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Can oral contraception be used in premenopausal women?

Ewa Chodkowska

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Can oral contraception be used in premenopausal women?

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Pregnancy after the age of 35, is associated with many complications. Not only for the baby (including many congenital genetic defects), but also for the mother.

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The benefits of hormonal contraception in premenopause are a reduced risk of:

  • ovarian cancer - by 40%,
  • endometrial cancer - by 40%,
  • benign breast diseases - by 40%,
  • functional ovarian cysts - by 78%,
  • uterine myomas,
  • pelvic inflammatory conditions - by 50%,
  • heavy menstrual bleeding - by 50%,
  • painful menstrual periods - by 50%.

According to the observation of 252 cycles of low-dose oral hormonal contraception used in women aged 36-44 years, there was a reduction in heavy menstrual bleeding in approximately 88% and a reduction in painful menstruation in 90% of patients.

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Breast cancer and venous thromboembolism are of greatest concern in relation to the risk of DHT in the premenopausal period. Contraception during this period should be avoided by women:

  • cigarette smokers,
  • obese,
  • with high blood pressure,
  • at increased risk of thrombosis,
  • with ischaemic heart disease.