![]() ![]() It is commonly taken if the COC pill is not suitable - for example, breastfeeding women, smokers over the age of 35 years and some women with migraine. The progestogen-only pill (POP) is sometimes called "the mini-pill". You should stop taking CHC and use another form of contraception when you reach the age of 50 years. If you have no medical problems or risk factors for medical problems, CHC can be used until the age of 50 years. Your doctor or healthcare professional will go through your medical history with you to decide if it is safe for you personally. ![]() These are just a few of the conditions which make it unsafe to use CHC. Women who have complications from diabetes (including problems with eyes, blood vessels or kidneys) should not use CHC. Some women with migraine should not use CHC but this varies depending on the type of migraine and whether it started before the use of CHC or during it, so the issue should be discussed with your healthcare professional. You also should not take it if you have a history of stroke or heart disease, or if you are very overweight. You should not usually take it if you are aged over 35 years and a smoker. However, for some women, CHC may have more risks as they get older. However if there are other issues such as being overweight then your healthcare professional may feel that you are safer changing to another method. CHC can safely be taken by women over the age of 40 years with no other medical problems - it is in the category where the benefits are likely to outweigh the risks. CHC use may improve period problems such as heavier or irregular periods which may occur as you approach your menopause and may also help with menopausal symptoms. There are some specific advantages to CHC for more mature women. Together they are known as combined hormonal contraception (CHC). The information below applies to combined oral contraceptive (COC) pill, The contraceptive patch (Evra®) and the contraceptive vaginal ring. See the separate leaflet called Contraceptive Hormone Pills, Patches and Rings. The following information lists the options, linking to individual leaflets, and commenting on any aspects specific to women between the age of 40 and the menopause. Read the overview of all options in contraception methods. Many women over the age of 40 will have the same options available to them as younger women, but there are some methods for which being over 40 is a risk factor for complications. ![]() If you have a medical condition that needs to be considered.Your choice of contraception when you are over the age of 40 years may be influenced by: What are the different methods of contraception available? If the result is in the menopausal range then you can stop contraception one year after the blood test is done. If you are not sure whether you are menopausal, because your contraceptive method has affected your periods, then you can ask your doctor for a blood test called FSH, to be done at any point over the age of 50. Some others will have a withdrawal bleed from their pill, which is not actually a genuine period. Some women who take hormone-based contraceptives will have irregular or no periods but they will still be fertile if they stop using their contraceptive. However, if you are using hormone-based contraception then your periods (withdrawal bleeds) are not a reliable way of knowing if you are fertile or not. If you are aged under 50 years, you should use contraception until two years after your periods stop. If you are using contraception that does not contain hormones, you will be able to stop using contraception one year after your periods stop if you are aged over 50 years. When can contraception be safely stopped? ![]()
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