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Oral contraceptive use during menopause

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Birth control and weight gain

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BBC - Future - The strange truth about the pill

McNamara baturp ccf. Finding the optimal method of birth control for women in their 40s requires careful attention to medical history, risk factors, and perimenopausal symptoms, as well as the risk of unintended pregnancy. A Good-quality patient-oriented evidence B Inconsistent or limited-quality patient-oriented evidence C Consensus, usual practice, opinion, disease-oriented evidence, case series. It is no secret that about half of all pregnancies in the United States are unintended, and that teens have the highest rate of unplanned pregnancy. Optimal use of contraception throughout perimenopause is crucial, but finding the right method of birth control for this patient population can be a bit of a balancing act. Long-acting reversible contraceptives LARCs , such as an intrauterine device or progestin-only implant, are preferred first-line contraceptive options when preventing pregnancy is the primary goal, given their increased efficacy and limited number of contraindications. Women in their 40s should have access to a full array of options to help improve adherence.
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Risk of breast cancer in relation to use of combined oral contraceptives near the age of menopause

A common belief people have about hormonal birth control is that it will cause weight gain Concern about side effects like weight gain keeps some people from using hormonal birth control 4. People who report gaining weight while using hormonal birth control such as the pill and the shot are more likely to stop using it Unfortunately in some cultures, there is harmful pressure to conform to standards that may not be realistic.
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Data from a multinational, hospital-based, case-control study were analyzed to determine whether use of combined oral contraceptives OC around the time of menopause preferentially increases risk of breast cancer. Results show that the relative risk RR of breast cancer was increased in women of all ages who had used oral contraceptives within the past year, but not to a greater extent in women near the age of menopause than in younger women. RRs did not increase with duration of OC use after age 45 in either pre- or postmenopausal women.

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