Using contraception during menopause

Using hormonal contraception does not affect when you start the perimenopause or how long it may last, but it can hide some of the signs and symptoms because it can affect your hormone levels.

The combined contraceptive pill, patch and contraceptive vaginal ring can be taken if you are over the age of 40 years as long as you have no medical problems, are a healthy weight and you don’t smoke. Your doctor can work out which is the best type for you as some are safer than others.

However, you should switch to another form of contraception when you reach 50. The progesterone-only pill (the ‘mini-pill’) can be continued until you reach the age of 55 after which you will probably no longer need to use contraception.

Again, you should change to another form of contraception when you reach the age of 50.

The Mirena Coil can be used during menopause to help manage the effects of one common symptom, which is heavy periods. If the coil is inserted at age 45 or over it can be used as contraception up to the age of 55 and also as part of hormone replacement therapy (HRT).

Other options can include the contraceptive implant which can be used until menopause. There are also non-hormonal options that won’t affect your menopause symptoms including a copper intrauterine device (copper coil) and condoms.

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