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Contraception in women over forty

Published online by Cambridge University Press:  31 July 2008

F. E. Riphagen ,
J. A. Fortney  and
S. Koelb
F. E. Riphagen
Affiliation:
International Health Foundation, Geneva, Switzerland, and Brussels, Belgium
J. A. Fortney
Affiliation:
Family Health International, Research Triangle Park, NC, USA
S. Koelb
Affiliation:
International Health Foundation, Geneva, Switzerland, and Brussels, Belgium
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Summary

Contraception in women over the age of 40 has received little attention, and accurate data are not readily available. This paper compares data from surveys from the United States and five major countries in Western Europe. Consideration is given to the possible effect on these women of the threat of reduced availability of suitable contraceptive methods as a result of current developments within society at large. This is of particular importance as it appears that, especially in Western Europe, contraception is underutilized in this age group. The benefits and risks of various methods of contraception are discussed. Use of the pill by older women remains controversial. Misconceptions about pill use and the IUD seem to be widespread among women of all ages.

Type
Research Article
Information
Journal of Biosocial Science , Volume 20 , Issue 2 , April 1988 , pp. 127 - 142
Copyright
Copyright © Cambridge University Press 1988

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References

Aved, B. (1985) Patterns of contraceptive method use by California family planning clinic clients, 1976–1984. Am. J. publ. Hlth. 75, 1210.CrossRefGoogle Scholar
Beard, R. J. (1979) Diseases affecting contraceptive practice in middle age. J. biosoc. Sci. Suppl. 6, 143.CrossRefGoogle Scholar
Bongaarts, J. (1982). Infertility after age 30: a false alarm. Fam. Plann. Perspectives, 14, 75.CrossRefGoogle ScholarPubMed
Bowen-Simpkin, P. (1984) Contraception for the older woman. Br. J. Obstet. Gynec. 91, 513.CrossRefGoogle Scholar
Bush, T. & Barrett-Connor, E. (1985) Noncontraceptive estrogen use and cardiovascular disease. Epidemiol. Rev. 80.Google Scholar
Centers for Disease Control, Cancer and Steroid Hormone Study (1983) Long-term oral contraceptive use and the risk of breast cancer. J. Am. med. Ass. 249, 1591.CrossRefGoogle Scholar
Connell, E. B. (1984) Contraceptive needs of the middle-aged couple. Contemporary Obstet. Gynec. 24, 94.Google Scholar
Forrest, J. D. (1986) The end of marketing of IUDs in the United States: what does it mean for American women? Fam. Plann. Perspect. 18, 2.CrossRefGoogle ScholarPubMed
Forrest, J. D. & Henshaw, S. (1983) What US women think and do about contraception. Fam. Plann. Perspect. 15, 157.CrossRefGoogle ScholarPubMed
Francis, H. H. (1985) Delayed childbearing. IPPF Med Bull. 19, 3.Google ScholarPubMed
Friedman, S. (1974) What contraceptive measures for women in their 40s and 50s? J. Am. med. Ass. 230, 759.Google ScholarPubMed
Gray, R. H. (1979) Biological and social interactions in the determination of late fertility. J. biosoc. Sci. Suppl. 6, 97.CrossRefGoogle Scholar
Greenblatt, R. B., Nezhat, C. & McNamara, V. P. (1979) Appropriate contraception for middle-aged women. J. biosoc. Sci. Suppl. 6, 119.CrossRefGoogle Scholar
Grubb, G. S., Peterson, H. B., Layde, P. M. & Rubin, G. L. (1985) Regret after decision to have a tubal sterilization. Fert. Steril. 44, 248.CrossRefGoogle ScholarPubMed
Howe, H. L. (1984) Age-specific hysterectomy and oophorectomy prevalence rates and the risks for cancer of the reproductive system. Am. J. publ. Hlth, 74, 560.CrossRefGoogle ScholarPubMed
Instituto Nacional Estadistica (1986) Encuesta de Fecundidad 1985, Avance de Resultados. Madrid.Google Scholar
Jansen, R. P. S. (1984) Fertility in older women. IPPF Med. Bull. 18, 6.Google ScholarPubMed
Kase, N. G. (1976) The sexually active premenopausal woman. (Chez, R. A., Moderator). Dialogues in Oral Contraception, 1.Google Scholar
Lipnick, R. J., Buring, J. E., Hennekens, C. H., Rosner, B., Willett, W., Bain, C., Stampfer, M. J., Colditz, G. A., Peto, R. & Speizer, F. E. (1986) Oral contraceptives and breast cancer. J. Am. med. Ass. 255, 58.CrossRefGoogle ScholarPubMed
Liskin, L. & Rinehart, W. (1985) Minilaparotomy and Laparoscopy: Safe, Effective and Widely Used. Population Reports Series C, No. 9. Johns Hopkins University, Baltimore.Google ScholarPubMed
Meade, T. W., Greenberg, G. & Thompson, S. G. (1980) Progestagens and cardiovascular reactions associated with oral contraceptives and a comparison of 50- and 30- μg oestrogen preparations. Br. med. J. 286,1157.CrossRefGoogle Scholar
National Center for Health Statistics (1984a) Vital Statistics of the United States, 1979, Vol. 1, Natality. DHSS Publication No. (PHS) 84 1101, USPHS, Washington, DC.Google Scholar
National Center for Health Statistics (1984b) Vital Statistics of the United States, 1979, Vol. 2, Mortality, Part A. DHSS Publication No. (PHS) 84 1101. USPHS, Washington, DC.Google Scholar
Nolan, T. F., Ory, H. W., Hughes, J. M. & Greenspan, J. R. (1982) Cumulative prevalence rates and corrected incidence rates of surgical sterilization among women in the United States, 1971–1978. Am. J. Epidemiol. 116, 776.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1985) General Household Survey 1983. HM Stationery Office, London.Google Scholar
Potts, M. (1979) Discussion on sterilization and abortion in middle age. J. biosoc. Sci. Suppl. 6************, 157.Google Scholar
Pratt, W. F., Mosher, W. D., Bachrach, C. A. & Horn, M. C. (1984) Understanding U.S. fertility: findings from the National Survey of Family Growth, Cycle III. Popul. Bull. 39, No. 5, Table 7.Google ScholarPubMed
Report of the Perceptions of the Pill Survey Group (1987) Women's perceptions of the safety of the pill: a survey in eight developing countries. J. biosoc. Sci. 19, 313.CrossRefGoogle Scholar
Riphagen, F. E., van der Vurst, J. & Lehert, P. (1984) Contraception in Italy. International Health Foundation, Geneva.Google Scholar
Riphagen, F. E., van der Vurst, J. & Lehert, P. (1985a) Contraception in France. International Health Foundation, Geneva.Google Scholar
Riphagen, F. E., van der Vurst, J. & Lehert, P. (1985b) Contraception in Great Britain. International Health Foundation, Geneva.Google Scholar
Riphagen, F. E., van der Vurst, J. & Lehert, P. (1986a) Contraception in Spain. International Health Foundation, Geneva.Google Scholar
Riphagen, F. E., van der Vurst, J. & Lehert, P. (1986b) Contraception in the Federal Republic of Germany. International Health Foundation, Geneva.Google Scholar
Russel-Briefel, R., Ezzati, T. & Perlman, J. (1985). Prevalence and trends in oral contraceptive use in premenopausal females aged 12–54 years, United States, 1971–1980. Am. J.publ. Hlth, 75, 1173.CrossRefGoogle Scholar
Shargil, A. A. (1985) Hormone replacement therapy in perimenopausal women with a triphasic contraceptive compound: a three-year prospective study. Int. J. Fertil. 30, 15.Google ScholarPubMed
Stadel, B. V. (1981) Oral contraceptives and cardiovascular disease. Parts I and II. New Engl. J. Med. 305, 612, 672.CrossRefGoogle Scholar
Stone, S. C. (1976) Discontinuing contraception at menopause. Med. Asp. hum. Sexuality, May, p. 177.Google ScholarPubMed
Taubert, H. D. (1985). In: The Climacteric Perspective. Edited by Notelovitz, M. & van Keep, P.. MTP, Lancaster.Google Scholar
van de Carr, S. W., Kennedy, D. L., Rosa, F. W., Anello, C. & Jones, J. K. (1983) Relationship of oral contraceptive estrogen dose to age. Am. J. Epidemiol. 117, 153.CrossRefGoogle ScholarPubMed
van Keep, P., Wildermeersch, D. & Lehert, P. (1983) Hysterectomy in six European countries. Maturitas, 5, 69.CrossRefGoogle ScholarPubMed
Ventura, S. J. (1982) Trends in First Births to Older Mothers, 1970–1979. Monthly Vital Statistics Report, 31(2), Supplement (2). National Center for Health Statistics, Washington, DC.Google Scholar
Walker, A. M. & Jick, H. (1979) Temporal and regional variation in hysterectomy rates in the United States, 1970–1975. Am. J. Epidemiol. 110, 41.CrossRefGoogle ScholarPubMed
Weisberg, E. (1985) Contraception for the older woman: a review. Clin. Reprod. Fert. 20, 115.Google Scholar
World Fertility Survey. Summary of Findings No. 32 (1981). The Hague.Google Scholar
World Fertility Survey. Comparative Studies No. 20 (1982). The Hague.Google Scholar
World Health Organization (1981) Research on the Menopause. Fertility Regulating Methods for Women Approaching the Menopause, Chap. 9, Technical Report Series 670, WHO, Geneva.Google Scholar