Contraception in the over 40 age group.

Fertility sharply declines in the 45-50 age, but simple and effective contraception is still desired. The Pill offers this plus the advantage of cycle control and alleviation of vasomotor symptoms. Lowest oestrogen content is preferred and combined with this, norgestrel has the theoretical advantage of reversing undesired oestrogen effects. If the Pill is continued in the 40 + age group, it can be safely discontinued when the age of 50-52 is reached. It must be kept in mind that side effects of the Pill or intrauterine device related to bleeding may mask pelvic disease. Regular check ups including full history, breast and pelvic examination should be carried out.