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[Contraception in the premenopause]

K Rudolf1

  • 1Institut für Hormon- und Fortpflanzungsforschung (IHF), Universität Hamburg.

Therapeutische Umschau. Revue Therapeutique
|November 1, 1994
PubMed
Summary

Reproduction is possible during perimenopause, necessitating effective contraception. Hormonal methods and intrauterine devices (IUDs) are most effective, with options like progestin-releasing IUDs managing side effects.

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Area of Science:

  • Reproductive endocrinology and contraception research.
  • Gynecology and women's health.

Context:

  • Reproduction remains possible during the perimenopausal transition.
  • Unintended pregnancies require highly effective reversible contraceptive methods.

Purpose:

  • To review contraceptive options for women in perimenopause.
  • To discuss the risks and benefits of hormonal contraception and intrauterine devices (IUDs) during this life stage.

Summary:

  • Highly effective reversible contraceptives, including hormonal methods and IUDs, are essential for preventing pregnancy in perimenopause.
  • Hormonal contraception, particularly using natural estrogen (estradiol) with a progestagen, can mitigate metabolic risks associated with synthetic ethinyl-estradiol.
  • Progestin-releasing IUDs are recommended for managing heavy menstrual bleeding and dysmenorrhea, common IUD side effects.

Impact:

  • Provides guidance on safe and effective contraception for perimenopausal women.
  • Highlights strategies to minimize side effects of hormonal contraceptives and IUDs.
  • Supports informed decision-making for family planning during perimenopause.

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