Reply to Hormonal birth control a godsend -- stop trashing it

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]https://www.cancer.gov/about-cancer/causes-prevention/risk/hormones/oral-contraceptives-fact-sheet

From cancer.gov: there is an increased risk of breast cancer.

I never used oral BC and I don’t drink. Those are two things I can control…and not have to second guess myself down the road if I develop bc.

Ditto for exercise and not being obese. And not smoking. [/quote]

Right, and it is less of an increased risk for the average woman than drinking is.

You are making the choices you made at least in part to decrease that risk. That's great! And it's great to talk about the risks that come into play with hormonal contraception. But it's disingenuous to say that risk is important without putting it into perspective with other things that increase risk, if it is really the risk that we are talking about. That's all.[/quote]

Ok.

But I’m talking about increased risk of breast cancer.

I think Big Pharma and doctors failed when it came to disclosing the increased risk.

I understand there are obvious risks related to pregnancy. I suspect most women have a handle on those risks. But we have a problem when generations of women believe birth control decreased their breast cancer risk. We have a problem when women used it for 30+ years thinking it didn’t come without risk.[b] We have a problem when doctors think BC is okay for women with severe migraines. [/b]

Doctors aggressively push the pill and other hormonal BC. Do they truly believe all women are too inept to use condoms and the calendar? I switched doctors when one told me I was reckless for refusing the pill. My next doctor told me I was wise. He said his wife and daughters aren’t using hormonal birth control either. [/quote]

You don't know the new data on this, do you?[/quote]

[b]I have severe migraine with aura, so I am a stroke risk. No hormonal BC for me. [/b]

I take a daily low-dose aspirin. [/quote]

Right. You are not aware of the updated recommendations. A low dose hormonal contraceptive may actually decrease the risk of stroke in women with severe migraine with aura by decreasing events. OF COURSE, talk to your doctor first -- or, if they are not updated, talk with a headache specialist and/or neurologist.

This is all still in flux, but the guidelines are changing. Stay safe and take care of yourself, and make the choices that are right for you (whatever they are).

[quote]Unnecessary confusion still surrounds the use of combined hormonal contraceptives (CHCs) in the setting of migraine with aura (MwA). Clearing this confusion is a key issue for headache specialists, since most women with migraine have menstrual-related migraine (MRM), and some CHCs can prevent this particularly severe migraine. [b]Their use, however, is still restricted by current guidelines due to concerns of increased stroke risk - concerns that originated over half a century ago in the era of high dose contraceptives. Yet studies consistently show that stroke risk is not increased with today's very low dose CHCs containing 20-25 µg ethinyl estradiol (EE), and continuous ultra low-dose formulations (10-15 µg EE) may even reduce aura frequency, thereby potentially decreasing stroke risk.[/b] This article clarifies the stroke risk of CHCs and examines their impact on migraine. It also examines how stroke risk is altered by the estrogen content of the CHC, by contributing factors such as smoking, age and hypertension, and by aura frequency. And finally, [b]it puts these risks into a meaningful context with a risk/benefit assessment.[/b]

Hormonal Contraceptives and Migraine With Aura-Is There Still a Risk?
https://pubmed.ncbi.nlm.nih.gov/27774589/[/quote][/quote]

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