Journal
INTERNATIONAL JOURNAL OF WOMENS HEALTH
Volume 14, Issue -, Pages 913-929Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/IJWH.S288070
Keywords
contraception; perimenopause; SARCs; LARCs; oral contraceptives; combined oral contraceptives; vaginal rings; patch; intrauterine devices; implants; forties; metabolism
Categories
Funding
- Bayer AG
- Italfarmaco
- Theramex
- Organon
- Gedeon Richter
- Exeltis
- JnJ
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Climacteric itself is not a contraindication to safe contraception. This narrative review provides practical guidance on the use of various contraceptive methods during the perimenopause stage and emphasizes the importance of comprehensive contraceptive counseling for women's overall health.
Climacteric is by no means in itself a contraindication to safe contraception. On the contrary, there are several conditions related to the perimenopause that could benefit from the use of modern contraceptives, mainly hormonal, with the goals of avoiding unintended pregnancies and giving further possible benefits beyond contraception (menstrual cycle control, a reduction of vasomotor symptoms and menstrual migraines, a protection against bone loss, a positive oncological risk/benefit balance). This narrative review aims to provide practical guidance on their possible use in this particular life stage, both short-and long-acting reversible contra-ceptives, and to assist clinicians for women transitioning from contraception to their menopausal years, including the possible initiation of postmenopausal hormone therapy. Comprehensive contraceptive counselling is an essential aspect of the overall health and wellbeing of women and should be addressed with each such patient irrespective of age.
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