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Appendix 6 – Contraception with HRT

View HRT Guidance Flow Chart

There are no epidemiological studies on contraception in perimenopausal women, but fertility is dramatically reduced in women age >40 years. Although contraception is necessary, methods that would normally be associated with higher failure rates (e.g. barrier methods) are likely to be very reliable.

  • Combined sequential HRT is not a contraceptive.
  • Contraception advised for 2 years if menopause at <50 years and for 1 year if menopause at >50 years.

Contraceptive methods that can be used with HRT include:

  • Barrier methods (some vaginal creams and lubricants may damage the latex of condoms and diaphragms).
  • IUD (including levonorgestrel IUS)
  • Sterilisation