Hi,

I recently had my annual pelvic exam with a new doctor and she raised a concern about my OCP use since I get migraines with visual disturbance (flashing zigzag lines).  I am 45 and have been taking birth control pills and getting migraines since I was in my 20s.  Currently I take Jolessa (13-week pill cycle).  I have been researching this subject and understand the risks, however most of the articles I've found refer to women under 35 or under 45.  I know that the risk of stroke and heart attack increases with age in general, but my doctor also said that my estrogen levels were at their highest in my 20s, so even with OCPs now are my estrogen levels likely lower than they were when I was younger?  I'm not asking for medical advice, just trying to understand how my age affects the risk and looking for additional insight.  Thanks!