Which demographic would likely be at higher risk for complications from oral contraceptives due to a history of migraine headaches?

Women over 35 are at higher risk for complications from oral contraceptives, especially if they have a history of migraine headaches. This is because hormonal changes associated with migraines can be exacerbated by the estrogen present in many oral contraceptives.

In women over 35, particularly those who experience migraines with aura, there is an increased risk of vascular complications such as stroke, deep vein thrombosis, and pulmonary embolism. Combined hormonal contraceptives are generally contraindicated in those with certain migraine profiles due to these potential risks. Therefore, in this demographic, careful consideration of the type of contraceptive and individual health history is essential to minimize risks.

Other demographics, such as teenagers, pregnant women, and women with diabetes, also have their own set of considerations when it comes to oral contraceptive use. However, the specific factor of age and the interplay with migraine history is a significant risk factor particularly relevant for women over 35.