Tales from the clinic: Contraception and perimenopause

Effective contraception consultations are essential to delivering high-quality perimenopause care and reducing unplanned pregnancies. Contraception can be used independently, or in conjunction with hormone replacement therapy (HRT). Newer contraception options provide enhanced opportunities to individualise perimenopause care. This paper provides case based contraception options, which reduce unplanned pregnancies, erratic perimenopausal bleeding patterns and estrogen deficiency symptoms. Clinicians must also be aware of the potential impact of vaginal preparations which may affect condom integrity. Formulary updates should enable a wide range of options for contraception choices in all settings and provider updates should include this vital topic.