Hormonal contraceptive regimens in the perimenopause

摘要: Perimenopausal women have low fertility but still need contraception if they are sexually active. They often co-existing menstrual problems and menopausal symptoms. No method of is contraindicated by age alone. In addition to highly effective contraception, hormonal methods offer non-contraceptive benefits which can improve quality life for perimenopausal women. Combined oral has been available many decades. The combined vaginal ring transdermal patch newer offering alternative delivery systems similar risk profiles preparations. New combinations containing naturally occurring estrogens in place the synthetic hormone ethinylestradiol now and, theory, could be safer. progestogen-only an excellent safety profile a range dosages suit all. Concerns regarding loss bone mineral density with injectable depot medroxyprogesterone acetate continue date there no evidence that this translates into higher fracture risk. Effective use any strongly dependent on good counselling support from healthcare professionals. Risks should explained absolute terms each individual woman, enabling her make informed choice evidence-based medicine not influenced ill-informed media publicity.