After 40 years, a woman can take both hormonal contraceptives and hormone replacement therapy. But hormonal preparations, especially after 40 years, are capable of causing many side effects that are absent at a young age, so when they are prescribed, one should remember about contraindications:
- malignant tumors of the uterus, appendages, mammary glands;
- thrombosis and thromboembolism;
- endometriosis;
- severe liver disease;
- dysfunctional uterine bleeding of unclear etiology;
- violations of fat metabolism.
Hormonal contraception after 40: the name of the drugs
Although in adulthood often there are hormonal disorders, or diseases that interfere with the normal onset of pregnancy, hope that age is already a contraceptive, it is not worth it. Hormonal contraceptives after 40 years are usually gestagenic drugs. Since after 35 years women are not recommended to use combined preparations containing estrogens and promoting increased blood clotting, as well as disrupting the liver and cardiovascular system, especially if a woman smokes.
Of gestagenic contraceptives, women after 40 years of age may recommend injections of hormonal drugs (Depo-Provera), hormonal implants (Norplant), or hormonal oral contraceptives containing exclusively gestagens - mini-pili (Ovret, Continuin, Micronor, Eksluton). It is also possible to use the hormonal intrauterine spiral Mirena , which every day releases a dosed amount of progestins. But if there are contraindications, the woman will have to use other non-hormonal contraceptives for contraception.