Perimenopausal contraception

Area of Science:

• Reproductive Endocrinology
• Women's Health
• Contraception

Background:

• Perimenopause is characterized by reduced fertility but can still result in unintended pregnancies.
• Access to and use of certain hormonal contraceptives are often unnecessarily restricted in this population.
• Comprehensive contraceptive counseling is crucial for women experiencing perimenopause.

Purpose of the Study:

• To review available data on contraceptive use and effectiveness during perimenopause.
• To address concerns regarding the safety and accessibility of hormonal contraceptives in perimenopausal women.

Main Methods:

• Literature review of contraceptive options for perimenopausal women.
• Analysis of data on the safety and efficacy of various contraceptive methods.

Main Results:

• No contraceptive method is contraindicated solely based on age during perimenopause.
• Combined hormonal contraception can manage perimenopausal symptoms and menstrual irregularities.
• Progestin-only methods can be used alone or with estrogen therapy for contraception and symptom management.
• Nonhormonal contraceptive options are available for women preferring to avoid hormonal methods.

Conclusions:

• A wide range of contraceptive options are suitable for perimenopausal women.
• Individualized selection based on patient preference, comorbidities, and symptoms is key.
• Effective contraception and management of perimenopausal symptoms can be achieved concurrently.