A 24-year-old woman using a COC develops a confirmed first episode of migraine with aura. She stops the COC as advised. She asks when she can consider...

Question

A 24-year-old woman using a COC develops a confirmed first episode of migraine with aura. She stops the COC as advised. She asks when she can consider CHC again in the future. What should she tell her?

Accepted Answer

Migraine with aura is a permanent UKMEC 4 for CHC; she should not use CHC in the future

Answer

She can restart CHC once the migraines resolve

Answer

She can restart CHC after 6 months migraine-free

Answer

She can restart CHC with a lower-dose oestrogen preparation

Answer

She can restart CHC if she takes aspirin prophylaxis

uk-dfsrh MCQ (SBA): Permanent UKMEC 4 Migraine with Aura

A 24-year-old woman using a COC develops a confirmed first episode of migraine with aura. She stops the COC as advised. She asks when she can consider CHC again in the future. What should she tell her?