During perimenopause, i. e. immediately prior to menopause until the end of the first year after a woman’s last menstruation, fertility has not entirely ceased. Ovulation may occur spontaneously thus effective contraception is still necessary especially if a pregnancy is not desired. No contraceptive method is contraindicated only because of the advanced age.Therefore, perimenopausal women can ...

Ulipristal Acetate (UPA) One study has demonstrated that UPA can delay ovulation. In this study, 34 women were treated when the size of the leading follicle was at least 18 mm. Each woman contributed one cycle treated with placebo and another with UPA. Follicular rupture failed to occur within 5 days following UPA treatment in 20 (59%) subjects while normal ovulation was observed in all women w...

A previously healthy, 35-year-old woman, mother of two children, presented with a 3-day history of abdominal discomfort, vomiting and anuria for 2 days. She had no history of diabetes or hypertension. She had been using a combination of ethinylestradiol and drospirenone as a contraceptive for the previous 3 years. Her investigations at presentation were: serum creatinine: 7.9 mg/dL (698 lmol/L)...

We determined the knowledge of, attitude to and practice of contraception and the associated sociodemographic factors among a representative sample 1130 Qatari married women aged 18-49 years. Data were collected by questionnaire. The mean age of the women was 32.5 (SD 7.6) years. The vast majority (94.6%) knew about contraception but of these 1070, only 694 (64.9%) were in favour of contracepti...

BACKGROUND Little is known about racial/ethnic differences in men's contraceptive knowledge and attitudes. STUDY DESIGN We used multivariable logistic regression to examine racial/ethnic differences in contraceptive knowledge and attitudes among 903 men aged 18-29 in the 2009 National Survey of Reproductive and Contraceptive Knowledge. RESULTS Black and Hispanic men were less likely than Wh...

Oral contraceptive use is the most common type of contraception. More than 300 million women worldwide take oral contraceptives every day. However, there is a concern about the relationship with the incidence of cancer. This analytical retrospective study aimed to investigate the relationship between the incidence of cervical and breast cancers and oral contraceptive use in 128 Iranian patients...

References 1 World Health Organization (WHO). Selected Practice Recommendations for Contraceptive Use (2nd edn). Geneva, Switzerland: WHO, 2004. http://www.who.int/ reproductivehealth/publications/rhr_02_7/index.htm. 2 Faculty of Family Planning and Reproductive Health Care Clinical Effectiveness Unit. Faculty Statement from the CEU on a New Publication: WHO Selected Practice Recommendations fo...