What lifestyle factor is associated with the recommendation to use progestin-only pills?

The recommendation to use progestin-only pills is particularly relevant for individuals with a history of migraines, especially those who experience migraines with aura. Combined hormonal contraceptives, which contain estrogen, can increase the risk of stroke in women with migraines that include an aura, making progestin-only pills a safer alternative.

Progestin-only pills do not carry the same risk as they lack estrogen, thus providing a suitable contraceptive option for those patients who might be contraindicated for combined hormonal methods. This understanding is critical in family medicine when addressing contraceptive needs while ensuring patient safety. The other factors listed may influence contraceptive choices but do not carry the same level of risk associated with combining estrogen and migraine history.