Contraception and family planning at the extreme of reproductive life - climacteric

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dc.contributor.authorKatalin de Jarmy Di Bella, Zsuzsanna Ilona [UNIFESP]
dc.contributor.authorHomem de Mello Bianchi, Ana Maria [UNIFESP]
dc.contributor.authorde Araujo, Fabio Fernando [UNIFESP]
dc.contributor.authorFerreira Sartori, Marair Gracio [UNIFESP]
dc.contributor.authorBatista Castello Girao, Manoel Joao [UNIFESP]
dc.date.accessioned2019-07-22T15:46:46Z
dc.date.available2019-07-22T15:46:46Z
dc.date.issued2016
dc.description.abstractMenopause is an endocrine phenomenon characterized by gradual estrogen decline. This is a stage in a woman's life in which contraception is extremely important as the risks associated with pregnancy and childbirth increase, both maternal issues associated with higher incidence of comorbidities and issues related to fetal abnormalities, mitochondrial abnormalities, or genetic syndromes. On the other hand, there is a growing number of women who have postponed motherhood and need effective contraception, but without prolonging the return to fertility. Long-acting reversible contraceptives (LARCs), low-dose oral hormonal contraceptives and non-oral contraceptives are preferred. The levonorgestrel-releasing intrauterine system is a very good alternative that can maintain endometrial protection after menopause. Definitive methods such as tubal ligation and vasectomy are options for couples that already have their offspring. In this review, we present evidence for contraceptive indication and the effects of hormonal methods on climacteric including options for contraception, control of bleeding during perimenopause and of climacteric symptoms, as well as the transition from such methods to hormone therapy if indicated.en
dc.description.affiliationUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Sect Family Planning, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationEPM Unifesp, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationEPM Unifesp, Sect Family Planning, Sao Paulo, SP, Brazil
dc.description.affiliationEPM Unifesp, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Sect Family Planning, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespEPM Unifesp, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespEPM Unifesp, Sect Family Planning, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespEPM Unifesp, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent454-457
dc.identifierhttp://dx.doi.org/10.1590/1806-9282.62.05.454
dc.identifier.citationRevista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 5, p. 454-457, 2016.
dc.identifier.doi10.1590/1806-9282.62.05.454
dc.identifier.fileS0104-42302016000500454.pdf
dc.identifier.issn0104-4230
dc.identifier.scieloS0104-42302016000500454
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51078
dc.identifier.wosWOS:000384589200012
dc.language.isoeng
dc.publisherAssoc Medica Brasileira
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectcontraceptionen
dc.subjectclimactericen
dc.subjectfamily planningen
dc.titleContraception and family planning at the extreme of reproductive life - climactericen
dc.title.alternativeAnticoncepção e planejamento familiar no extremo da vida reprodutiva – climatériopt
dc.typeinfo:eu-repo/semantics/review
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