Sabine, 39 years old

I had been taking combination birth control pills since I was 16 for acne and I continued to self-prescribe them. I didn’t have the time to see a gynecologist because I worked too much and had kids to take care of. I didn’t have any significant medical history, apart from a family history of migraines, and a few headaches. I did smoke a bit, two to five cigarettes per day. Last year, the day before summer vacation, I woke up and had trouble talking and I couldn’t move my arm. My husband called 911 and in the emergency department, an MRI confirmed I’d had a small stroke. I was really lucky because I recovered fully in a few weeks, but it could have been much worse. I learned that migraines combined with tobacco use and estrogen-progestin pills put women at risk for stroke. Tell everyone you know about this so that other women can avoid what happened to me.