Hormonal and Intrauterine Contraception for Women Aged 40 Years and Older

Carrie Cwiak, Rebecca H. Allen, Andrew M. Kaunitz
In: Women's Health · 2013 · vol. 9(5) , pp. 421–424 · doi:10.2217/whe.13.38 · PMID:24007246 · W2015190858
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This editorial reviews hormonal and intrauterine contraception use in women over 40, addressing safety, effectiveness, noncontraceptive benefits, and counseling considerations for this age group.

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Abstract

The use of the levonorgestrel intrauterine device effectively treats heavy menstrual bleeding even when associated with adenomyosis or leiomyomas and is as effective as endometrial ablation in reducing heavy menstrual bleeding. This informational editorial answers the questions: Is contraception needed for women aged 40 years and older who do not desire to be pregnant? What are women aged 40 years and older using for contraception? Is contraceptive use in women aged 40 years or older riskier? What are the noncontraceptive benefits of contraception for women of this age group? Can women safely use contraception until the age of menopause? How should clinicians counsel this cohort of women about contraceptive use?

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adenomyosis

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last seen: 2026-06-04T00:00:01.174412+00:00
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