A 28-year-old with migraine with visual aura requests combined oral contraceptives (COCs). She does not smoke and has normal BP. Best recommendation?...

Question

A 28-year-old with migraine with visual aura requests combined oral contraceptives (COCs). She does not smoke and has normal BP. Best recommendation?

Accepted Answer

COCs are category 4 (contraindicated); offer progestin-only methods

Answer

COCs are category 2; may use with caution

Answer

COCs are category 3; use if benefits outweigh risks

Answer

COCs acceptable only if using low-dose estrogen

Answer

COCs acceptable if she takes aspirin

us-abfm MCQ (SBA): Contraception (Migraine with Aura)