Over 55's
Contraception and women over the age of 55 years
For women aged 55 and over, the medical recommendation remains that contraception is no longer required as natural fertility is assumed to have ceased, even for those still experiencing periods. However, there are specific procedural and health considerations for this age group:
Removal of Long-Acting Methods
While you no longer need them for pregnancy prevention, existing devices should not be left in place indefinitely:
- Hormonal IUS (Mirena/Levosert): If inserted at age 45 or over, the Mirena can remain until age 55 for contraception. It should be removed at 55 unless being used as part of a Hormone Replacement Therapy (HRT) regimen, in which case it must be replaced every 5 years for endometrial protection.
- Copper IUD: If inserted at age 40 or over, it can safely remain until 55. It should be removed at age 55 to avoid becoming a potential focus for infection.
- Contraceptive Implant: While the Nexplanon implant is safe until 55, it should be removed at that age as its contraceptive purpose has ended.
Sexual Health and STIs
Pregnancy risk ends at 55, but the risk of Sexually Transmitted Infections (STIs) does not.
