Stopping Contraception > 40

Question 1

Copper coil and stopping contraception

Answer 1

If inserted over 40 it can stay in until menopause or until contraception is no longer required

Question 2

Non hormonal methods and when to stop contraception

Answer 2

After 1 yr amenorrhoea if > 50

After 2 yrs amenorrhoea if

Question 3

POP/ Mirena and stopping > 40

Answer 3

FSH should be done in women >50 using prog only pill

FSH not reliable if on COC

If FSH > 30 repeat after 6/52. If second FSH > 30 contraception can be stopped after 1 yr

OR

Stop 55 yrs in any case

Mirena inserted > 45 can stay in for 7 years or until menopause.

If not amenorrhoeic consider investigating and then continue contraception beyond 55 until amenorrhoeic for 1 yr

Question 4

COC and stopping > 40

Answer 4

Stop age 50 and switch to non hormonal or progesterone only. Then stop when 55 if amenorrhoeic or > 1 year of amenorrhoea

Question 5

DMPA and stopping > 40

Answer 5

Stop at 50 and choose :

• non hormonal and stop after 2 years of amenorrhoea
• switch to POP/ Mirena / implant and follow advice

Question 6

COC and stopping > 40

Answer 6

Stop age 50 and switch to non hormonal or progesterone only. Then stop when 55 if amenorrhoeic or > 1 year of amenorrhoea

Question 7

DMPA and stopping > 40

Answer 7

Stop at 50 and choose :

• non hormonal and stop after 2 years of amenorrhoea
• switch to POP/ Mirena / implant and follow advice