All::Obstetrics and Gynaecology::Pharmacology::Contraception for Women Aged Over 40 Years

Intro

What are the advantages for using Combined oral contraceptive pill in women over 40 for contraception?

  • use in the perimenopausal period may help to maintain bone mineral density
  • may help reduce menopausal symptoms

What is the effect of Depo-Provera on bone mineral density?

associated with a small loss in bone mineral density which is usually recovered after discontinuation

When using Depo-Provera in women over 40 how long does it take to return fertility to normal after stopping?

up to 1 year

Stopping contraception

At what age does the Combined oral contraceptive pill need to be stopped?

50 years old

At what age does the Depo-Provera need to be stopped?

50

Over 50 what contraception can be used?

  • non-hormonal
  • progestogen-only

For women under 50 when can contraception stop being used?

after 2 years of amenorrhoea

For women over 50 when can contraception stop being used?

after 1 year of amenorrhoea