Fertility after 35: Need for contraception

Biran Affandi

Research output: Contribution to journalArticlepeer-review


In women over 35 years old, the chance of conception rapidly declines and all contraceptive methods become more effective. No more pregnancies are expected. Any failure should be avoided because many women take on outside work and have been developing their own careers. The sterilization is the first recommended method, followed by the long term temporary methods i.e. IUD, implant and injectable. The pill is the most popular contraceptive method especially before the age of 35. Then there is a switch to injectable, implant, IUD and sterilization. In fact the pill may be used safely until menopause, therefore the family planning workers should change their habit of advising women to stop taking the pill at 35 years. They must reconsider the balance of risks and benefits. As with other methods the barrier methods in women over 35 are more effective. They offer many advantages which include a profound reduction risk of STDs. In conclusion the cafetaria-system should also be applied to women over 35.

Original languageEnglish
Pages (from-to)25-30
Number of pages6
JournalMedical Journal of Indonesia
Issue number1
Publication statusPublished - 1 Jan 1997


  • Contraception
  • Fertility after 35


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