[Contraception after forty].

CONTRACEPTION AFTER FORTY. The prescription of contraception after the age of 40 should be discussed with each woman because fertility and pregnancy's risk still exist. It requires a thorough evaluation of the situation, to identify any vascular and metabolic risk factors. No method of contraception is contraindicated by age alone. However, because age is a risk factor for vascular and metabolic diseases, combined hormonal contraception and injectable progestins should not be prescribed at first intention. Long-acting reversible contraception, sterilization and progestin-only pills have to be prescribed as first-line.