection of appropriate candidates for initiation of hormone-containing contraceptives, and decision-making about method continuation among women complaining of headache while taking hormonal contraceptives.

Keywords

Estrogen Migraine Prostaglandin Smoke Estradiol 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Deborah Bartz
    • 1
  • M. Angela O’Neal
    • 2
  • Andrea G. Edlow
    • 3
  1. 1.Department of Obstetrics, Gynecology, and Reproductive BiologyHarvard Medical School, Brigham and Women’s HospitalBostonUSA
  2. 2.Department of NeurologyBrigham and Women’s HospitalBostonUSA
  3. 3.Division of Maternal-Fetal Medicine, Department of Obstetrics and GynecologyTufts Medical CenterBostonUSA

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