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A 56-year-old male asked:

38yr old female non smoker normal bmi wanted combined pill to help my cystic acne but gp said could not prescribe it,as i get migraine aura,migraine headache but both seperately .gp said high risk for stroke or blood clot but i have normal bp.true?

2 doctor answers2 doctors weighed in
Dr. Odhett Cojocaru
Internal Medicine 25 years experience
Oral combination birth control pills are contraindicated in persons who have migraine with aura because of increased risk for strokes regardless of blood pressure or other risk factors.
Dr. Bennett Machanic
Neurology 53 years experience
If you have classical migraine headaches with auras, the risk of stroke increases with smoking and female hormones, and your doctor is correct! Normal blood pressure is immaterial in this situation.
Last updated May 18, 2022
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