Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To stay on contraceptive pill until menopause?

37 replies

Merrz · 15/06/2023 18:53

I'm 35, finished having children. Was on the pill for 13 years from 16 until 29, worked very well for me, no issues with it. Came off the pill to have kids, took a year to get pregnant which I think was down to having been on the pill for so long and my body taking a while to get back to normal cycling, happened a lot faster with baby no 2. Haven't been on hormonal contraception for 6 years but now wondering what I do long term, DH won't get the snip. AIBU to just go back on the pill for the next 15 maybe 20 years? Slightly concerned how much it slowed down my cycles/bleeding when i was on it before but if I'm not getting pregnant again, does it matter? What other reasons are there not to stay on it for that long term?

OP posts:
New posts on this thread. Refresh page
Hoppinggreen · 06/01/2025 14:21

I stayed on the pill until I was 51.
I originally went on it to cope with really awful periods age 16 rather than for contraception and every time I stopped it (except while pg) the symptoms came back. I tried to come off it at around 48/49 but had one period and thought "nope".
I tried again about a year ago and no periods so I don't take it now. I do wonder if its why I don't seem to have really had any issues with menopause apart from being a bit warm.
I didn't even bother my GP I just bought it online

Salmonyumyum · 06/01/2025 14:16

I highly recommend reading 'How the Pill Changes Everything' by Dr Sarah E. Hill. 'The Hormone Repair Manual' by Lara Briden is really good too, she gives a good overview of female hormones beyond 40 and the impact that the pill can have.

One thing to consider with the pill is that you don't get the benefits of natural estrogen and progesterone. Hormonal contraception uses synthetic estrogen and progestins, which can have an inflammatory effect for some women. There are some academic research papers too which suggest that the contraceptive pill has a negative effect on the liver.

Kitchenspade · 06/01/2025 13:25

@shrinkingthiswinter they really are! I hear this from most women! I went for the copper. I had decided and she tried hard to sway me off. And said I would regret it and come back to switch to mirena! I have had it for 3 years. I told her I wanted the copper as after some good years on the pill I started bleeding for 3 weeks of the month. It was awful. So her solution was to keep the hormones in my body permanentl🤔

shrinkingthiswinter · 06/01/2025 13:18

I’m mid-40s and on the mini pill. Have been for years. Means I don’t have periods which is brilliant. Drs are obsessed with trying to get me to have a mirena coil, but this works for me.

Durrbraino · 06/01/2025 13:14

If you were fine in the pill, go for that (assuming no medical contraindications- ask your GP). If they say you cant take the combined pill, consider the mini pill. I’m on the mini pill and it’s great- no side effects no periods.

Pleasegodgotosleep · 06/01/2025 13:12

I (46) have stayed on pill for 2 reasons. I don't have periods when I'm on it and def don't want them and I'm actively planning to stay on for as long as possible to help with peri-menopause symptoms. Even if DH had tge snip I'd still want to take it.

kittykarate · 06/01/2025 13:09

I'm still on Cerazette despite being over 50, the doctor has said unless something changes healthwise, she will prescribe it until 55.

Kitchenspade · 06/01/2025 12:53

I have the copper coil. I'm 33. Have 4 kidd and I don't want any more hormonal contraception. Nor do I want dh or i to have unnecessary surgery. Only down sides are it can be painful inserting and periods can be heavier. But plus side is it lasts 10 years. So I will only need one more before I am menopausal. Whereas the mirena is every 5 years and is still hormones.

jezaustin · 06/01/2025 12:22

ErrolTheDragon · 15/06/2023 19:29

I was on the pill till I was 51 (the GP didn't notice when I passed 50). It suited me fine, I have (had?) PCOS and Marvelon kept the symptoms under control. I'd often run packs together, not bleeding is a bonus imo.

If there's a pill that suits you, of course YANBU to take it. Otoh, If there isn't one which suits you then don't.

I was on the pill gedarel until I was over 52. Then put on the prostregen only pill which I only took for 2 months because I became very depressed since my periods which were regular stopped. I started a 3 month supply of Marvelon and my mood changed, regular bleeding. I was unable to get any more of the combined pill when I was 52 and a half months old. My periods have stopped and I am always in a bad mood, depressed, and feeling down. I have just turned 53.

DollyTubb · 17/06/2023 09:23

I had Depo Provera injections every 10 weeks, went straight through the menopause without noticing! Came off the injections when I was 52. So easy, no issues, no side effects. I tried the mirena coil but despite everyone saying how wonderful it was it really didn't suit me, I had a lot of stomach cramps and random bleeding. Be guided by your doctor but imho there's no problems with what you're proposing.

ThisIsMySexName · 17/06/2023 09:21

Following as I’m considering this too!

Notamum12345577 · 17/06/2023 09:17

Merrz · 15/06/2023 18:53

I'm 35, finished having children. Was on the pill for 13 years from 16 until 29, worked very well for me, no issues with it. Came off the pill to have kids, took a year to get pregnant which I think was down to having been on the pill for so long and my body taking a while to get back to normal cycling, happened a lot faster with baby no 2. Haven't been on hormonal contraception for 6 years but now wondering what I do long term, DH won't get the snip. AIBU to just go back on the pill for the next 15 maybe 20 years? Slightly concerned how much it slowed down my cycles/bleeding when i was on it before but if I'm not getting pregnant again, does it matter? What other reasons are there not to stay on it for that long term?

If you have definitely finished with babies, maybe ask the doctor for a sterilisation? You may have to ask a couple of times. Or the implant, coil, injection?

WakeMeUpWhenGoodOmensIsBack · 17/06/2023 09:10

Merrz · 15/06/2023 23:21

Thanks, thats a couple of people mentioned the coil, I might try it

Hormonal coil is a lot more reliable than the minipill and has lower stroke risks than the combined pill. Also often removes or reduces periods which is a bonus.

gogohmm · 17/06/2023 09:03

I've got a mirena, certainly much easier than the pill and helps with peri menopause I think

LaraPeople · 17/06/2023 09:01

IME the doctors did try and get me on the coil. I genuinely think there's some kind of financial incentive for them. But I really didn't fancy it so stuck with minipill.
Have a look at the NICE guidelines concerning older women/ the pill/ contraception/ menopause. They'll give you the NHS guidelines and recommendations that GPs (should) follow.

LaraPeople · 17/06/2023 08:58

Wrapunzel · 15/06/2023 19:58

I'm considering this, mini pill, age 43. How do you know if you go through menopause though? Blush my mum stayed on the pill and didn't notice so not sure when/how you check

I stayed on the minipill until I was 52. Came off ...and... nothing! Menopause had happened without me noticing.
It wasn't a problem to not know that it had happened. It was marvellous.
I don't see any disadvantage in not knowing! I was blissfully unaware.
For most women there could be lots of other symptoms that tell you you're in menopause besides what's happening with periods- poor sleep, brain fog etc

mycoffeecup · 17/06/2023 08:53

celebrityskin · 17/06/2023 08:52

There are two types of pill.
The combined pill ( Take for 21 days then have a break Eg Microgynon) does increase risk of breast cancer and blood clots so generally advised to stop over 35 especially if overweight/smoker.

However the progestogen only pill (Take every day no break Eg Cerazette/desogestrol) is much safer and can be continued to menopause.

I am on the latter since kids. No periods. Love it!

stop over 35 if smoker yes, but otherwise benefits outweigh risks up to 50 unless another contraindication such as BMI over 30. advice now is to take continuously or just a 4 day break every few months, no need for a 7 day break each month. I'm planning to stay on it til 50 then straight switch to HRT.

celebrityskin · 17/06/2023 08:52

There are two types of pill.
The combined pill ( Take for 21 days then have a break Eg Microgynon) does increase risk of breast cancer and blood clots so generally advised to stop over 35 especially if overweight/smoker.

However the progestogen only pill (Take every day no break Eg Cerazette/desogestrol) is much safer and can be continued to menopause.

I am on the latter since kids. No periods. Love it!

tt9 · 15/06/2023 23:28

risk of breast cancer is a major problem. ocp generally associated with a fair amount of risk with LT use. you can try the copper coil as that has less of a risk profile. or even the mirena coil. implants are worse than ocp as higher doses of hormone. the mini pill is also slightly lower risk than the combined ocp and less side effects. I would recommend a discussion with GP. the fact that it has become a social norm that women have to take the responsibility for contraception by filling their body with pregnancy hormones and accepting the risk boggles my mind.

Merrz · 15/06/2023 23:21

Thanks, thats a couple of people mentioned the coil, I might try it

OP posts:
Bayleaf25 · 15/06/2023 22:47

I’m now 50. My GP advised against it for me after about 40 (possibly due to being overweight although I also had the impression it wasn’t advised after a certain age - could be wrong). I had the mirena coil which was fantastic, no bleeds and no remembering to take a pill).

Merrz · 15/06/2023 22:42

Thanks very much for all your replies, that's helpful.

OP posts:
Spacecowboys · 15/06/2023 20:23

It is what I intend to do, I am on combined pill and will be staying on it until aged 50.

Wrapunzel · 15/06/2023 19:58

I'm considering this, mini pill, age 43. How do you know if you go through menopause though? Blush my mum stayed on the pill and didn't notice so not sure when/how you check

teabycandlelight · 15/06/2023 19:56

fine until 40. But my GP and the nurse at my surgery kept cajoling me to come off it because of the increased risk of clotting/ health complications as you get older.

I’m very fit, Lower end of BMI and non smoker. But the advice was still to come off combined pill.

mini pill safer for longer though. But it doesn’t agree with me.

Coil is a good option. Condoms?

Swipe left for the next trending thread