Priority 9 from the Contraception PSP
| UNCERTAINTY: Are there tests or factors such as age that can reliably identify women who no longer require contraception around the menopause (including women using methods which can stop periods such as implants, hormonal coils, pills)? (JLA PSP Priority 9) | |
|---|---|
| Overall ranking | 9 |
| JLA question ID | 0049/9 |
| Explanatory note | A number of guidelines are relevant to this question. NICE Menopause Guideline, FSRH Contraception for women aged over 40years (updated 2017), NICE Fertility Guideline. The benefits and risks of contraception change with age- fertility – the chance of becoming pregnant declines – it is rare in women after 50, the risks to maternal health of pregnancy and childbirth increase, other health issues may influence their choice of contraception. The new FSRH guidelines has provided clearer management strategies but the evidence base for these recommendations is weak. (Grade approach) |
| Evidence |
None available |
| Health Research Classification System category | Reproductive Health and Childbirth |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples |
“Can we work out more accurately when contraception is no longer required in ammenorrheic women on hormonal methods peri/post menopause” (both) |
| Submitted by | Healthcare Professionals x 3~Patients x 1~Both x 1 |
| PSP information | |
|---|---|
| PSP unique ID | 0049 |
| PSP name | Contraception |
| Total number of uncertainties identified by this PSP. | 57 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 21 April 2017 |