Dear Howieda

The use of oral contraceptives in the treatment of menopausal disorders is definitely reason for being . On the other hand having a number of therapeutic alternatives available with fewer side effects I find no indication for the use of OC in these paziento .

See you soon

Vittorio

Perimenopausal hormonal contraception--can we do better?

Panay N, Fenton A.

Climacteric. 2014 Oct;17(5):517-9

There are many studies. Perimenopausal symptoms tend to disappear with the pill. There are many hormonal combinations on the market especially formulated for perimenopausal complaints or prevention of osteoporosis. They are not proven to be better but are more expensive. If you have the resources than oestrogens in low-dose combined with Mirena (to prevent endometrium hypertrophy from the unopposed oestrogen which sometimes even becomes endometrium carcinoma,  is probably most convenient. But there is a very slight increase in breast cancer though

Dear Howieda,

maybe this fact will be interesting for you:

“Combined estrogen/progestogen contraceptive pills (COCs) may be used continuously until the expected time of the menopause but data are lacking regarding impact on bone and cardiovascular disease. Data from small randomized trials of surrogate markers suggest that bone mineralization and metabolic effects are more favorable with MHT compared to COCs.

Dear/ Usynin

Thanks so much for your answer & your help