Although sexual intercourse becomes less frequent as couples grow older, and fecundity also declines, the probability of pregnancy still exists if contraceptive methods are not used. Research has shown that half of all women in their early forties are still fertile.
Without contraception, the annual risk of pregnancy is around 10% for women aged 40-44 and 2-3% for women aged 45-49, and the risk may not be zero for women over 50.
In women over 45 years who have not menstruated for one year the probability of subsequent menstruation (which could be ovulatory) is estimated to be 2-10%.
There is a clearly established need for contraception until the menopause is established.
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