{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:47:28Z","timestamp":1784166448005,"version":"3.55.0"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:p>SUMMARY Menopause 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.<\/jats:p>","DOI":"10.1590\/1806-9282.62.05.454","type":"journal-article","created":{"date-parts":[[2016,9,17]],"date-time":"2016-09-17T22:01:56Z","timestamp":1474149716000},"page":"454-457","source":"Crossref","is-referenced-by-count":6,"title":["Contraception and family planning at the extreme of reproductive life \u2013 climacteric"],"prefix":"10.1590","volume":"62","author":[{"given":"Zsuzsanna Ilona Katalin de J\u00e1rmy","family":"Di Bella","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria Homem de Mello","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Unifesp, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio Fernando de","family":"Araujo","sequence":"additional","affiliation":[{"name":"Unifesp, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marair Gracio Ferreira","family":"Sartori","sequence":"additional","affiliation":[{"name":"Unifesp, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoel Jo\u00e3o Batista Castello","family":"Gir\u00e3o","sequence":"additional","affiliation":[{"name":"Unifesp, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","series-title":"A clinical guide for contraception","first-page":"351","volume-title":"Clinical guidelines for contraception at different ages: early and late","author":"Speroff L.","year":"2011"},{"key":"ref2","series-title":"Contraceptive technology","first-page":"737","volume-title":"Perimenopause, menopause and postmenopause: health promotion strategies","author":"Nelson AL","year":"2011","edition":"20.ed"},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.maturitas.2009.05.001","article-title":"Hormonal contraceptive regimens in the perimenopause","volume":"63","author":"Hardman SM","year":"2009","journal-title":"Maturitas"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/01.NPR.0000414595.39895.bb","article-title":"Contraception for women over 40","volume":"37","author":"Kelsey B","year":"2012","journal-title":"Nurse Pract"},{"issue":"6","key":"ref5","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/j.bpobgyn.2014.05.006","article-title":"The contraception needs of the perimenopausal woman","volume":"28","author":"Hardman SMR","year":"2014","journal-title":"Best Prac Res Clin Obst Gyn"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.contraception.2011.07.013","article-title":"Unintended pregnancy in the United States: incidence and disparities, 2006","volume":"84","author":"Finer LB","year":"2011","journal-title":"Contraception"},{"issue":"6","key":"ref7","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.contraception.2012.12.003","article-title":"Is lipid profile determination necessary in women wishing to use oral contraceptives?","volume":"87","author":"Machado RB","year":"2013","journal-title":"Contraception"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"58","DOI":"10.2174\/157016113804547638","article-title":"Stroke in women - 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