Women older than 40 years for some time retain the ability to conceive, because the period of fertility in each individual. But despite retaining the ability to get pregnant, women of late reproductive age often forget about contraception. This sad fact is confirmed by a large number of abortions in women after 40 years. It becomes obvious that in this age of contraception is needed. But the question arises, what contraceptives suitable for women older than 40 years.
The essence of contraception after 40 years
Contraception for women over 40 years, accept all methods. Selection of contraceptives should be done together with your doctor, who will take into account contraindications to one or another method of birth control. The main quality of what must have contraceptives for women
Contraceptives for women - whether you need a gynecologist?
Late childbearing age:
- reliable protection against pregnancy;
- prevention of age-related diseases (osteoporosis, ovarian cancer, anemia and others);
- therapeutic effect (endometrial hyperplasia, anemia, menstrual and menopausal syndrome).
Physiological method of contraception
By physiological methods of contraception are counting fertile days (calendar method, the measurement of basal body temperature). Advantages of the method: the complete absence of side effects and is suitable for all women.
Drawbacks: does not prevent infection, sexually transmitted diseases, has no curative and preventive qualities, requires constant attention and monitoring.
The barrier method of contraception
By this method include the use of condoms, diaphragms, cervical caps and vaginal sponges. Condoms are the best option.
Diaphragms, caps and sponges are not used as a very uncomfortable and have a number of contraindications: cervicitis
Cervicitis - can cause infertility
, The omission of sexual organs, inflammatory diseases of the sexual sphere. In addition, caps and diaphragm have low contraceptive effect, are inconvenient to use and do not protect against sexually transmitted infections. Condoms are preferable in this regard.
The method consists in the ligature of the fallopian tubes through laparoscopy. This is an irreversible method of contraception is 100% contraceptive effect.
Disadvantages surgical sterilization: laparoscopy
Laparoscopy - why is it necessary?
contraindicated in women with obesity, hypertension and diabetes (high risk of postoperative wound festering). Moreover, sterilization does not protect against sexually transmitted infections, hepatitis and HIV and has no curative and preventive properties.
Intrauterine contraceptive method
Introduction IUD is an effective method of contraception. Advantages: high contraceptive effect, fast recovery of reproductive function, no systemic effects on the body. Disadvantages of the method include: a high risk of inflammatory diseases of the pelvic organs, heavy menstruation with iron deficiency anemia.
It is strictly forbidden to IUD insertion in women with multiple uterine myoma
Multiple uterine fibroids - a frequent phenomenon
, Painful menstruation, history of trophoblastic disease (hydatidiform mole, horionkartsinoma), cervical cancer, and others.
Intrauterine contraceptive method does not protect against sexually transmitted infections and has no curative and preventive properties.
Hormonal contraceptive method
Hormonal contraceptives are the best way to prevent pregnancy in women older than 40 years. They are reliable, prevent the development of diseases, facilitate climacteric symptoms and prolong a young woman. Furthermore, combined oral contraceptives are used to prevent osteoporosis.
Combined oral contraceptives are contraindicated in hypertension, diabetes and obesity, and smoking women. In this case, we recommend taking pills containing only progestogen (mini-pill).