Woman's Weekly

Coping with MENOPAUSE CONTRACEPTION

As women reach their 40s, natural fertility declines but unintended pregnancies do still happen. Unprotected sexual intercourse over one year has significant pregnancy risk; there is a 10-20% chance if aged 40-44, and 12% if 45-49. Contraception can be stopped once aged 55, even if still menstruating, as spontaneous conception then is extremely rare.

Hormonal fluctuations and sporadic ovulation during the perimenopause mean hormone levels (oestradiol, FSH and LH) can’t predict sterility or reflect menopausal status. Physiological menopause is diagnosed retrospectively, after one year without periods if over 50, or two years without periods if

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