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  • Title: Contraceptive options for perimenopausal women.
    Author: Alexander IM.
    Journal: Contracept Technol Update; 1999 Oct; 20(10):122-4. PubMed ID: 12322323.
    Abstract:
    In view of the fact that perimenopausal women experience a higher rate of unintended pregnancies and a higher proportion of miscarriage and abortion, an evaluation of the contraceptive options for perimenopausal women is presented. Combined oral contraceptives (COCs) are a good contraceptive option for perimenopausal women who do not smoke and those who have diabetes, hypertension or cardiovascular risks. For women who smoke or have cardiovascular risks, progestin-only pills, injections, and implants are a much better alternative. On the other hand, barrier methods give greater protection against sexually transmitted diseases, although they have lower efficacy than COCs. Meanwhile, IUDs such as the Copper T-380 offer contraceptive effectiveness equal to that of surgical sterilization. Furthermore, periodic abstinence is a less effective option secondary to perimenopausal cycle irregularity. Finally, method selection should be carefully guided by considering personal and family health history, individual preferences and previous experiences.
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