Contraception for women age >40 FSRH Flashcards
1
Q
At which do the following contraceptives become UK-MEC 2 based on age alone
- COCP
- Depo
A
COCP >40yrs
Depo >45yrs
2
Q
How long should Cu-IUD/non hormonal remain in situ after menopause
A
< 50 yrs, 2 years after LMP
> 50yrs, 1 year after LMP
3
Q
How long can Mirena, implant, POP be used
A
Until age 55
4
Q
If smoker when should COCP be stopped?
A
35yrs
5
Q
How to manage COCP after 40+
A
40-50
COCP can continue if no CI
>50 stop and switch to non hormonal or progesterone based
6
Q
When can stop progesterone impact/POP/mirena
A
Cont until 50, than can check FSH if > 30 can stop after 1 year. If premenopausal range, recheck in 1 year
Stop all progesterone based at age 55
7
Q
Can sequential HRT be used as contraceptive
A
No only hibits in 40%
8
Q
COCP can be used as an alternative to HRT until what age?
A
50
