Until menopause is reached women are not totally protected from pregnancy despite the decline in fertility during perimenopause.
Effective, safe and appropriate contraception is available if a woman does not want a pregnancy.
Hormonal methods such as The Pill (new low dose preparations are very appropriate), Implanon (a progesterone rod inserted under the skin which lasts for three years) and Emergency Contraception, sterilisation and barrier methods such as condoms or the diaphragm are some of the options available.
The risk of STIs (Sexually Transmissible Infections), including HIV, remains a lifelong concern and knowledge of safe sex practices, including the use of condoms and dental dams, is important.
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