Birth control pills after 35 years. Contraception in 35: birth control pills after 35 years.
After 35 years
In the 35-39 years of the female reproductive systemBegins to fade. Ovaries reduce the production of progesterone and estrogen, increase the risk of thrombosis and cardiovascular disease, exacerbate chronic diseases, therefore oral contraception should be reliable, safe, with a minimum of side effects and a good tolerability profile. At this age, it is preferable to take low-dose COCs (Yarina, Lindineth, Janine). In addition to the profile action, combined oral contraceptives lower the rate of uterine bleeding caused by adenomyosis and uterine myoma, prevent the development of osteoporosis, reduce insulin resistance.
After 40-45 years
Probability of pregnancy in 40-45 yearsIs only 10%, why is contraception so important in this age? According to statistics, in 25-30% of women of this age group, a part of menstrual cycles passes with ovulation, and sudden pregnancy with a high probability will have a pathological course that is fraught with congenital anomalies of the fetus. Medical interruption of pregnancy can lead to the emergence of severe climacteric syndrome and become a background for the development of genital cancer oncology. The use of COC at the age of 40-45 years is limited by certain conditions: periodic ovulation should be noted, the characteristics of cycles should be changed (menstruation delayed, shortened).
Approach to contraception after 40-45 years:
- Women 40-45 years old with early menopause canTake micro-dosed COC until they fully meet the criteria under which their use is not contraindicated for women after 35. Advantages: regular menstruation, bone tissue protection, treatment and prevention of urogenital symptoms;
- Women 40-45 years old with periodic ovulationBackground of severe PMS, dysfunctional uterine bleeding, heavy menstruation, it is impossible to take COC without consulting a gynecologist. The specialist should assess the risk of taking hormonal contraceptives and, if necessary, offer hormone replacement therapy.
Contemporary Contraceptive Products LINDINET,Jess is well tolerated, gives 100% contraceptive effect, suppresses manifestations of menopause, is the prevention of endometrial cancer, ovaries, uterus. In the absence of risk of thrombosis, obesity and cardiovascular pathologies, non-smokers can use them up to 50 years.
After 50 years and with menopause
Women of the perimenopause and lateOf reproductive age are at risk for the occurrence of pregnancy, labor activity usually occurs against a background of chronic extragenital pathology, which in 10-15% of cases ends with perinatal and maternal mortality. That is why a competent selection of contraception after 50, provided a regular sexual life is a necessary condition. Hormonal contraceptives should solve several tasks: to provide reliable protection against unwanted pregnancy, to possess curative and preventive qualities. COCs (gestagen + estrogen) meet all the requirements that are imposed on contraception in women after 50. They are reliable, neutralize the symptoms of menopause, do not disrupt the metabolic processes, eliminate ovulatory pain, regulate the menstrual cycle, slow the aging of the female body.
Question of discontinuation of COC in perimenopauseIs decided on an individual basis. The average age of the onset of menopause is 51 years, experts recommend taking hormonal contraceptives within a year after the last menstruation, and then stop using COC and begin substitution therapy.