[Contraception during the perimenopause: indications, security, and non contraceptive benefits]

Area of Science:

• Reproductive endocrinology
• Gynecology
• Family planning

Context:

• Perimenopause is a transitional phase characterized by fluctuating reproductive hormones and declining fertility.
• Contraceptive needs persist during perimenopause, requiring careful consideration of method suitability.
• Age alone is not a contraindication for most contraceptive methods until 50.

Purpose:

• To highlight the importance of contraception during perimenopause.
• To emphasize the need for individualized contraceptive choices based on risk factors and benefits.
• To recommend long-term contraceptive methods for perimenopausal women.

Summary:

• Perimenopausal women, despite reduced fertility, need reliable contraception.
• Contraceptive selection should be personalized, weighing risks and non-contraceptive advantages.
• Long-acting reversible contraceptives like IUDs and implants are effective and suitable options.

Impact:

• Optimizes patient care by ensuring appropriate contraceptive use during perimenopause.
• Reduces unintended pregnancies in this demographic.
• Facilitates informed decision-making regarding family planning and reproductive health.