Headaches & Migraines

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Dr. Krusz is a recognized expert in the fields of
headache and Migraine treatment and pain treatment
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Please Note: We receive far more questions than can be answered in this format. In many cases, our Guide, Teri Robert, has already researched the topic of the question and may have information already published on this site. Some questions answered here will be answered by Teri. Dr. Krusz will be reviewing her answers before they're posted to see if he can offer additional input.
QUESTION:
Some birth control devices have warnings about increased risk of stroke for women who get Migraines, but I can’t find any actual statistics.  Can you provide me with some statistics as well as an explanation?  How high are the risks and which birth control methods are safest for migraine sufferers? Does it matter how severe or frequent the migraines are?



REPLY:
There is concern that the use of oral contraceptives in migraineurs may increase risk of stroke. Review of the risk of stroke in young women, female migraineurs, and from OC use helps to clarify this issue. The annual incidence of stroke in women with migraines and taking oral contraceptives is about 4/100,00 for women aged 25-34 and 11/100,000 in women aged 35-44. For women who have no migraine and do not take oral contraceptives, the annual incidence is perhaps 1.3/100,000 for women aged 25-34 and 3.6/100,000 for women aged 35-44. Hypertension, diabetes, cigarette smoking, and cocaine use are significant risk factors. If you smoke, are hypertensive and are on oral contraceptives, it may be time for a lifestyle change and to consider other forms of birth control.
Dr. Krusz
 


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Please Note: The answers provided here are for informational purposes only, and should not be considered to be medical advice. Always consult your personal physician.

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