From 40 years old, some women have questions about their contraception. Should it be changed? Which one to choose? Our expert enlightens you.
Estro -rogestative or progestin, IUD, Patch … Choosing and finding a suitable way of contraception is not an easy task. At the forties, fertility drops. Some women thus think of stopping the pill, withdrawing their IUDs … But can we do without contraception from 40 years old? “”No, surely not, unless there is no report, Exclaims Professor Fauconnier, obstetrician gynecologist. The risk of pregnancy exists throughout life Before menopause. Indeed, as long as there are cycles, contraception is necessary. There are few guarantees to never get pregnant without contraception. And 40 -year -old women waiting for a child who is not desired are generally in a situation of distress. If a woman believes that she does not need it, it should not be pushed. However, it must be informed that you can get pregnant even after 40 years.“”
Should we change contraception after 40 years?
For Pr Arnaud Fauconnier, obstetrician gynecologist, “It is not worth changing contraception. If there is no cardiovascular risk, the patient can for example continue to take the pill. If there are, contraception must be modified. Regarding the IUD, there is no risk, regardless of age “.
► Varied non -hormonal contraception means. In recent years, several voices have been raised against hormones. The pills were notably at the heart of several controversies. Thus, more and more women have questioned themselves and Now want contraception without hormone. “”You should know that contraception is not bad for health if you take into account risk factors. It is essential that women can access it without being afraid. By questioning the means of contraception, we lose the freedom of women. Contraception must be replaced as a means of prevention of unwanted pregnancies.
What is the best contraception after 40 years?
There is not particularly recommended contraception after 40 years. “”It’s not that simple. It is not the age that counts, It depends on cases. However, from 40 years old, there are more risks of pathologies (cardiovascular diseases …), Fertility decreases, the demand for pregnancy is different … Before putting in place a contraception, it is necessary to take into account the fact that the patient is smoking, has factors of Risks of cardiovascular disease …“”explains Professor Fauconnier. Indeed, a woman over 35 who smokes cannot take an estro -rogestative pill as a contraceptive. This is also the case for women who have cardiovascular risks. In this case, non -hormonal or progestogen contraception will be indicated. On the other hand, If the patient does not smoke and does not have cardiovascular risk factors, It can take an estro -rogestative pill up to 50 years. The objective is to advise contraception so that the risk is as low as possible for the patient. “For women who wish contraception without hormone, It is possible to choose a non -hormonal IUDwhich is a risk -free contraception if it is properly laid and the uterus is normal. It is a good way of contraception, inert and reliable.” THE condom is also a possibility that is adopted by many women over 40 years of age. Alone The ligature of tubes is now available for women who no longer wish to have children. It is a so -called “sterilization” surgery, practiced under general anesthesia, which consists in closing access to the fallopian tubes. Whatever the case, you should know that there is always an adapted contraceptive solution, even after 40 years.
What about Essure implants?
Previously, women who wanted definitive contraception could use to the ligature through the Essure method which consisted in the insertion of a small spring in each trunk by natural paths, which obstructed the trunk definitively. However, this technique has suffered from many criticisms on the part of patients in particular, who complained about the degradation of their state of health (pain, fatigue, bleeding, etc.) following the installation of this spring. In France, 1,087 women were faced with a dysfunction or the occurrence of undesirable effects between 2003 and February 2017 on nearly 200,000 women carrying an Essure implant, according to the National Medicines Safety Agency (ANSM). The European Union thus decided in August 2017 to Suspend the marketing of Essure implants for a period of three months. Since August 2017, the implant has no longer been used in France and since At the end of 2018, it is no longer marketed in any country.
Thank you to Pr Arnaud Fauconnier, obstetrician gynecologist.
