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Related Experiment Videos

Contraception in perimenopause.

Surasak Taneepanichskul1, Nikorn Dusitsin

  • 1Department of Obstetrics and Gynecology, Faulty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|August 22, 2003
PubMed
Summary

Women over 40 can safely use various contraceptive methods, including extended combined oral contraceptives and long-acting options like implants and IUDs, with careful consideration of risks and benefits for family planning.

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Area of Science:

  • Reproductive Health
  • Contraception
  • Geriatric Gynecology

Background:

  • Pregnancy in women over 40 carries increased risks, including maternal mortality and fetal anomalies.
  • Contraception choices for this age group require balancing specific risks and benefits.

Purpose of the Study:

  • To review the safety and efficacy of contraceptive options for women in their forties and beyond.
  • To guide the selection of appropriate family planning methods for older women.

Main Methods:

  • Review of epidemiological and clinical pharmacology studies on contraceptive safety in women aged 35 and older.
  • Analysis of available data on combined oral contraceptives, progestogen-only methods, intrauterine devices, condoms, and sterilization.

Main Results:

  • Combined oral contraceptives (COCs) are safe for extended use up to menopause in women over 35.
  • Progestogen-only contraceptives, implants, and both copper and levonorgestrel-releasing intrauterine devices (LNG-IUDs) offer highly effective, long-term contraception.
  • The levonorgestrel IUD can reduce menstrual bleeding, and condoms offer STD protection. Sterilization is a permanent option.

Conclusions:

  • Contraceptive options for women in their forties are safe and effective, with extended use of COCs and long-acting reversible contraceptives being viable.
  • Careful patient counseling is essential to balance individual risks and benefits for optimal family planning in older women.

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