contraception >40

Question 1

contraceptive for perimenopausal period may help to maintain bone mineral density

Answer 1

COCP
a pill containing < 30 µg ethinylestradiol may be more suitable for women > 40 years

Question 2

return of fertility of up to 1 year for women > 40 years for which contraceptive ?

Answer 2

Depo-Provera

Question 3

risks of depo-provera as contraceptive for women over 40?

Answer 3

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

Question 4

when to stop Non-hormonal (e.g. IUD, condoms, natural family planning ) for Women < 50 years

Answer 4

Stop contraception after 2 years of amenorrhoea

Question 5

when to stop Non-hormonal (e.g. IUD, condoms, natural family planning ) for Women 50 years or above ?

Answer 5

Stop contraception after 1 year of amenorrhoea

Question 6

COCP usually continued till ?

Answer 6

continued to 50 years

Switch to non-hormonal or progestogen-only method

Question 7

Depo-Provera can be continued till ?

Answer 7

Can be continued to 50 years

Switch to either a non-hormonal method and stop after 2 years of amenorrhoea OR switch to a progestogen-only method

Question 8

Implant, POP, IUS can be continued till ?

Answer 8

continued beyond 50 years

If amenorrhoeic check FSH and stop after 1 year if FSH >= 30u/l or stop at 55 years

If not amenorrhoeic consider investigating abnormal bleeding pattern

Question 9

In premature ovarian failure what management is given

Answer 9

HRT
Or COC
Until the age of 50