Q. Is it safe to take combined contraceptive pills if you’ve had any history of migraine? I rarely get headaches, and I’ve probably only had three or four migraines with aura in my life.
A. Combined oral contraceptives have a small increased risk of stroke with a greater risk in those who have migraine with aura. It is currently recommended not to use estrogen-containing combined oral contraceptives if you have migraine with aura. Estrogen-containing oral contraceptives should be avoided if one has a history of blood clots or several risk factors for stroke such as smoking, high cholesterol, high blood pressure, or a family history of stroke or heart attack.