A healthy, happily married couple in their early 40's has sought your…
A healthy, happily married couple in their early 40's has sought your advice on contraceptive strategies. The woman is concerned about the long term effects of birth control pills and wants to stop taking them. They have 2 kids in high school and are certain they do not want more children. They seek your advice on what to do. What do you tell them?
3 Best options:
- Husband has vasectomy- much less risks involved in this procedure in men.
- Ablasion procedure- not as invasive as hysterectomy. and no hormone replacements needed and lowers risks of endometrial cancers.
- IUD: most common form of BC for women over 40 and the safest. Still have all of the benefits of birth control but decreases the risks of some of the complications from oral contraceptives.
3 worst options:
- Continue birth control pills orally- numerous health risks involved including increased risk of developing breast cancer.
- "Safe" forms of intercourse- for the concern of unwanted or unplanned pregnancy and all of the associated risks with pregnancies over the age of 40.
- Tubal sterilization: permanent, onset of menopause with the need to supplement and replace hormones to control hot flashes, mood swings etc.