Contraception for Women Aged >40 years Flashcards
what contraceptions are UKMEC2 for women >40?
- COCP (women >= 40)
- depo (women >45)
what are the benefits of COCP in women >40?
- maintain bone mineral density
- reduce menopausal symptoms
when can non-hormonal contraception be stopped in women < 50 years?
2 years of amenorrhoea
when can non-hormonal contraception be stopped in women >=50 years?
1 year of amenorrhoea
when can COCP be stopped in women < 50 years?
continued until you are 50 years old
when can COCP be stopped in women >=50 years?
switch to non-hormonal or progestogen-only
when can depo be stopped in women < 50 years?
continued until you are 50 years old
when can depo be stopped in women >=50 years?
switch to non-hormonal and stop after 2 years of amenorrhoea
OR
switch to progestogen-only method
when can progestogen-only methods be stopped in women < 50 years?
implant, POP, IUS
can be continued beyond 50 years old
when can progestogen-only methods be stopped in women < 50 years?
implant, POP, IUS
can be continued beyond 50 years old
when can progestogen-only methods be stopped in women >=50 years?
continue
when can progestogen-only methods be stopped in women >=50 years who is amenorrhoeic?
check FSH
* FSH >=30 u/l –> stop after 1 year
* stop at 55 years old
when can progestogen-only methods be stopped in women >=50 years who is not amenorrhoeic?
consider investigating abnormal bleeding pattern
what contraception is recommended alongside HRT?
POP
as long as the HRT has a progestogen component (i.e. POP cannot be relied upon to ‘protect’ the endometrium)
