Anonymous
Post 01/24/2026 16:58     Subject: BC in 40s

Anonymous wrote:What are you using for birth control in your 40s?


Seasonique or the generic, low dose, take for 12 weeks, so only 4 periods a year. Or, take continuously, so no periods
Anonymous
Post 01/24/2026 15:46     Subject: Re:BC in 40s

We are leaving out 50% of those who are responsible here (or at least they should be responsible): the men ! Why does birth control always have to fall on the women?

At a minimum, family planning in peri / late 40s should include getting dear husband tested. Take him to any fertility clinic (or even the family generalist), and get a semen analysis.

What you might find (like we did) is that his sperm count is so low that we really didn’t need to worry anymore.
Anonymous
Post 01/24/2026 08:33     Subject: BC in 40s

I (46) am on year 7 of a 9 year hormonal IUD. GYN says she will look at my hormone levels in 2 years and see if we should replace it once it expires. I've not had a period since 3 months post insertion. Also using estradiol gel.
Anonymous
Post 01/24/2026 08:27     Subject: BC in 40s

"The regular dose pills are not recommended after 40 because your stroke risk naturally increases at this age, and the higher dose of estrogen increases this risk." Never heard this before - will inquire with doctor.
Anonymous
Post 01/24/2026 07:52     Subject: BC in 40s

I take a low-estrogen birth control pill. The regular dose pills are not recommended after 40 because your stroke risk naturally increases at this age, and the higher dose of estrogen increases this risk. I take generic Alesse prescribed by my PCP. I went on it due to heavy periods and severe PMS that started in my 40s, and it has completely resolved both issues.
Anonymous
Post 01/21/2026 11:53     Subject: BC in 40s

Anonymous wrote:
Anonymous wrote:51, periods every 3-4 months or so, on progesterone for sleep. My gyn (who specializes in peri/menopause) told me I don't need to worry about b/c anymore.


I think the previous discussion was regarding BC for peri symptoms and not pregnancy.


Np.

Given my age (late 40s) Gyn offered to replace my regular IUD I’d worn for 10+ years for a different model which is much smaller and made primarily for teenage girls. Her thought was my fertility was probably much lower and the teen-IUD would be sufficient (plus our frequency isn’t what it used to be).
Anonymous
Post 01/20/2026 21:12     Subject: BC in 40s

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I’m 51. Just regular BCP. Nothing different.


Isn't 51 too old don't they tell you to stop at 49/50?


No, the guidelines say through age 55 is fine.


Would you mind linking to the guidelines you are referencing?
Anonymous
Post 01/20/2026 20:11     Subject: Re:BC in 40s

Age 52, on OCP.
Anonymous
Post 01/20/2026 20:10     Subject: BC in 40s

Anonymous wrote:
Anonymous wrote:I’m 51. Just regular BCP. Nothing different.


Isn't 51 too old don't they tell you to stop at 49/50?


No, the guidelines say through age 55 is fine.
Anonymous
Post 01/19/2026 11:09     Subject: BC in 40s

Anonymous wrote:51, periods every 3-4 months or so, on progesterone for sleep. My gyn (who specializes in peri/menopause) told me I don't need to worry about b/c anymore.


I think the previous discussion was regarding BC for peri symptoms and not pregnancy.
Anonymous
Post 01/19/2026 09:09     Subject: BC in 40s

51, periods every 3-4 months or so, on progesterone for sleep. My gyn (who specializes in peri/menopause) told me I don't need to worry about b/c anymore.
Anonymous
Post 01/18/2026 21:29     Subject: BC in 40s

I went off the pill finally at 33 when we wanted to try for a second child and never went back on. I’m almost 46. After I had the second child at 35, I told my husband I didn’t want to go back on bc as I’d handled it on my end for 15 years for us at that point and asked him to get a vasectomy. He didn’t want one. I figured he’d get tired of condoms after about 10 minutes, but it’s been 11 years and here we are. I hate them, but am at the point where I’m determined to just wait until menopause now. I don’t buy them, so if we run out he’s SOL for that night until he gets more. I’m stunned he’s lasted 11 years.
Anonymous
Post 01/18/2026 13:46     Subject: BC in 40s

I’m still with the same ob/gyn who delivered my kids… anyone switch to a gyn who specializes in peri/meno stage? If so, would love to hear abt that
Anonymous
Post 01/18/2026 13:45     Subject: BC in 40s

53 and on triphasic BCP. Anyone else?
Anonymous
Post 01/18/2026 07:34     Subject: BC in 40s

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I’m 51. Just regular BCP. Nothing different.


Isn't 51 too old don't they tell you to stop at 49/50?


+1 Also curious...


51 and still on BCP. Each year, she says next year is the year we’ll go off. Everything seems fine, why alter it? My guess is she will suggest at 52 (next time I’ll see her).