Priority 9 from the Contraception PSP

UNCERTAINTY: Are there tests or factors such as age that can reliably identify women who no longer require contraception around the menopause (including women using methods which can stop periods such as implants, hormonal coils, pills)? (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0049/9
Explanatory note A number of guidelines are relevant to this question. NICE Menopause Guideline, FSRH Contraception for women aged over 40years (updated 2017), NICE Fertility Guideline. The benefits and risks of contraception change with age- fertility – the chance of becoming pregnant declines – it is rare in women after 50,  the risks to maternal health of pregnancy and childbirth increase, other health issues may influence their choice of contraception.  The new FSRH guidelines has provided clearer management strategies but the evidence base for these recommendations is weak. (Grade approach)
Evidence

None available
Health Research Classification System category Reproductive Health and Childbirth
Extra information provided by this PSP
Original uncertainty examples

“Can we work out more accurately when contraception is no longer required in ammenorrheic women on hormonal methods peri/post menopause” (both)
Submitted by Healthcare Professionals x 3~Patients x 1~Both x 1
PSP information
PSP unique ID 0049
PSP name Contraception
Total number of uncertainties identified by this PSP. 57  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 21 April 2017