Contraception in >40 years

Question 1

When should non hormonal contraceptive methods be stopped

Answer 1

Amenorrhoea > 2 years < 50
Amenorrhoea 1 year >59

Question 2

When should COCP be stopped?

Answer 2

Once 50 then non hormonal or progesterone only

Question 3

When should Dep-provera be stopped?

Answer 3

Continue to 50
Switch to either IUD and stop after 2 years amenorrhoea or switch to POP

Question 4

When should implant/POP/IUS be stopped?

Answer 4

Continue regardless of age
If amenorrhoeic check FSH and stop after 1 year if FSH >30 or stop at 55

If ongoing periods- further investigation warranted