I have migraine with aura. Can I use an intra-uterine device?
Dr Vanessa Doyle and Dr Suzanne Christie
Some studies show that low-dose estrogen may be prescribed in women who have simple visual aura. Many other studies recommend using progestin-only pills, an intrauterine device (IUD) or barrier contraception, like condoms.
This remains a controversial topic that should be discussed with a health professional according to your personal medical situation.
There are 2 main types of IUDs, these are copper and progestin-releasing (Mirena). There is no evidence to suggest that progesterone-only contraceptives increase the risk of stroke in women, even if they have other risk factors (age less than 45, tobacco use, migraine with aura). The current recommendation is that progesterone-only preparations, including pills, implants and IUDs are generally regarded as safe in women who have migraine with aura.