title: [Hormonal contraception in the perimenopause].
abstract: Perimenopause, such as postmenopause, is a physiologic condition that could be accompanied by several symptoms that may need a medical intervention. Women need to be informed about the available therapeutic options, including no treatment at all if not necessary. Oral hormonal contraceptives represent a valid and safe option in healthy premenopausal women with complaints. They guarantee a safe and reliable contraception in women without contraindications. The alternatives to oral hormonal contraceptives are injectable progestagens, oral progestagen-only preparations, progestagen implants or progestagen-loaded IUD's. It is highly important to inform correctly the patient and make her to participate actively in the therapeutic decision. This educational process helps in building a solid relationship and improves patient adherence with better clinical results.
authors.affiliation: Abteilung für gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsfrauenklinik, Bern.
authors.forename: M
authors.initials: M
authors.lastname: Butarelli
authors.forename: C
authors.initials: C
authors.lastname: Bodmer
authors.forename: D
authors.initials: D
authors.lastname: Wunder
authors.forename: M
authors.initials: M
authors.lastname: Birkhäuser
mesh_terms: D000328:Adult; D003267:Contraception / Q000379:methods*; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects / Q000627:therapeutic use*; D015914:Estrogen Replacement Therapy; D005260:Female; D006801:Humans; D008593:Menopause / Q000187:drug effects; D008875:Middle Aged; D010353:Patient Education as Topic; D017697:Premenopause; D045167:Progesterone Congeners / Q000627:therapeutic use
chemical_list: D003277:Contraceptives, Oral, Combined; D003278:Contraceptives, Oral, Hormonal; D045167:Progesterone Congeners