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INTRODUCTION: Contraception remains an important aspect of reproductive health throughout a woman's life, including in midlife. Women aged 40?59 years, which spans both early and late midlife, often experience shifts in reproductive health due to factors such as perimenopause, menopause, and evolving family planning goals. Despite these physiological changes, many women remain sexually active and may continue to seek contraception, both to prevent unintended pregnancies and for non-contraceptive health benefits (e.g., managing menstrual cycles, reducing the risk of certain cancers). AIMS AND OBJECTIVES: ? To compare the trends of contraceptive use between early and late midlife women (ages 40?49 and 50?59, respectively). ? To explore the barriers to accessing contraception for women in midlife. ? To assess factors influencing contraceptive choice, discontinuation, and use patterns among women in these age groups. MATERIAL AND METHODS: ? Study Design: Cross-sectional design ? Sample Size:A total of 300 women, with 150 participants in each age group (40?49 years and 50?59 years). ? Sampling Strategy:Stratified sampling ? Data Collection Methods : 1. Structured Questionnaire, 2. In-Depth Semi-Structured Interviews ? Study period:6months RESULTS: Patterns of contraceptive use were relatively consistent over time, particularly for high efficacy contraceptive methods with 71% of women using long-acting reversible contraceptives.Multiple contraceptive use was highest when women were aged 28-33 years (19.3%) but declined over time to 14.3% when women were aged 40-45 years. Overall, contraceptive patterns stabilised as the women moved into their late 30s and early 40s. CONCLUSIONS: Although fertility declines with age, the stability of contraceptive choice and continued use of short-acting contraception among some women suggests that a contraceptive review may be helpful for women during perimenopause so that they are provided with contraceptive options most appropriate to their specific circumstances. This study will contribute valuable insights into the contraceptive practices of midlife women, shedding light on the unique challenges and barriers they face in accessing effective contraception. Understanding these trends and barriers will be crucial for healthcare providers, policymakers, and advocacy groups in improving the reproductive health services offered to older women, ensuring that they receive appropriate care and counseling tailored to their needs.