A 26-year-old woman using a combined oral contraceptive pill (COC) develops new-onset focal neurological symptoms lasting 20 minutes followed by heada...

Question

A 26-year-old woman using a combined oral contraceptive pill (COC) develops new-onset focal neurological symptoms lasting 20 minutes followed by headache. This is her first such episode. What is the most likely diagnosis and appropriate combined hormonal contraception (CHC) action?

Accepted Answer

Migraine with aura; stop CHC immediately

Answer

Tension headache; continue CHC

Answer

Cluster headache; no change to CHC

Answer

Transient ischaemic attack; refer urgently but continue CHC

Answer

Migraine without aura; reduce Ethinylestradiol dose

uk-dfsrh MCQ (SBA): CHC and New Migraine with Aura

A 26-year-old woman using a combined oral contraceptive pill (COC) develops new-onset focal neurological symptoms lasting 20 minutes followed by headache. This is her first such episode. What is the most likely diagnosis and appropriate combined hormonal contraception (CHC) action?