First, loestrin is generally considered a birth control pill which generally have more estrogen than typical hormone replacement therapy for post menopausal women. tIAs are a “pre-stroke” as it were. Those with a history of TIAs have a markedly increased risk of stroke. Tias and strokes are thrombotic events, thrombus essentially means clot.

Combined oral contraceptives (as well as typical HRTs) like Loestrin elevate stroke and myocardial infarction risks, with relative risks doubling in certain users. Loestrin is contraindicated in women with a history of cerebrovascular disease, such as TIAs, due to heightened arterial and venous thrombotic risks. there are warnings in the papers that come in the box against use in those over 35 with risk factors like smoking or hypertension. Women using combined oral contraceptives face a 1.6- to 2-fold increased risk of ischemic stroke and myocardial infarction compared to non-users, with greater elevation in older age groups or those with prior vascular events, such as TIAs. TIAs signal underlying prothrombotic tendencies exacerbated by hormonal contraceptives, raising recurrence odds without discontinuation. For women over 65, estrogen-progestin combinations amplify thromboembolism risks beyond typical contraceptive populations.

There are many very large large well done studies to confirm these risks. Please discuss with an internist, gynecologist, cardiologist, or neurologist.

I am not telling you to change your medication, but please discuss with your doctor.

I am a disabled internist, I did a lot of hospital work and also had a private practice. My hospital work was at a large cardio thoracic surgery hospital, but I don’t practice now and I’m not dispensing medical advice, just recommending that you discuss this with your doctor. The sooner the better.