ATLANTA – Women 40 and older have got many preferences regarding contraception these days. For this age group options were limited to tube-tying surgery and condoms now the pill has come back and the same is true about IUD (T-shaped plastic device). Both are more risk free than they used to be in the past. Even tube-tying is being done via nonsurgical method.

According to experts there was a need of more new methods in this connection for a quite long time. As 40- and 50-above are groups full of reproductive health problem. A number of women have a lot of children and are agreeable to have sterilization operation.

Usually, women 40 and older are a little apt to use birth control. Besides the adolescents, they have the highest rates of abortion. At the same time, these women are better versed with using contraception and following instructions.

When it’s about the contraceptives for women 40 and older the, problem occur “One size absolutely does not fit to all,” stated Dr. Vanessa Cullins, vice president for medical affairs of the Planned Parenthood Federation of America.

A review published recently in the New England Journal of Medicine. The author, University of Florida gynecologist Dr. Andrew Kaunitz, found that the risk of dangerous blood knobs rises stridently at age 40 for women who consume birth control pills that have estrogen. Overweight women, with high blood pressure and diabetes, have even a greater risk.

According to Kauitz and other experts the current birth control pills have surprisingly less dosage of estrogen. The pill is now a safe choice for lean, healthy, older women.

“It may not be well known that the present low-dose formulations are a logical choice for healthy women in their 40s,” stated Dr. JoAnn Manson, a Harvard endocrinologist who authored a book on menopausal hormone therapy.

Some women may prefer that pill because it can help control irregular menstrual bleeding, hot flashes, reduce hip fractures and ovarian cancer, wrote Kaunitz..

But middle-aged women, who are fat, smoke, migraines; hypertension or many other risk factors should be handled with IUDs or progestin-only treatments like “mini-pills,” experts stated.

Higher ratio of breast cancer has been found in older women who took estrogen-progestin pills for menopause. But studies did not find a high breast cancer risk in women 35 and older who adopt oral methods of controlling birth.

The most common way of birth control for women 40 and older is sterilization — a type that adds up tubal ligations (tube-tying) in women and vasectomies in their male partners. Gynecologists are also offering a newer type of tubal ligation that is nonsurgical.
Implanon
Another new product is called Implanon that approved by the government in 2006. It’s a small matchstick-sized plastic rod, placed under the skin of the upper arm that is a more modern relative of Norplant and can last almost three years.

“Things have certainly changed. There are a lot more options for older women than there used to be,” Dr. Erika Banks, director of gynecology at New York City’s Montefiore Medical Center stated.

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