In her forties, a turning point begins in a woman’s life. In this period of transition and premenopause, it’s time to think about contraception.
The first signs of menopause appear around the age of 45. At this time of life, many women have started families and no longer wish to have children. The question of contraception necessarily arises.
Which contraception if you no longer wish to take hormones?
Taking hormonal contraception for many years is not easy. It difficult not to wonder about his health. In this context, why not opt for a copper IUD ? The latter does not diffuse hormones and does not modify menstrual cycles. An asset in premenopause period.
“A woman in her forties who has a IUD (intrauterine device) copper and who tells me that she has not had her period for more than six months is probably menopausal, ”confirms Dr. Élizabeth Paganelli, gynecologist, general secretary of the National Union of Obstetrician Gynecologists of France (Syngof).
Which contraception if your period is very heavy?
In premenopause, the menstrual cycles are much less regular and the periods are sometimes hemorrhagic.
- After having verified that there is no underlying pathology, we can propose a hormonal IUD (Mirena) that diffuses levonorgestrel. Under its action, the flow diminishes and often stops.
- Another solution: a continuous micropill. “It does not contain estrogen, but desogestrel, and is taken continuously for 28 days,” says Dr. Paganelli.
- If, despite everything, the bleeding is still bothersome, “we prescribe a progestogen treatment twenty days a month which has a contraceptive effect and, in addition, makes it possible to reduce the rules ”, adds the gynecologist.
Which contraception if you are sure you don’t want a child anymore?
The decision of a final sterilization must be carefully considered. This is why the law introduced a reflection period of four months after the first consultation. The technique used in France is that of tubal ligation. It is covered by Social Security (without age criteria) and requires surgery. The tubal ligation is done by laparoscopy under general anesthesia.
There is also a male solution, but which remains unknown: vasectomy.
To find out more about contraception after 40 years, discover in video the explanations of a gynecologist:
Pregnancy after 45, why not? It can happen without any difficulty, but you should know that the later the pregnancy, the greater the risk of complications (hypertension, diabetes, miscarriage, etc.). “Women must be informed of the cardiovascular, renal and hepatic risks and should be followed by a practitioner with experience of high obstetric risk”, underlines Professor Bernard Hédon. A watchful eye for a pregnancy which, a priori, does not require more examinations than 25 years.