Cases in Menopause
Your postmenopausal patient reports a history of migraine
Would a trial of hormone therapy increase her risk of stroke?
Part 1 Data dissection
- Migraine versus migraine with aura versus tension headache
- Baseline risk of stroke in patients with migraine
- What does the literature suggest about the risk of stroke associated with combination oral contraceptives (OCs) in women with migraine?
- What have been the objections in the past to OC use in women with migraine?
Part 2 Successful interventions for avoiding menstrual headache
- How might women with migraine benefit from OCs?
- Estrogen dose: Does it make a difference in headache avoidance?
- Is low dose or continuous OC use the best option for contraception in women with migraine?
- Should an ObGyn consult with a headache specialist before prescribing combination OCs to women with migraine?
Download transcript for Part 1
Download transcript for Part 2
