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Womens Health > Birth Control Forum > Migraines and Birth Control
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Q: Migraines and Birth Control
asked by: cpttinkerbell on March 16th, 2009
New User
i am 21, I have been taking birth control pills for five years. i started off with Micro-Nor and soon began to realize that pills without estrogen were not helping to control my period. i would get my period for 8-11 days with moderate flow and heavy cramping. After switching several times I had success with my current pill Femcon Fe. However i decided to see a new gynocologist and she told me that since i have migraines- occasionally with aura- that i cannot take a pill with estrogen. She prescribed me Micro-Nor again (the first one that didnt help regualte my period). I have not started to take it though cause i was in the middle of my pack. However, My migraines have become rare now- i believe i am "outgrowing" them and i havent actually experience an aura in over a year. i am more concerned with requlating my period at this time. I was interested in either the Nuvaring or Seasonique but my new doctor told me that neither of these were options for me. Is this really that big of an issue if i take estrogen? ive been doing it for the past 2 years. is it really important that i stop taking it, especially if my migraines are under control and auras are no longer part of them? and if i am able to take estrogen pills, which option is better for me. I also have asthma- so i dont know if that is a necessary part of picking a pill. Thank you.
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GreyWolf
replied on March 16th, 2009
Experienced User
Hiya tinkerbell.

Sorry in advance for the long post.
I'm actually in the same situation. I'm a virgin, but I am looking for a back-up form of contraception, that I can use along with condoms, for extra protection, should anything happen.

I also was considering the combined pill, but I have a history of migraines too - I used to suffer from severe migraines with aura. I too have "grown out" of them, I am now migraine-free and have been for over two and a half years.

I spoke to my doctor in November, to find out if I would be able to take the Pill, however she said that she would be very reluctant to put me on the combined pill, or any pill or contraceptive method containing Oestrogens.
This includes Nuvaring, Seasonique, the patch, the implant and the injection.

The reason for this is that the pill can aggravate them, or (if they have stopped) cause them to recur. There are also a (small) number of cases where people who suffer, or previously did suffer from migraines and frequent headaches have actually had strokes whilst taking the pill.

Apparently pill users are more likely to suffer a stroke, heart attack or blood clot, than non-users, and the chance of strokes is higher again in the case of people who suffer migraines.
The combined pill is therefore by many doctors not seen as safe for migraine sufferers to use. The mini-pill is much safer, as it does not contain the oestrogens, and does not therefore have the associated risks.

This is regardless as to whether or not your migraines have stopped or are under medical regulation, you have a HISTORY of them, and that itself is enough to put you at risk.

Your doctor is not TELLING you to stop taking the pill, I think she is encouraging you to use a different method.
I agree that not being able to take the pill, for its positive side-effects is frustrating, I find it frustrating too.
Whether or not you carry on taking them is your choice but by taking them, you are putting yourself at risk. It's a small risk, but at the end of the day it's still a risk.
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cpttinkerbell
replied on March 18th, 2009
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i know shes not telling me that i cant take the pill- she just wants me to use the pill that does not have estrogen but those pills dont regulate my period and they also have a higher rate of breakthrough bleeding-- which if that is why i am on BC to begin with why put me on one that does not help what i want it for. you know?
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lisa8500
replied on September 3rd, 2009
New User
Well, for what it's worth, I have never had migraines and I have been on both the mini-pill and the combined pill. on the mini pill i lost 15 pounds (too much for me), and had spotting if I did not take the pill at the 'exact same time' every day. I mean the exact time. Like every day at 11pm. If i waited until 11:30pm, then I would have spotting the rest of the cycle. So you might be able to try this if it is at all practical for you. Make sure you're taking your estrogen pill at the exact same time daily, and the spotting may go away.

I am currently on the combined pill, and have gained 15 pounds (eh..no fun), and also have migraines for 4 days before my period, and for 4 days after. I refuse to take migraine medication and simply suffer through it with nausea and a pounding, light sensitive headache and use tylenol a couple of times a day. I had no history of migraines as a child, but have had them since I started combined pills. There is a serious correlation with some pills.

I would try taking the mini-pill at the exact same time daily and see if it works. That's what I'm going to do as soon as I can get into my OBGYN. She's booked until NOvember though. Sad

Good luck
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princessmelawi33
replied on September 15th, 2009
New User
I do not recommend Seasonique.
One of Seasoniques side effects is migraines. I have never had a migraine in my life until after taking seasonique for 6months and now i cant even remember the last time i have a gone a day without one. They also make it really hard for me to fall asleep at night and stay sleeping the whole night thru. I would not recommend seasonique especially since you already have a history of migraines as well.
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