Contraception over 40

From the age of 40 years, fertility decreasesQuickly (Pearl Index). It is wise for contraception to continue for two years after your last spontaneous period if you are more than 45 and for one year if you are more than fifty. For women who seem to have an earlier menopause, there is a tiny risk of ovulation and they should use contraception if they wish to be certain. For a non-smoker, who is not obese and who has a normal blood pressure, the combined oral contraceptive pill can be continued until the menopause. If the combined pill is contraindicated a progestogen only pill provides a good alternative.

The IUCD, barrier methods and sterilisation have a place. If periods are heavy the LNG-IUS (Mirena) may improve the loss and provides excellent contraception.


women's health




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Women's Health

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.





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