Contraception and family planning at the extreme of reproductive life - climacteric

Contraception and family planning at the extreme of reproductive life - climacteric

Alternative title Anticoncepção e planejamento familiar no extremo da vida reprodutiva – climatério
Author Katalin de Jarmy Di Bella, Zsuzsanna Ilona Autor UNIFESP Google Scholar
Homem de Mello Bianchi, Ana Maria Autor UNIFESP Google Scholar
de Araujo, Fabio Fernando Autor UNIFESP Google Scholar
Ferreira Sartori, Marair Gracio Autor UNIFESP Google Scholar
Batista Castello Girao, Manoel Joao Autor UNIFESP Google Scholar
Abstract Menopause is an endocrine phenomenon characterized by gradual estrogen decline. This is a stage in a woman's life in which contraception is extremely important as the risks associated with pregnancy and childbirth increase, both maternal issues associated with higher incidence of comorbidities and issues related to fetal abnormalities, mitochondrial abnormalities, or genetic syndromes. On the other hand, there is a growing number of women who have postponed motherhood and need effective contraception, but without prolonging the return to fertility. Long-acting reversible contraceptives (LARCs), low-dose oral hormonal contraceptives and non-oral contraceptives are preferred. The levonorgestrel-releasing intrauterine system is a very good alternative that can maintain endometrial protection after menopause. Definitive methods such as tubal ligation and vasectomy are options for couples that already have their offspring. In this review, we present evidence for contraceptive indication and the effects of hormonal methods on climacteric including options for contraception, control of bleeding during perimenopause and of climacteric symptoms, as well as the transition from such methods to hormone therapy if indicated.
Keywords contraception
climacteric
family planning
Language English
Date 2016
Published in Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 5, p. 454-457, 2016.
ISSN 0104-4230 (Sherpa/Romeo, impact factor)
Publisher Assoc Medica Brasileira
Extent 454-457
Origin http://dx.doi.org/10.1590/1806-9282.62.05.454
Access rights Open access Open Access
Type Revisão
Web of Science ID WOS:000384589200012
SciELO ID S0104-42302016000500454 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/51078

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