Hormonal Contraception in Women of Older Reproductive Age

Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville, Jacksonville, USA.
New England Journal of Medicine (Impact Factor: 55.87). 04/2008; 358(12):1262-70. DOI: 10.1056/NEJMcp0708481
Source: PubMed


A healthy, lean 46-year-old woman who is a nonsmoker requests advice about contraception. She notes that her menstrual periods are less regular than previously, and she also reports intermittent bothersome hot flashes. She is in a new relationship after a divorce, and she is sexually active. She asks if she can begin to use an oral contraceptive. What would you advise?

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