🔄 Perimenopausal Contraception Options Simulator

Fertility Persists Through Irregular Cycles

Ovulation can still occur even as cycles become unpredictable.

• 51: Avg age menopause (placeholder reference value)
• variable: Ovulatory cycles (placeholder short note)
• present: Pregnancy risk (until confirmed menopause)
• 12 mo: Confirmation window (amenorrhea placeholder)

Why contraception is still needed

Placeholder: irregular periods do not rule out ovulation.

Placeholder: contraception recommended until menopause confirmed.

Low-Dose Hormonal Contraceptive Options

Low-dose pills can regulate cycles and reduce symptoms.

• low-dose: Dose class (placeholder short note)
• improved: Cycle regulation (placeholder short note)
• moderate: Symptom relief (placeholder short note)
• >45 yrs: Age caution (placeholder short note)

Benefits and cautions of pill use

Placeholder: pills help symptoms but carry age-linked caution.

Placeholder: cardiovascular risk factors should be reviewed.

IUDs for Perimenopausal Bleeding Control

Hormonal IUDs are effective for heavy bleeding management.

• high: Bleeding reduction (placeholder short note)
• minimal: Systemic hormone (placeholder short note)
• up to 8y: Duration of use (placeholder short note)
• low: CV impact (placeholder short note)

Why IUDs suit this life stage

Placeholder: IUDs combine contraception with bleeding control.

Placeholder: low systemic hormone exposure favors IUD use.

Non-Hormonal Barrier and Permanent Methods

Barrier and permanent methods avoid hormonal exposure entirely.

• none: Hormone exposure (placeholder short note)
• negligible: CV risk added (placeholder short note)
• method-dependent: Reversibility (placeholder short note)
• broad: Suitability (placeholder short note)

When non-hormonal methods are preferred

Placeholder: preferred when hormones are contraindicated.

Placeholder: permanent methods suit completed childbearing.

When to Stop Contraception at Menopause

Discontinuation timing depends on age and hormone testing.

• ~55: Stop age (typical) (placeholder short note)
• optional: FSH confirmation (placeholder short note)
• 12 mo: Amenorrhea needed (placeholder short note)
• gradual: Method taper (placeholder short note)

Deciding when contraception ends

Placeholder: stopping is guided by age and symptoms.

Placeholder: clinician review confirms safe discontinuation timing.