Migraines and the Pill: Doctor Explains Increased Stroke Risk

Migraine and Contraception: Understanding the Stroke Risk In a recent video posted by Dr. Sooj, a family medicine physician, the risks associated with combined oral contraceptive pills (COCPs) for women experiencing migraines with aura were highlighted. Dr. Sooj explains that the presence of aura, which includes visual disturbances, numbness, and tingling, significantly increases the risk of stroke when using COCPs. He states, "If you have those types of migraines preceded by an aura and you are using a combined oral contraceptive pill, there is a massive increase in the risk of stroke." He quantifies this risk, stating that women are "roughly 28 times more likely to have a stroke." The video emphasizes that the increased risk is specifically linked to the estrogen component in COCPs. Therefore, Dr. Sooj recommends safer alternatives such as progesterone-only methods, including implants, injections, or the mini-pill. Barrier methods like condoms and diaphragms are also presented as viable options. This information is crucial for women's health and highlights the importance of informed decision-making in conjunction with medical guidance. The video concludes by encouraging viewers to consult with their healthcare providers to determine the most appropriate contraceptive method for their individual needs and health conditions.