Some people believe that menopause (perimenopause) should no longer be fertile, so there is no need to worry about unwanted conception. In fact, menopause is a long process, not an instantaneous one, and it can take several years for a woman to completely say goodbye to menstruation, with recurrences in between. During this special period, a woman’s fertility is reduced, but she is not absolutely no longer capable of conceiving, and once her guard is down, she may still conceive. Therefore, there is still a need for contraception during menopause, and it is especially important to know how to use it, because many contraceptive methods that are suitable for younger women are not entirely suitable for menopausal women. Menopausal women often have disrupted menstruation and irregular ovulation. And menopause is prone to diseases such as arteriosclerosis, heart disease, hypertension, hyperlipidemia, and diabetes. Therefore, there are many differences in contraception with young women, should choose the contraceptive methods that do not affect the endocrine function. In general, male condoms can be used. If the vagina is dry, you can apply contraceptive cream on the condom to strengthen the contraceptive effect and lubricate the vagina. 2, can also use a variety of external spermicide, such as external contraceptive film or contraceptive suppositories. Because oral contraceptives have some effects on the body’s fat and sugar metabolism, menopausal women are not recommended to take them, and the chances of coronary heart disease and thrombosis may increase after taking them. Due to menstrual disorders, safe period contraception can easily lead to contraceptive failure. Do not reinsert the IUD during menopause, as early bleeding after insertion may mask the timely detection of uterine disease. The IUD is not easy to insert because the cervix of menopausal women is harder; moreover, the IUD often causes excessive menstruation. For those who already have menstrual disorders or combined gynecological diseases such as uterine fibroids, if menstrual disorders occur again, it will cause some difficulties in clinical diagnosis and is not good for the health of menopausal women. The intrauterine device should be removed when menopause occurs in six months to one year.