The choice of contraceptive for age

The choice of contraceptive method – a task that is best dealt with by your doctor. The main criteria are – the effectiveness of birth control (as a high risk pregnancy, despite the actions taken) and the convenience of the method used. You should also think about the side effects of the chosen method and the failure of the method, in case the woman wants to conceive. In general, the choice of contraceptive method depends on the woman’s age.
16-19 years

Most appropriate for this age group is recognized hormonal contraception.

However, its use is justified under the following conditions:

Regular sexual activity;
menarche at least two years ago;
growth of at least 160 cm;
the absence of obesity and the serious illness of the heart and blood vessels.

World Health Organization recommends that adolescents combined contraceptive pill. The best in-phase (Trikvilar, Three-regolith Triziston) and single (Silest, Femoden, Mersilon, Marvelon) drugs. They provide the least interference with the natural flow of the processes occurring in the female body, and keep the stability of the menstrual cycle.
19-35 years

Women 19-35 years old can use any means and methods of contraception, but most consider optimal intrauterine devices. This method is cheap and does not require constant self-control necessary when taking birth control pills.

At the same time, hormonal contraception is one of the most effective and acceptable methods of protection from unwanted pregnancy. In addition, hormonal contraceptives also play an important role in the prevention of diseases such as menstrual irregularities, infertility, endometriosis. At this age, doctors recommend the use of low-dose combination therapies, as most safe.
35-45 years

Intrauterine devices in this age group are preferred, but they are often contraindicated due to the presence of cervical disease in women and the body of the uterus (erosion, fibroids, etc.).

Due to smoking, overweight, endocrinological diseases is complicated and the selection of hormonal contraceptives.

When choosing a hormonal contraceptive methods (in the absence of contraindications, and harmful habits such as smoking), preference should be given to the combined contraceptive pill and the latest generation of three-phase preparations (Femoden, Marvelon, Silest, Trikvilar, Three-regolith Triziston).

For women 35-40 years old can not recommend the pills, and hormonal agents, implanted under the skin and introduced into the injections. The main advantage is that the intramuscular injection (1 every 3 months) or implantation of funds under the skin (1 every 3-5 years) requires much less self-control than daily pills. The most common drugs in this group are:

Depo-Provera. In addition to the contraceptive action of this agent reduces the risk of inflammatory diseases of female genital thrush (vaginal candidiasis), lesions of the mucous membrane of the uterus and mammary glands. Depo-Provera is used to treat endometriosis. Restoration of fertility after discontinuation of the drug occurs within 5-9 months.

Norplant and Norplant-2 (capsules implanted under the skin of the shoulder through a small incision under local anesthesia). The contraceptive effect is already one day after injection and lasts for 5 years (3 years when using Norplant-2).

Suffice best option may be surgical sterilization, a woman determined not to have more children. This method is popular in many countries around the world, but in Russia it is not yet widespread. This operation is carried out endoscopically (through a small incision of the skin with special tools). However, remember that sterilization – an irreversible method of contraception and subsequent restoration of natural fertility is almost impossible.
More than 45 years

After 45 years, women have menopause and ovarian function progressively declines. Despite the fact that in this period, a woman’s life is significantly reduced chance of becoming pregnant, pregnancy is not so rare, because many women, even in this age group remains a regular ovulation. However, pregnancy and childbirth occur in most patients on a background of various chronic diseases and disorders (cardiovascular diseases, diseases of the urinary system, liver, and chronic inflammatory processes of genital organs, uterine fibroids, prolapse of the uterus and vagina, etc.), which is extremely unfavorable impact on the health of both mother and child.

Due to the fact that the majority of women 40-45 years is no longer going to have children, a pregnancy is often interrupted by abortion. But an abortion at that age is often complicated by inflammation of sexual organs, the development of uterine fibroids, endometriosis, severe menopause, may provoke the development of cancer. Therefore, contraception is needed and at this age.

The main difficulty in selecting methods of contraception in women older than 45 years are associated with existing risk factors (overweight, smoking, comorbidities, etc.).

Intrauterine devices in women aged 45-50 years are often contraindicated due to various diseases (uterine fibroids of large size, pathological changes of the cervix, etc.).

Hormonal contraception is not only highly effective but also distinct therapeutic properties in a number of gynecological diseases. Women using this method is less susceptible to osteoporosis, cancer of the ovaries and uterus.

The combined pill is contraindicated:

intensive smoking women
women who have previously been incidents of blockage (thrombosis) of the various blood vessels (heart attacks, strokes, thrombophlebitis, etc.)
with severe diabetes,
liver diseases, etc.

However, the low-dose preparations of the last generation (eg, Femoden, Marvelon, Silest, Trikvilar, Three-regolith Triziston) have far fewer side effects, so their use is not only possible but also useful.

Promising to use the mini-pill, injection equipment (needles), as well as funds, implanted under the skin (Norplant). They do not increase the risk of thrombosis, do not change blood pressure, liver function, have a healing effect in the presence of lesions of the mucous membrane of the uterus, uterine myoma, endometriosis. However, the use of these funds may be premature menopause.

Women with a variety of general and gynecological diseases are due to the health of the pregnancy is prohibited, particularly surgical sterilization is shown.