Final answer:
Hormonal estrogen is contraindicated in women with migraines with aura due to a heightened risk of stroke or heart attack. Estrogen supplementation has several potential adverse effects, including increased risk of certain cancers and gall bladder disease, which must be carefully considered, especially in women with existing risk factors.
Step-by-step explanation:
Hormonal estrogen is contraindicated in women with migraines with aura due to an increased risk of stroke or heart attack.
Estrogen hormone replacement therapy (HRT) is used to alleviate symptoms associated with menopause, such as hot flashes, night sweats, and osteoporosis. However, aside from the benefits, estrogen supplementation has potential adverse effects. The risks associated with HRT include an increased risk of stroke or heart attack, blood clots, and different types of cancers like breast cancer, ovarian cancer, and endometrial cancer, as well as gall bladder disease and possibly dementia. For women who experience migraines with aura, the risk of stroke or heart attack is significantly increased when estrogen hormones are used, making HRT a contraindicated treatment in such cases. It is important for women with these conditions to discuss alternative treatments for menopause symptoms with their healthcare provider.