[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.