Synthetic derivatives of progesterone are variously known as progestogens, progestagens or progestins and have a key role in hormonal contraception, either alone or in combination with oestrogen. Progestogen-only methods of contraception include pills, subdermal implants, injectables and the intrauterine system. There are several different types of subdermal implant licensed for contraceptive use across the world. The Nexplanon implant contains etonogestrel and is the most widely available subdermal contraceptive implant. Other progestogen-only contraceptive implants are licensed or being developed and include Jadelle, a two-rod implant containing levonorgestrel, and Capronor, a biodegradable single-rod implant also containing levonorgestrel. The two types of progestogen-only injectable contraception, both of which are long-acting reversible contraception (LARC) methods, are depot-medroxyprogesterone acetate (DMPA) and norethisterone oenanthate (NETEN). The most commonly used progestogen-releasing intrauterine system in most countries is the levonorgestrel-releasing intrauterine system (LNG-IUS) known as Mirena.

In the UK, unless surgery is required, most post-reproductive gynaecological care is delivered in the primary care setting. Clinical standards and guidelines are available from the Royal College of Obstetricians and Gynaecologists (RCOG), the Medicines and Healthcare products Regulatory Authority (MHRA), the British Menopause Society, and the National Osteoporosis Guideline Group and Clinical Knowledge summaries. Only women with complex problems need referral to a specialist hospital or community based sexual and reproductive healthcare service. The clinicians and nurse(s) need to maintain dedicated telephone, answer phone and email contact systems for women and health professionals. Staffs need to liaise with other allied health professionals who are involved in the care of post-menopausal women, such as radiographers, physiotherapists and continence advisors. Continuing training will need to be coordinated by the lead clinician to ensure that staffs are providing evidence-based advice.