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Published on: August 13, 2019
Hormonal contraceptive regimens in the perimenopause
Sarah M R Hardman1, Ailsa E Gebbie
1NHS Lothian Family Planning and Well Woman Services, 18 Dean Terrace, Edinburgh, UK.
Maturitas
|June 16, 2009
Summary
Perimenopausal women require effective contraception, with hormonal methods offering significant non-contraceptive benefits. Healthcare provider counseling is crucial for informed choices regarding contraception options.
Area of Science:
- Reproductive Endocrinology
- Gynecology
- Pharmacology
Background:
- Perimenopausal women experience declining fertility but remain at risk of unintended pregnancy.
- Concurrent menstrual irregularities and menopausal symptoms are common in this demographic.
- Age alone does not contraindicate any contraceptive method.
Purpose of the Study:
- To review contraceptive options for perimenopausal women.
- To highlight the non-contraceptive benefits of hormonal contraceptives.
- To discuss the safety and efficacy profiles of various methods.
Main Methods:
- Review of existing literature on contraception for perimenopausal women.
- Analysis of hormonal and non-hormonal contraceptive methods.
- Evaluation of safety profiles, including risks and benefits.
Main Results:
- Hormonal contraceptives provide effective contraception and can alleviate menopausal symptoms.
- Combined hormonal contraceptives (oral, patch, ring) have established risk profiles; newer formulations with natural estrogens may offer improved safety.
- Progestogen-only methods are safe with diverse delivery options; concerns about bone mineral density with depot medroxyprogesterone acetate lack evidence of increased fracture risk.
Conclusions:
- Contraception is essential for sexually active perimenopausal women.
- Hormonal methods offer dual benefits: contraception and symptom management.
- Informed decision-making, based on individualized risk assessment and professional counseling, is paramount.
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