Can Birth Control Cause Migraines?
Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 22nd, 2026.
Yes, hormonal birth control can trigger migraines in some women. Estrogen-containing pills, patches, and rings are the most common culprits, affecting approximately 10-15% of users who experience new or worsened headaches. The fluctuation in estrogen levels during hormone-free intervals often triggers migraine episodes. Women with a history of migraines face higher risks, with studies showing a 2-3 fold increase in migraine frequency when using combined hormonal contraceptives. Progestin-only methods like the mini-pill, IUDs, and implants typically cause fewer headache issues since they don't contain estrogen. If you develop severe headaches or migraines after starting birth control, consult your healthcare provider about switching to a non-hormonal or progestin-only option.
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