Many women age 35 and older have perfectly healthy pregnancies and babies.
That said, there are significant health risks in these women that are worth noting.
These include the increased likelihood of preeclampsia, gestational diabetes, premature birth, and birth defects.
Illustration by Zoe Hansen for Verywell Health
This factors into some womens decision to continue with contraception at this age and until menopause.
It may even offer health benefits.
Those views have changed considerably.
This includes life-threateningdeep vein thrombosis (DVT)andpulmonary embolism (PE).
High-dose estrogen andtriphasic pillspose the greatest risk overall.
In most cases, an immediate change wont be necessary.
Some of these conditions are age-related and may not have been an issue when you were younger.
Lifestyle Considerations
Lifestyle also factors into the choice of birth control.
Frequently Asked Questions
Yes.
Some healthcare providers may recommend using the mini pill after age 40 instead of other types of oral contraceptives.
The mini pill is a progestin-only form of birth control.
Guttmacher Institute.Contraceptive use in the United States.
doi:10.1016/j.ajog.2015.12.006
Allen RH, Cwiak CA, Kaunitz AM.Contraception in women over 40 years of age.CMAJ.
2013;185(7):565-573. doi:10.1503/cmaj.121280
Berg EG.The chemistry of the pill.ACS Cent Sci.
2015;1(1):5-7. doi:10.1021/acscentsci.5b00066
White ND.Hormonal contraception and breast cancer risk.Am J Lifestyle Med.
2011 Jul;18(2):160-2. doi:10.4103/0971-6580.84270
Delgado BJ, Lopez-Ojeda W.Estrogen.
Treasure Island (FL): StatPearls Publishing; 2023.
American College of Obstetricians and Gynecologists.ACOG practice bulletin no.
206: Use of hormonal contraception in women with coexisting medical conditions.Obstet Gynecol.2019:133(2):e128-e150.
American Academy of Family Physicians.Progestin-only birth control pills.
