[避孕和偏头痛]。

La Revue du praticien Pub Date : 2025-03-01
Lorraine Maitrot-Mantelet, Geneviève Plu-Bureau
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引用次数: 0

摘要

偏头痛患者的避孕。在任何处方或更新联合激素避孕(CHC)之前,除了评估主要动脉危险因素外,还必须筛查偏头痛,无论有无先兆。在没有先兆的女性偏头痛中,CHC可以在没有任何其他动脉危险因素的情况下开处方。有先兆偏头痛或无先兆偏头痛时,如果存在任何动脉危险因素,CHC是禁忌症,应开具黄体酮单药或非激素避孕。患有恼人的经期偏头痛且已经在使用激素避孕的女性,应建议持续服用或缩短无激素间隔。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Contraception and migraine].

CONTRACEPTION IN MIGRAINOUS PATIENT. Before any prescription or renewal of the combined hormonal contraception (CHC), screen for migraine, with or without aura, in addition to evaluation of the main arterial risk factors, is essential. In women with migraine without aura, CHC can be prescribed in the absence of any other arterial risk factor. In case of migraine with aura or in case of migraine without aura when any arteriel risk factor is present, CHC is contraindicated and progestin only pill or non-hormonal contraception should be prescribed. In women with bothersome menstrual migraine who are already under hormonal contraception, continuous intake or shortened hormone-free interval should be proposed.

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