Question

A 40-year-old woman with migraine with aura requests the combined oral contraceptive pill (COCP). She is a non-smoker, BMI 22. What is the appropriate advice?

Accepted Answer

COCP is contraindicated; offer progestogen-only methods

Answer

COCP is suitable; prescribe low-dose ethinylestradiol

Answer

COCP is acceptable if aura is infrequent

Answer

COCP acceptable if age <45 years

Answer

COCP acceptable with aspirin prophylaxis

Practice question

A 40-year-old woman with migraine with aura requests the combined oral contraceptive pill (COCP). She is a non-smoker, BMI 22. What is the appropriate advice?