{"id":265910,"date":"2022-11-29T14:28:52","date_gmt":"2022-11-29T19:28:52","guid":{"rendered":"https:\/\/www.oviahealth.com\/?post_type=article&#038;p=265910"},"modified":"2025-07-16T11:35:35","modified_gmt":"2025-07-16T15:35:35","slug":"fertility-and-perimenopause-what-you-need-to-know","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/265910\/fertility-and-perimenopause-what-you-need-to-know\/","title":{"rendered":"What you need to know about fertility and perimenopause"},"content":{"rendered":"\n<p>It\u2019s no secret that fertility changes with age. As we get older, especially after age 35, we\u2019re less likely to conceive in any given cycle.&nbsp;<\/p>\n\n\n\n<p>But if you don\u2019t want to become pregnant, being a bit older isn\u2019t a reliable form of birth control. Even when your periods become irregular during perimenopause (the time before menopause), it\u2019s still possible to conceive. So, until you\u2019ve gone a full year without a period \u2014 which marks the official start of menopause \u2014 experts recommend a reliable form of birth control if you\u2019re sexually active with someone who could get you pregnant.<\/p>\n\n\n\n<p>There are a lot of birth control options to choose from, and a few important things to consider if you\u2019re in perimenopause.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Common birth control choices in perimenopause<\/h2>\n\n\n\n<p>There are lots of popular birth control methods that work well at perimenopause:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hormonal oral contraceptives (the pill)<\/li>\n\n\n\n<li>Hormonal injections, patches, or vaginal rings<\/li>\n\n\n\n<li>Intrauterine devices (IUDs)<\/li>\n\n\n\n<li>Sterilization, including tubal ligation or fallopian implants for women and vasectomies for men<\/li>\n\n\n\n<li>Barrier methods, including diaphragms, condoms, and spermicides<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Benefits and drawbacks of oral contraceptives at perimenopause<\/h2>\n\n\n\n<p>Oral contraceptives may come with a few extra perks if you\u2019re having symptoms of perimenopause. In addition to preventing pregnancy, the pill can reduce hot flashes, regulate your cycle, and help prevent bone loss.<\/p>\n\n\n\n<p>But it\u2019s important to know that oral contraceptives might keep you from noticing the changes in your cycle that tell you when you\u2019ve reached menopause. That\u2019s because birth control pills may cause regular bleeding that seems like a period, even if you\u2019re already in menopause. If you take oral contraceptives, make a plan with your doctor about how long you\u2019ll keep using them.&nbsp;<\/p>\n\n\n\n<p>It\u2019s also important to let your doctor know about your personal risk factors if you\u2019re considering hormonal contraception, including cancer history, heart health, diabetes, and whether you\u2019re a smoker.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The rhythm method (natural family planning) stops being effective at perimenopause<\/h2>\n\n\n\n<p>The rhythm method \u2014 tracking cycles to avoid sex during fertile days \u2014 doesn\u2019t work well once perimenopause starts. That\u2019s because cycles become irregular. Even with meticulous attention, it\u2019s hard to predict when you\u2019ll ovulate.&nbsp;<\/p>\n\n\n\n<p>If you use the rhythm method, it may be time to consider adding another form of birth control to your routine.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What if you want to become pregnant?<\/h2>\n\n\n\n<p>If you are experiencing perimenopause and want to become pregnant, talk about your risks and options with your provider.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The bottom line on fertility during perimenopause and beyond<\/h2>\n\n\n\n<p>Many people look forward to the time when they don\u2019t have to worry about unplanned pregnancies anymore. But until menopause, you still have a chance of getting pregnant. So stick with a safe, effective method of birth control until you\u2019ve reached that menopause milestone \u2014 12 months without a period.&nbsp;<\/p>\n\n\n\n<p>Do you have questions about fertility, birth control, or menopause in general? Reach out to your provider for support.<\/p>\n\n\n\n<p><em>Reviewed by the Ovia Health Clinical Team<br><\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Sources<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><em>\u201c<\/em><\/strong><em>Contraception: You Need It Longer Than You May Think.\u201d <\/em><em>The North American Menopause Society.<\/em> The North American Menopause Society. <a href=\"https:\/\/www.menopause.org\/for-women\/sexual-health-menopause-online\/reminders-and-resources\/contraception-you-need-it-longer-than-you-may-think\"><em>https:\/\/www.menopause.org\/for-women\/sexual-health-menopause-online\/reminders-and-resources\/contraception-you-need-it-longer-than-you-may-think<\/em><\/a><em>.&nbsp;<\/em><\/li>\n\n\n\n<li>\u201cMenopause FAQs: An Introduction to Menopause.\u201d<em>The North American Menopause Society.<\/em> The North American Menopause Society. <em>https:\/\/www.menopause.org\/for-women\/menopause-faqs-an-introduction-to-menopause<\/em><em>.&nbsp;<\/em><\/li>\n\n\n\n<li><em>\u201c<\/em><em>Chapter 3: Clinical Issues\u201d. <\/em><em>The North American Menopause Society. <\/em>The North American Menopause Society. <em>https:\/\/www.menopause.org\/publications\/clinical-care-recommendations\/chapter-3-clinical-issues<\/em><em>.&nbsp;<\/em><\/li>\n\n\n\n<li>\u201cPerimenopause.\u201d <em>Cleveland Clinic. <\/em>Cleveland Clinic. October 5, 2021. <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/21608-perimenopause\"><em>https:\/\/my.clevelandclinic.org\/health\/diseases\/21608-perimenopause<\/em><\/a><em>.&nbsp;<\/em><\/li>\n\n\n\n<li>\u201cAge and Fertility (booklet).\u201d<em>American Society for Reproductive Medicine.<\/em> American Society for Reproductive Medicine. <a href=\"https:\/\/www.reproductivefacts.org\/news-and-publications\/patient-fact-sheets-and-booklets\/documents\/fact-sheets-and-info-booklets\/age-and-fertility\/\">https:\/\/www.reproductivefacts.org\/news-and-publications\/patient-fact-sheets-and-booklets\/documents\/fact-sheets-and-info-booklets\/age-and-fertility\/<\/a>.&nbsp;<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Even when your periods become irregular during perimenopause (the time before menopause), it\u2019s still possible to conceive. So, until you\u2019ve gone a full year without a period \u2014 which marks the official start of menopause \u2014 experts recommend a reliable form of birth control if you\u2019re sexually active with someone who could get you pregnant.<\/p>\n","protected":false},"author":1,"featured_media":265911,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"176","ovia_product_mode":"2","ovia_days_from_signup":"15","ovia_days_from_lmp":"","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"","ovia_health_module":"","ovia_legacy_id2":"","ovia_ttc":"","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"246969","ovia_legacy_category2":"","ovia_content_url_id":"265910","ovia_include_share_buttons":"","ovia_fertility_goal":"3","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[6679,6681],"preg-category":[],"parent-category":[],"fert-tag":[],"preg-tag":[],"parent-tag":[],"class_list":["post-265910","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","fert-category-menopause","fert-category-menopause-101"],"yoast_head":"<!-- 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