I prescribe a lot of birth control. A LOT. Not surprising – over 60% of college students use The Pill as a form a birth control, and they have to get it from somewhere, right?
There are some things I have to ask about when you come to me for a pill prescription. Medical history, smoking history, menstrual history, sexual history. And I’ll ask you whether you have a history of migraines.
Common response: “Not too often” – said chirpily, almost dismissively. So…that’s a yes, then?
As you may or may not have heard, “migraine” is not synonymous with “really bad headache”. So: Step 1 for me here is to filter out the “bad headaches” from the actual migraines. Step 2 is to figure out whether the people with real migraines have migraine with aura.
If the answer is “NO” to either of those first two questions, we can stop talking about them. And please, keep in mind that I’m not dismissing or minimizing the burden that headaches place on your life here. Headaches are super lame, I couldn’t agree more. I’m no fan of headaches myself! Moreover, I’m sure yours are terrible.
But you didn’t come here today to talk about your headaches, right?
The reason I’m asking is because if you keep answering “yes” through steps 1 and 2, and if I then verify that what you’re describing as “aura” before your migraines are, in fact, aura, there’s a very good chance you won’t be leaving with that prescription refill today.
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