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Related Experiment Videos

Contraception after thirty-five.

T Luukkainen1

  • 1Department of Medical Chemistry, University of Helsinki, Finland.

Acta Obstetricia Et Gynecologica Scandinavica
|April 1, 1992
PubMed
Summary
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Research on contraceptive methods for women over 40 is limited, focusing mainly on healthy individuals. Highly educated women in this age group demonstrate high motivation and low failure rates with various contraceptive options.

Area of Science:

  • Reproductive Health
  • Contraception Research

Background:

  • Limited research exists on contraceptive safety, side effects, and effectiveness for women in premenopause or the last decade of reproductive life.
  • Current fertility control research prioritizes younger, healthy women, excluding those with pre-existing health conditions.
  • Existing data on contraceptive use in women over 40 primarily comes from trials on healthy participants up to menopause.

Purpose of the Study:

  • To address the knowledge gap regarding contraceptive methods for women over 40, particularly those with health conditions.
  • To review available data on contraceptive effectiveness and safety in this underrepresented demographic.
  • To highlight factors influencing contraceptive continuation and success rates in older women.

Main Methods:

  • Review of existing trial data, focusing on healthy women aged 35-44.
Keywords:
Age Factors--womenBarrier MethodsContraceptionContraception ContinuationContraception FailureContraceptive MethodsContraceptive Usage--womenDemographic FactorsDeveloped CountriesDeveloping CountriesFamily PlanningIudIud, Copper ReleasingIud, Hormone ReleasingOral ContraceptivesPopulationPopulation Characteristics

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  • Analysis of continuation rates and failure rates in relation to age, socioeconomic status, and education.
  • Limited extrapolation from studies involving healthy women using methods until age 45 or menopause.

    • Main Results:

    • Contraceptive knowledge for women over 40, especially those with comorbidities like cardiovascular disease or diabetes, is scarce.
    • Healthy women aged 35-44 in trials show high motivation and continuation rates for contraceptive methods.
    • Higher education and socioeconomic status correlate with increased continuation rates and proper method use in this age group.
    • Highly educated women over 40 exhibit very low failure rates across most contraceptive methods.

    Conclusions:

    • There is a significant need for more research into contraceptive methods for women over 40, including those with health issues.
    • Continuation and proper use of contraceptives are positively influenced by age, socioeconomic status, and education in women nearing menopause.
    • Highly educated women over 40 represent a motivated group with high success rates in using various contraceptive methods.