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Contraception and Pregnancy in Midlife: Complexities and Research Needs

Although fertility declines substantially by age 45, many women remain at risk of pregnancy into their fifties. Addressing the contraceptive needs, and in some cases infertility needs of women in the midlife is  critical, given the health risks of unintended and desired late life pregnancies.  As well, increases in chronic conditions may contraindicate some contraceptive choices. This thematic series highlights key questions facing women and clinicians regarding pregnancy and contraceptive choices, risks and benefits during the midlife and the menopausal transition while also outlining research needs given gaps in scientific knowledge.

This thematic series is ongoing and new manuscripts will be added upon acceptance.

  1. A modern contraceptive method is a product or medical procedure that interferes with reproduction following sexual intercourse; however, contraceptive services remain out of reach for many women of reproductiv...

    Authors: Alehegn Bishaw Geremew and Abebaw Addis Gelagay

    Citation: Women's Midlife Health 2018 4:13

    Content type: Research

    Published on:

  2. In South Africa, hormonal contraception is widely used in women over the age of 40 years. One of these methods and the most commonly used is depot-medroxyprogesterone acetate (DMPA) which has been found to hav...

    Authors: Mags E. Beksinska, Immo Kleinschmidt and Jenni A. Smit

    Citation: Women's Midlife Health 2018 4:6

    Content type: Research

    Published on:

  3. To create a system where evidence based medicine can be applied to accommodate every woman’s needs by designing a contraceptive pathway that can be utilized by any healthcare provider, regardless of the patien...

    Authors: Chi-Son Kim, Deanna Tikhonov, Lena Merjanian and Adrian C. Balica

    Citation: Women's Midlife Health 2017 3:10

    Content type: Review

    Published on:

  4. Recently unintended pregnancies have been described as "a new kind of mid-life crisis." Given the high prevalence of unwanted or mistimed pregnancy in the US, we examined the sexual and reproductive health pat...

    Authors: Versie Johnson-Mallard, Elizabeth A. Kostas-Polston, Nancy Fugate Woods, Katherine E. Simmonds, Ivy M. Alexander and Diana Taylor

    Citation: Women's Midlife Health 2017 3:8

    Content type: Commentary

    Published on:

  5. This commentary discusses the limited availability of information on contraceptive preferences and unmet need for contraception among midlife women in both high and low income countries. Given that risk of pre...

    Authors: Siobán D. Harlow, Jennifer R. Dusendang, Michelle M. Hood and Nancy Fugate Woods

    Citation: Women's Midlife Health 2017 3:6

    Content type: Commentary

    Published on: