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One disadvantage of all forms of progestogen-only contraceptives is their tendency to disrupt the menstrual cycle and cause irregular bleeding. This could be a concern for women over the age of 40 who are more prone to horny housewife irregular bleeding anyway, although the irregularity is more of a problem during the first few months of progestogen use and declines over time. Enlargement of the ovarian follicles may also occur. Intrauterine devices horny housewife (IUDs) Copper-bearing IUDs are used in many parts of the world. Their efficacy is long-lasting and is likely to suit the needs of women over the age of 35 who are usually more interested in having no more children than in spacing pregnancies. The use of IUDs may be extended until the menopause is established. Studies of the use of IUDs by European women aged over 35 have shown a low incidence of side-effects, including bleeding, and a low infection rate. One European study found that, in women who were aged over 35 when the IUD was inserted, there were fewer IUD removals during nine years of observation and fewer side-effects than in women who were under 35 at the time of insertion.
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