Contraception during the perimenopause: indications, security, and non contraceptive benefits
Cantero Pérez, P.; Klingemann, J.; Yaron, M.; Irion, N.F.; Streuli, I.
Revue Medicale Suisse 11(492): 1986; 1988-1992
2015
ISSN/ISBN: 1660-9379 PMID: 26672176 Document Number: 642157
Although patients' fertility is diminished in the period of perimenopause, they still need efficient contraception. Thorough knowledge of the physiological changes occuring during this period of transition is essential in order to provide optimal care. Until the age of 50, no contraceptive method is specifically considered unsuitable due to age alone. The choice of contraceptive needs to be adapted to the patient, assessing the individual risk factors and favouring the potential non-contraceptive advantages of the method selected. Long-term contraceptive methods (e.g., the copper intrauterine device (IUD), the Mirena IUD or a subcutaneous implant) offer an excellent solution on both levels.