Can you get pregnant during perimenopause?

Perimenopause is one of the hormonal transition phases of menopause. It often raises questions about fertility, as cycles are still present, but their functioning is beginning to change.

A better understanding of what is possible during this period allows these issues to be addressed with greater clarity.

Is it possible to get pregnant during perimenopause?

Yes, it is still possible to become pregnant during perimenopause. Although fertility gradually declines with age and hormonal changes, ovulation can still occur. Some women continue to ovulate regularly, while others experience less frequent or more unpredictable ovulation, sometimes without any obvious signs.

This phase can therefore be confusing. Cycles may still appear normal, become shorter, or more spaced out, making it difficult to identify fertile periods. However, a single, occasional ovulation is sufficient for pregnancy to occur. Therefore, perimenopause does not provide natural protection against conception.

This reality can be experienced differently depending on the circumstances: for some women, a pregnancy is part of a well-considered plan; for others, it can be unexpected, or even unwanted.

Knowing that this possibility exists allows you to better understand your situation and make informed choices.

What should you do if you want to get pregnant during perimenopause?

Tailored support is important when planning a pregnancy during perimenopause. As menstrual cycles often become less predictable during this time, identifying fertile periods can be more difficult, which can lead to uncertainty and frustration.

The overall context, therefore, plays a central role. General health, energy levels, sleep quality, stress levels, and emotional balance influence hormonal functioning and the body's ability to adapt.

Consulting a healthcare professional allows you to assess your individual situation, provide appropriate guidance, and answer questions related to age and hormonal context. Natural approaches can support overall well-being, but they are not a substitute for medical support when planning a pregnancy.

What contraception should be used during perimenopause?

The issue of contraception remains central during perimenopause because fertility is still present, albeit in a more unpredictable way. As long as periods continue, protection is necessary to prevent pregnancy. Contraceptive needs may change over time. Some women find that they react differently to methods they have used previously, particularly hormonal contraceptives, due to more pronounced endocrine fluctuations. The choice of method depends on several factors, including age, medical history, hormonal balance, and personal preference.

Talking to a healthcare professional will help you find the right solution, taking into account both safety and comfort. The goal is to choose a method of contraception that is appropriate for this period of transition, without rushing or feeling pressured, and respecting the uniqueness of each individual's journey.