Contraception During Perimenopause: Practical Guidance
Giovanni Grandi,1 Pierluigi Di Vinci,2 Alice Sgandurra,1 Lia Feliciello,1 Francesca Monari,1 Fabio Facchinetti1 1Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, 41124, Italy; 2Inte...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-07-01
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| Series: | International Journal of Women's Health |
| Subjects: | |
| Online Access: | https://www.dovepress.com/contraception-during-perimenopause-practical-guidance-peer-reviewed-fulltext-article-IJWH |
| _version_ | 1811224916032225280 |
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| author | Grandi G Di Vinci P Sgandurra A Feliciello L Monari F Facchinetti F |
| author_facet | Grandi G Di Vinci P Sgandurra A Feliciello L Monari F Facchinetti F |
| author_sort | Grandi G |
| collection | DOAJ |
| description | Giovanni Grandi,1 Pierluigi Di Vinci,2 Alice Sgandurra,1 Lia Feliciello,1 Francesca Monari,1 Fabio Facchinetti1 1Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, 41124, Italy; 2International Doctorate School in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, 41124, ItalyCorrespondence: Giovanni Grandi, Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Via del Pozzo 71, Modena, 41124, Italy, Tel +39 059 422 2665, Email giovanni.grandi@unimore.itAbstract: Climacteric is by no means in itself a contraindication to safe contraception. On the contrary, there are several conditions related to the perimenopause that could benefit from the use of modern contraceptives, mainly hormonal, with the goals of avoiding unintended pregnancies and giving further possible benefits beyond contraception (menstrual cycle control, a reduction of vasomotor symptoms and menstrual migraines, a protection against bone loss, a positive oncological risk/benefit balance). This narrative review aims to provide practical guidance on their possible use in this particular life stage, both short- and long-acting reversible contraceptives, and to assist clinicians for women transitioning from contraception to their menopausal years, including the possible initiation of postmenopausal hormone therapy. Comprehensive contraceptive counselling is an essential aspect of the overall health and wellbeing of women and should be addressed with each such patient irrespective of age.Keywords: contraception, perimenopause, SARCs, LARCs, oral contraceptives, combined oral contraceptives, vaginal rings, patch, intrauterine devices, implants, forties, metabolism |
| first_indexed | 2024-04-12T08:56:53Z |
| format | Article |
| id | doaj.art-3722c17103c148f383a5106f0aacbbb7 |
| institution | Directory Open Access Journal |
| issn | 1179-1411 |
| language | English |
| last_indexed | 2024-04-12T08:56:53Z |
| publishDate | 2022-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of Women's Health |
| spelling | doaj.art-3722c17103c148f383a5106f0aacbbb72022-12-22T03:39:21ZengDove Medical PressInternational Journal of Women's Health1179-14112022-07-01Volume 1491392976591Contraception During Perimenopause: Practical GuidanceGrandi GDi Vinci PSgandurra AFeliciello LMonari FFacchinetti FGiovanni Grandi,1 Pierluigi Di Vinci,2 Alice Sgandurra,1 Lia Feliciello,1 Francesca Monari,1 Fabio Facchinetti1 1Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, 41124, Italy; 2International Doctorate School in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, 41124, ItalyCorrespondence: Giovanni Grandi, Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Via del Pozzo 71, Modena, 41124, Italy, Tel +39 059 422 2665, Email giovanni.grandi@unimore.itAbstract: Climacteric is by no means in itself a contraindication to safe contraception. On the contrary, there are several conditions related to the perimenopause that could benefit from the use of modern contraceptives, mainly hormonal, with the goals of avoiding unintended pregnancies and giving further possible benefits beyond contraception (menstrual cycle control, a reduction of vasomotor symptoms and menstrual migraines, a protection against bone loss, a positive oncological risk/benefit balance). This narrative review aims to provide practical guidance on their possible use in this particular life stage, both short- and long-acting reversible contraceptives, and to assist clinicians for women transitioning from contraception to their menopausal years, including the possible initiation of postmenopausal hormone therapy. Comprehensive contraceptive counselling is an essential aspect of the overall health and wellbeing of women and should be addressed with each such patient irrespective of age.Keywords: contraception, perimenopause, SARCs, LARCs, oral contraceptives, combined oral contraceptives, vaginal rings, patch, intrauterine devices, implants, forties, metabolismhttps://www.dovepress.com/contraception-during-perimenopause-practical-guidance-peer-reviewed-fulltext-article-IJWHcontraceptionperimenopausesarcslarcsoral contraceptivescombined oral contraceptivesvaginal ringspatchintrauterine devicesimplantsfortiesmetabolism. |
| spellingShingle | Grandi G Di Vinci P Sgandurra A Feliciello L Monari F Facchinetti F Contraception During Perimenopause: Practical Guidance International Journal of Women's Health contraception perimenopause sarcs larcs oral contraceptives combined oral contraceptives vaginal rings patch intrauterine devices implants forties metabolism. |
| title | Contraception During Perimenopause: Practical Guidance |
| title_full | Contraception During Perimenopause: Practical Guidance |
| title_fullStr | Contraception During Perimenopause: Practical Guidance |
| title_full_unstemmed | Contraception During Perimenopause: Practical Guidance |
| title_short | Contraception During Perimenopause: Practical Guidance |
| title_sort | contraception during perimenopause practical guidance |
| topic | contraception perimenopause sarcs larcs oral contraceptives combined oral contraceptives vaginal rings patch intrauterine devices implants forties metabolism. |
| url | https://www.dovepress.com/contraception-during-perimenopause-practical-guidance-peer-reviewed-fulltext-article-IJWH |
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