In IIH management, what is the recommended consideration regarding birth control?

• A. Increase birth control dose
• B. Discontinue birth control
• C. Birth control has no impact
• D. Switch to hormonal therapy only

Answer: (B)

In IIH, removing contributors that can worsen intracranial pressure is a key part of management. Hormonal contraception, especially estrogen-containing methods, can promote fluid retention and weight gain, both of which can raise or worsen intracranial pressure. Therefore, discontinuing birth control is a practical step to lessen hormonal influences on IIH and to support other treatments like weight management and ICP-lowering measures. If contraception is still needed, alternatives that do not exacerbate IIH, such as non-hormonal methods or progestin-only options, can be discussed.