The contraception needs of the perimenopausal woman

Perimenopausal women have low fertility but must still be advised to use contraception until natural sterility is reached if they are sexually active. Patterns of contraceptive use vary in different countries worldwide. Long-acting reversible contraceptive methods offer reliable contraception that m...

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Veröffentlicht in:Best practice & research. Clinical obstetrics & gynaecology 2014-08, Vol.28 (6), p.903-915
Hauptverfasser: Hardman, Sarah M.R., MB ChB, MFSRH, Gebbie, Ailsa E., MB ChB, FRCPG, FRCPE, FSRH
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container_title Best practice & research. Clinical obstetrics & gynaecology
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creator Hardman, Sarah M.R., MB ChB, MFSRH
Gebbie, Ailsa E., MB ChB, FRCPG, FRCPE, FSRH
description Perimenopausal women have low fertility but must still be advised to use contraception until natural sterility is reached if they are sexually active. Patterns of contraceptive use vary in different countries worldwide. Long-acting reversible contraceptive methods offer reliable contraception that may be an alternative to sterilisation. Hormonal methods confer significant non-contraceptive benefits, and each individual woman should weigh up the benefits and risks of a particular method. No method of contraception is contraindicated by age alone, although combined hormonal contraception and injectable progestogens are not recommended for women over the age of 50 years. The intrauterine system has particular advantages as a low-dose method of effective hormonal contraception, which also offers control of menstrual dysfunction and endometrial protection in women requiring oestrogen replacement. Condoms are recommended for personal protection against sexually transmitted infections in new relationships. Standard hormone replacement therapy is not a method of contraception.
doi_str_mv 10.1016/j.bpobgyn.2014.05.006
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subjects Condoms
Contraception - adverse effects
Contraception - methods
Contraceptive Agents, Female - administration & dosage
Contraceptive Agents, Female - adverse effects
Contraceptives, Oral, Combined - administration & dosage
Developed Countries
Developing Countries
Drug Implants
Endometrial Neoplasms - prevention & control
Female
hormonal contraception
Hormone Replacement Therapy
Humans
intra-uterine contraception
Intrauterine Devices, Medicated
Male
non-contraceptive benefits
Obstetrics and Gynecology
Osteoporosis, Postmenopausal - prevention & control
Ovarian Neoplasms - prevention & control
Perimenopause
Pregnancy
Risk Assessment
Vasectomy
Venous Thromboembolism - etiology
World Health Organization
title The contraception needs of the perimenopausal woman
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