CONTRACEPTIVE CARE OF THE OLDER PATIENT – SPECIAL AGE

Not all women, however, have these feelings as they pass their mid-30s. Another special age seems to be 40, and for many women the ‘big 40′ heralds a decline in wellbeing and sexuality. If their mothers went through the menopause at this point in their life this is perhaps understandable, but other women too have assumed that peri-menopausal symptoms of irregular menstruation and increased premenstrual tension occurring in their 40s are a forewarning of change – change for the worse. These feelings can be heightened by medical advice to stop the Pill or consider new methods of contraception.

Contraceptive care of patients between the ages of 40 and 60 requires an appreciation not only of the science of each contraceptive method, but an awareness that a request for contraceptive advice or additional health checks may be part of an adjustment that the woman and her partner are trying to make to this phase of life, justly or unjustly called ‘the change’.

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