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40 and looking for a suitable contraception

by Dr Sarah Brewer

question
I am 40 years old and looking for a suitable contraceptive. My partner is unhappy with condoms. I took the Pill many years ago but I suffered from menstrual migraines. I also take oxytetracyclines regularly for rosacea.

answer
Your choice of contraception really depends on whether or not you want to become pregnant at some time in the near future. If you don't want children in the next five years, then the Mirena Intrauterine System is worth looking into. It is a type of coil that releases a small amount of progestogen hormone and is as effective as female sterilisation. Bleeding can be irregular at first but usually settles down after around three months - and then becomes very light. Many women (one in five) find their periods stop altogether after a year.
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