Health Check

Navigating Perimenopause: Can You Still Get Pregnant?

Written By Pooja Rajesh - January 16, 2024
Read Time - 3 min read

Perimenopause is a natural transition that occurs in a woman's life as she approaches menopause.1 It is a stage of hormonal fluctuation that can last anywhere from several months to several years.1 As perimenopause sets in, the production of estrogen by the ovaries decreases, causing irregular menstrual cycles and consequently a decline in fertility.1 However, many women wonder if they can still get pregnant during perimenopause.

Indeed, it is possible to get pregnant during perimenopause, although the likelihood is significantly reduced in comparison to one's reproductive years.1 In this article, we will explore the reasons behind this and what women can do to either conceive or prevent an unplanned pregnancy during this stage.

Understanding The Possibility Of Pregnancy During Perimenopause!

Perimenopause is characterized by irregular menstrual cycles, which means that ovulation may not occur every month.1 However, it is still possible for the ovaries to release an egg, even if the cycle is irregular.1 This is because the hormonal changes during perimenopause can cause the ovaries to release an egg without warning.2

Additionally, the quality of the eggs produced during perimenopause decreases, which can lead to a higher risk of chromosomal abnormalities and miscarriage.3 Nonetheless, the possibility remains that a fertile egg may be released, leading to a successful pregnancy.1

How Common Is Pregnancy During Perimenopause?

As women enter perimenopause, their fertility starts to decline, and the likelihood of getting pregnant naturally decreases with age.4 However, there are still options available for those who want to conceive, including fertility treatments such as In-Vitro Fertilization (IVF) or the use of donor eggs.5 However, the chances of getting pregnant during perimenopause vary from woman to woman, but the overall likelihood is low.4 

According to a study, the likelihood of becoming pregnant during perimenopause is estimated to be around 1 in 20 for women aged 40 to 44, while it decreases to about 1 in 50 for women over the age of 44.5 However, it is crucial to note that the risk of pregnancy during perimenopause is not zero. Therefore, women who do not desire to conceive during this phase should consistently and correctly use contraception.1

What Are The Risks Of Pregnancy During Perimenopause?

Pregnancy during perimenopause is associated with certain risks. As mentioned earlier, the quality of the eggs produced during this stage decreases, which increases the risk of chromosomal abnormalities and miscarriage.3

Additionally, women who get pregnant during perimenopause may have a harder time coping with the physical and emotional demands of pregnancy and childbirth.1 This is because perimenopause is often accompanied by other symptoms such as hot flashes, mood swings, and fatigue, which can make pregnancy even more challenging1.

What Can Women Do To Prevent Pregnancy During Perimenopause?

There are several options available to avoid pregnancy during perimenopause, with the most effective being the consistent and correct use of reliable contraception. Hormonal methods, like the pill, patch, or vaginal ring, can help regulate menstrual cycles and prevent ovulation.1 Barrier methods, such as condoms or diaphragms, can also be effective if used correctly.4 In addition to using contraception, it is essential for women in perimenopause to stay informed about their fertility status and discuss their options with their healthcare provider.4 These options may include fertility testing and family planning counseling.4 

However, if a woman does get pregnant during perimenopause, it's important to seek prenatal care immediately. Such pregnancies are associated with higher risks of complications, such as gestational diabetes, high blood pressure, and premature birth.6 Regular prenatal care can help identify and manage these risks, leading to a healthier pregnancy and baby.7


Perimenopause, a transitional phase in a woman's life is marked by hormonal changes and a gradual decline in fertility.1 While the chance of getting pregnant during perimenopause is low, it's not impossible, and using reliable contraception is crucial. Women must stay aware of their fertility status and discuss their family planning options with their healthcare provider. Additionally, advancements in medical technology, such as the LifeCell Perimenopause Test, allow women to assess their hormone levels at home.

This at-home test assesses three essential female hormones - AMH (anti-mullerian hormone), TSH (thyroid-stimulating hormone), and fT4 (free thyroxine), which can help women identify if their symptoms are due to menopause or an underlying thyroid condition.

By understanding their hormone levels, women can manage their symptoms and confidently navigate through perimenopause with ease. So, if you're in perimenopause and experiencing symptoms, consider taking the LifeCell Perimenopause Test to take control of your health and wellbeing.



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