Health

The Choice of Contraceptives for Women of Different Ages

When choosing a form of birth control, the main criteria are its effectiveness and their convenience. Choosing a contraceptive method is a task that is best solved with the help of a doctor. In general, the choice of contraceptive depends on the age of the woman.

Combination contraceptive pills are contraindicated to:

  • intensively smoking women;
  • women who previously had cases of blockage (thrombosis) of various blood vessels (heart attacks, strokes, thrombophlebitis, etc.);
  • women with severe diabetes;
  • women with diseases of the liver, etc.

16-19 years old

The most suitable for this age is hormonal contraception. However, its use is considered justified under the following conditions:

  • regular sex life;
  • the onset of the first menstruation at least two years ago;
  • height not less than 5.2 ft;
  • a lack of obesity and serious diseases of the heart and blood vessels.

The World Health Organization recommends taking combined birth control pills. Three-phase and single-phase preparations are best suited. They provide the least intervention in the natural course of the processes occurring in the female body and maintain the stability of the menstrual cycle.

19-35 years old

All methods of contraception are suitable for women of 19-35 years of age, but intrauterine devices are considered the most optimal. This method is cheap and does not require constant self-control that is needed when taking birth control pills.

At the same time, hormonal contraception remains one of the most effective and acceptable methods of protection from unwanted pregnancy. In addition, hormonal contraceptives also play an important role in the prevention of diseases such as menstrual disorders, infertility, and endometriosis. At this age, doctors recommend using low-dose combination drugs as the safest option.

35-45 years old

Intrauterine devices at this age are preferred, but they are often contraindicated due to the presence of cervical and uterine diseases in women. Due to smoking, being overweight, and endocrinological diseases, the choice of hormonal contraceptives is also complicated.

When choosing hormonal methods of contraception (in the absence of contraindications and bad habits such as smoking), preference should be given to the latest generation of birth control pills and three-phase drugs.

For women aged 35-40 years, it is better to use hormonal agents like Nexplanon, implanted under the skin or injected in shots. The main advantage is that intramuscular administration or implantation of an agent under the skin requires much less self-control than the daily intake of tablets. 

More than 45 years

Women experience menopause and ovarian function decreases progressively after the age of 45. Despite the fact that in this period the probability of getting pregnant is significantly reduced – pregnancy is not so rare. Many women even at this age have regular ovulation. However, pregnancy and childbirth in most patients occur against the background of various chronic diseases and disorders, which affects the health of both mother and child.

Due to the fact that by the age of 40-45 most women are no longer going to have children, this pregnancy is often interrupted by abortion. But abortion at this age is often complicated by:

  • inflammatory diseases of the genital organs; 
  • the development of uterine fibroids;
  • endometriosis;
  • severe climacteric period.

It also may provoke the development of oncological diseases. Therefore, contraception is necessary at this age.

The main difficulties in choosing methods of protection from pregnancy for women over 45 years of age are associated with existing risk factors (being overweight, smoking, comorbidities, etc.). Intrauterine devices are often contraindicated due to various diseases (uterine fibroids of large sizes, pathological changes of the cervix, etc.).

Hormonal contraception also has healing properties in a number of gynecological diseases. Women using this method are less susceptible to osteoporosis, ovarian cancer, and uterus cancer.

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