Is it necessary to prevent pregnancy in perimenopause - menopause?

The article is professionally consulted by Specialist Doctor I Nguyen Thi Man - Department of Obstetrics and Gynecology - Vinmec International Hospital Da Nang.

Although the chances of premenopausal women getting pregnant are lower than younger women, pregnancy is still possible during this transition period. Very few premenopausal women wish to become pregnant due to the health risks of mother and baby. Therefore, contraception is very important for premenopausal women.

The answer is yes. Despite the decline in fertility during perimenopause, you can still get pregnant so if you don't want to get pregnant you should use some form of reproductive contraception until you reach your age. Menopause. Menopause means you have not had a period for 12 consecutive months, when you reach menopause, you will no longer be able to get pregnant because there is no ovulation.
For some women, getting pregnant can be difficult once they are in their late 30s to early 40s due to a decline in fertility. If you are trying to get pregnant, assisted reproductive methods can help you get pregnant safely.

If you're already in actual menopause, you won't be able to get pregnant naturally because you don't ovulate. However, before this actual menopause, women will experience perimenopause with symptoms of menstrual disorders such as irregularities, increased or decreased irregular menstrual bleeding or missed periods for a while. Therefore, some women lose their periods for a few months, thinking that they have reached menopause, but in fact due to hormonal changes, menstrual cycles arise irregularly, spontaneously disappear and suddenly appear. show back. Pre-menopausal women still need to use contraception when they are not sure they have reached menopause.

If you have not yet reached menopause, you should continue to use birth control. After menopause, you should continue to practice safe sex techniques by using latex condoms to reduce your risk of sexually transmitted infections.

Low-dose oral contraceptives are commonly used in premenopausal women because they help regulate the menstrual cycle and prevent pregnancy. Compared with conventional oral contraceptives, low-dose estrogen pills are safer for premenopausal women. While conventional birth control pills contain 30 to 50 micrograms of estrogen, these low-dose pills contain only 0.3 to 0.45 micrograms and can be increased as needed.

In addition to preventing pregnancy, medication can often correct heavy or irregular menstrual symptoms and may protect against ovarian and uterine cancer. Medicines can also prevent bone loss, thereby preventing osteoporosis. However, women with a history of breast cancer, blood clots or heart disease or women who smoke should not use low-dose oral contraceptives.

For perimenopausal women, birth control options include:
Estrogen-progestin pills in the form of an oral pill or ring Progestin medicine, such as levonorgestrel (Mirena, Skyla), implanted birth control pills etonogestrel (Nexplanon) subcutaneous transplantation, or progestin-only oral contraceptives also help reduce the risk of endometrial cancer in women. The estrogen-progestin patch is used if you are not at risk for blood clots or other bleeding disorders. However, caution should be exercised when using this patch because one patch contains both estrogen and progestin due to an increased risk of blood clots compared with other forms of estrogen-progestin contraceptives in the form of pills or vaginal rings. Permanent sterilization techniques such as tubal ligation Whatever method you choose, doctors generally recommend that you continue contraception during perimenopause and for about 12 consecutive months after your period has stopped completely. . Currently, Vinmec International General Hospital has a package of pre-menopausal health examination and counseling. When registering for an examination package, customers will be examined and consulted with a specialist in Gynecology; Perform tests to assess hormonal status such as:
Gynecological examination Gynecological examination, breast examination Transabdominal ultrasound of uterus and ovaries Taking samples for cervical-vaginal cytology Mammogram (2 sides) Osteoporosis Measurement Perform other tests to detect premenopausal conditions, if any. Target audience:
Women aged 45-55, possibly younger (when suffering from premature ovarian failure), menstrual irregularities, sexual disorders, suspected endocrine disorders, or need to use hormone replacement therapy, or want to prepare yourself for perimenopause and menopause.
Clients have risk factors such as smoking, long-term stress, undergoing cancer treatment, having surgery to remove 1 or 2 ovaries.
Customers have symptoms such as menstrual irregularities, sexual disorders, psychological changes, sleep

References: Mayoclinic.org and Webmd.com