Abstract

CONTRACEPTION FOR PERI-MENOPAUSAL WOMEN: A REVIEW OF THE LITERATURE

Dina Houjjaj*, A. Bouchaib, I. Chanaa, Z. Tazi, A. Filali, Hassan Alami and Rachid Bezad

ABSTRACT

Peri-menopause is the period between the onset of menstrual irregularities and the end of the first year following the last menstrual period. Despite the decrease in fertility with age, effective contraception remains necessary in the absence of a desire to become pregnant, as pregnancies are more risky and recourse to abortion is more frequent in the event of an unwanted pregnancy in this age group. The choice of a contraceptive method after age 40 is a frequent reason for consultation. No contraceptive method is contraindicated by age alone, in the absence of contraindications. At this age, each method has its advantages and disadvantages. Long-term contraceptive methods are particularly interesting. The increased risk of cancer, gynecological and cardiovascular pathologies in women over 35-40 years of age necessitates a re-evaluation of the adequacy of contraceptive methods used in this age group. For example, the annual risk of breast cancer increases with age, independently of the use of hormonal contraceptives. Similarly, certain gynecological diseases such as endometriosis, adenomyosis or fibromyomatosis reach their peak frequency during the peri-menopause. Through this review of the literature, we plan to identify the contraception of the elderly woman.

Keywords: Age - contraception - peri-menopause.