People gain weight as they age regardless of contraceptive use because their body metabolism changes and therefore weight increases if they make no compensatory changes in nutrition and activity. Key events over the reproductive lifespan, including puberty, pregnancy, and menopause, can have significant effects on metabolism and weight. Early identification of weight gain allows for timely discussion about changes in nutrition, activity, or contraceptive method, write Megan Lawley, MD, MPH, and Carrie Cwiak, MD, MPH, in the new edition of Contraceptive Technology (CT). Providers must listen to patients’ concerns, briefly review the medical evidence about weight change and use of contraceptive methods, and assist them in weighing the pros and cons of changing methods.
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