Suggest Stopping Hormonal Contraceptives by Age 55
Women will ask you if they're "too old" to take hormonal contraceptives...and when they should stop.
We know that combo OCs can prevent pregnancy in women over 40. And they may also help with vasomotor symptoms (hot flashes, etc).
In many perimenopausal women, feel comfortable suggesting a combo OC...and lean toward one with 20 mcg of ethinyl estradiol. If needed, suggest extended-cycle OCs to limit hormone-free days.