According to CDC and WHO guidelines, what is advised for women with migraines and aura regarding contraception?

Women who experience migraines with aura are advised to avoid combined hormonal contraception due to the increased risk of stroke associated with this condition. The combination of estrogen and progestin in combined hormonal contraceptives can exacerbate the risk of thromboembolic events, particularly in individuals with a history of migraine aura. This significant health risk emphasizes the importance of using alternative contraceptive methods that do not contain estrogen. Therefore, current guidelines from the CDC and WHO recommend non-hormonal contraceptive options or progestin-only contraception as safer alternatives for these women.

Other response options may suggest the use of combined hormonal contraception or consultation with a dietitian, but these do not align with the safety guidelines that prioritize the avoidance of elevated stroke risk in this vulnerable population.