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Contraception Over 40: Protection and Perimenopause
Key Information
- The Fertility Myth: It is a common myth that contraception is no longer needed once you reach your 40s. Fertility declines, but it does not disappear completely until menopause.
- Irregular Cycles: During perimenopause, periods often become unpredictable, making natural family planning less reliable.
- Managing Symptoms: Some contraceptive methods can also help with perimenopausal symptoms, such as heavy or irregular bleeding.
- Contraception vs. HRT: Contraception is not the same as Hormone Replacement Therapy (HRT), but some types can be used safely alongside HRT.
- When to Stop: It is generally safe to stop contraception at age 55. If you are under 55, advice depends on your age and when your periods stop.
How Contraception Can Help During Perimenopause
- The Hormonal Coil: Options such as the Mirena coil can significantly reduce heavy bleeding.
- The Pill or Patch: These may help make cycles more regular and predictable.
When Can You Stop Contraception?
In general, contraception can usually be stopped at age 55.
If you are under 55, the usual advice is:
- If you are over 50, wait until you have had no periods for 1 year.
- If you are under 50, wait until you have had no periods for 2 years.
What Happens Next?
If your current method is no longer suiting you, or if you are struggling with heavy or irregular periods, we can review your options.
We can help find a solution that provides both protection and symptom relief.
Further Information
For more information on contraception, please visit the NHS website.
Learn more about contraception
Last reviewed: 30 December 2025
Next review due: 30 December 2028
Providing NHS Services
Telephone: 01727 853107