Family Planning Options for Women Over 35: What You Need to Know
Family Planning After 35
Turning 35 is a milestone for most women – in life, career, and family planning. For women thinking about getting pregnant or reassessing contraception, knowing how fertility shifts after 35 and the safest, most effective family planning methods is helpful.
While it’s okay to conceive at ages above 35, there are repercussions. Fertility will progressively decline after a certain time point, and complications during pregnancy threaten slightly more. Use of contraception properly or family planning method appropriate to your health needs and life aspiration becomes important due to it.
Contraception Options for Women Aged 35 and Older
Most ladies ask for the best form of contraception after 35 in the UK. Some of them include:
- Combined contraceptive pill: Best for certain women, but risk such as blood clots slightly increases with age, especially in smokers. Your suitability will be discussed by Dr. Sandar on consultation.
- Progesterone-only pill (Mini Pill): Typically prescribed over 35 as it has fewer cardiovascular risks.
- Long-acting reversible contraception (LARC):
- Coil (IUD/IUS) – Highly effective, 3-10 years’ duration, safe for the majority of women over 35.
- Implant – Effective for 3 years, ideal for busy lives.
- Injection – Given every 8-12 weeks, a tried and tested choice for many.
- Barrier methods: Condoms remain necessary for STI protection.
- Natural family planning methods: Cycle, temperature, and cervical mucus observation may be effective if followed precisely, but only partially effective.
Explore Women’s Health Services with Dr. Sandar for tailored family planning support.
Considering Pregnancy After 35

Many women are choosing to have children later. If you’re planning pregnancy over 35, it’s important to:
- Book a pre-conception consultation to check health, weight, blood pressure, and review medications.
- Understand the risks such as gestational diabetes, high blood pressure, and chromosomal differences, while remembering most women have healthy pregnancies with the right care.
- Explore options like egg freezing if you’re not ready now but want to keep future possibilities open.
Dr. Sandar Hlaing offers compassionate guidance to support women’s decisions around family planning, fertility, and hormonal health, ensuring your choices align with your long-term wellbeing.
When to Seek Specialist Advice
If you’re over 35 and:
✔️ Unsure about the best contraceptive method for you
✔️ Planning pregnancy and want to optimise your health
✔️ Egg freezing or fertility support balancing
✔️ Monitoring changes in menstruation or hormone levels impacting decisions
Make an appointment with Dr. Sandar Hlaing, a senior women’s health GP with additional qualifications in menopause, perimenopause, family planning, and holistic health.
Why Book with Dr. Sandar Hlaing?

At Dr. Sandar Hlaing Women’s Health, we take pride in well-educated, personalised care. You will be given:
✨ Well-informed evidence-based guidance
✨ Personal, empathetic consultation
✨ Holistic care that blends hormonal wellness and global wellness
Schedule an Appointment Today to take control of your journey with reproductive health confidently.