Cantero Pérez P, Klingemann J, Yaron M, Irion N Fournet, Streuli I
Rev Med Suisse. 2015 Oct 28;11(492):1986, 1988-92.
Although patients' fertility is diminished in the period of perimenopause, they still need efficient contraception. Thorough knowledge of the physiological changes occuring during this period of transition is essential in order to provide optimal care. Until the age of 50, no contraceptive method is specifically considered unsuitable due to age alone. The choice of contraceptive needs to be adapted to the patient, assessing the individual risk factors and favouring the potential non-contraceptive advantages of the method selected. Long-term contraceptive methods (e.g., the copper intrauterine device (IUD), the Mirena IUD or a subcutaneous implant) offer an excellent solution on both levels.
尽管围绝经期患者的生育能力有所下降，但她们仍需要有效的避孕措施。全面了解这一过渡时期发生的生理变化对于提供最佳护理至关重要。在50岁之前，不会仅因年龄因素就明确认为某种避孕方法不合适。避孕方法的选择需要根据患者情况进行调整，评估个体风险因素，并优先考虑所选方法潜在的非避孕益处。长效避孕方法（如铜宫内节育器、曼月乐宫内节育器或皮下埋植剂）在这两个方面都提供了出色的解决方案。
