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A happily married couple in their early 40's is seeking contraceptive…
A happily married couple in their early 40's is seeking contraceptive advice. they are sure they do not want any more kids and the wife would like to stop birth control pills due to concern of long-term effects.
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I would say the biggest difference for this couple and another one seaking contraceptives is age they already have two older children so they are desiring something very affective they do not want any more kids
additionally they have more financial freedom and knowledge to pursue stronger methods whereas teenages may not feel they can access anything other than condoms and pulling out especially if they are already trying to hide sexual activity from parents they may feel embarrassed or unable to ask for appropriate birth control methods.
best methods
though it is the most extreme the most certain way method to ensure they don't get pregnant would be surgical generally the male surgery is less invasive. this could be a good option since they are older and are certain they don't want any more children.
since she doesnt like the pills she could go for more permanent hormone methods such as injections or patches. although she may still not like the effects the hormones can have.
aditionally she could look into an intrauterine device which uses copper to prevent pregnancy and lasts up to 10 years this could protect her up until menopause which happens in the 40's to 50's
worst options
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rhythm method- although she may think she knows her cycles well enough they can fluctuate this is not a good method for them as they are sure they don't want more kids and this method has high failure rates
birth control pills- the wife has already expressed her desire to stop taking them if she continued but didn't take them regularly due to not wanting them she could increase her chance of getting pregnant because they wouldn't work as effectively.
