ORAL CONTRACEPTIVE INDUCED YOUNG STROKE: A CASE REPORT

Nishant Johri*, Priya Nagar, Maheshwari Vengat, Sarita Jangra and Bhupinder Bhyan

ABSTRACT

Background: Oral Contraceptive Pill (OCP) composition, smoking, age, hypertension, and the presence of migraine with aura are some confounding variables affecting stroke risk in OCP users. The cluster of stroke risk elements must be considered in conjunction with the Oral Contraceptive Pill formulation to evaluate individual stroke risk. Case Report: Here we report a case of a 34-year-old female who was hospitalized with symptoms of right-side facial deviation and left upper-limb weakness. The young patient was using a low-dose combination oral contraceptive pill and had just experienced a stroke. A brain MRI finding was suggestive of a right MCA infarct. She was a known case of polycystic ovarian syndrome and had experienced irregular menstruation for the past five years. She did not smoke, did not have hypertension, and had never before experienced a throbbing headache. Conclusion: Even though the connection between oral contraceptives and young stroke is still unclear, it is important to take them into account as a potential cause of stroke in young women. Additionally, there is evidence to support a hereditary predisposition to a stroke brought on by oral contraceptives.

Keywords: Oral Contraceptives, Young Stroke, Young Age Women, Estrogen, Case Report.