There are no epidemiological studies on contraception in perimenopausal women, but fertility is dramatically reduced in women age >40 years. Although contraception is necessary, methods that would normally be associated with higher failure rates (e.g. barrier methods) are likely to be very reliable.
- Combined sequential HRT is not a contraceptive.
- Contraception advised for 2 years if menopause at <50 years and for 1 year if menopause at >50 years.
Contraceptive methods that can be used with HRT include:
- Barrier methods (some vaginal creams and lubricants may damage the latex of condoms and diaphragms).
- IUD (including levonorgestrel IUS)