Let's get this straightened out.
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| | | | | Q | | Is it possible to get pregnant during perimenopause? | | | | A | | The odds of pregnancy during perimenopause are certainly lower than in premenopause, but they are not zero.
During perimenopause, your ovaries gradually produce less estrogen and progesterone, the hormones that regulate the menstrual cycle. As a result, your periods may come closer together or farther apart, or you might skip cycles entirely.
Irregular cycles do not mean ovulation has stopped. You can still ovulate occasionally, even if it's unpredictable. And as long as you are ovulating, there is still a chance you could become pregnant if you have unprotected intercourse.
It's sometimes hard to tell when — or even if — ovulation is happening in any given cycle during perimenopause, so people sometimes assume (mistakenly) that they can't become pregnant. This can lead to unintended pregnancies, especially if contraception is discontinued too soon.
If your goal is to avoid pregnancy, you should continue to use reliable contraception until menopause is confirmed (i.e., you've gone 12 consecutive months without a menstrual period).
Now, once you officially reach menopause, things change. This marks the point where the ovaries have stopped releasing eggs and hormone levels have stabilized at a lower level. Essentially, natural ovulation has ended. Because of this, natural conception is no longer possible after menopause — the body is no longer releasing eggs, and without an egg, pregnancy cannot occur through natural means. | | | | | | | | Do you have any questions for our menopause experts? Let us know at menopause@healthline.com and the answer may be featured in an upcoming edition! | | | | | Stock up | | | | Every product we recommend has gone through either Healthline's or Optum Now's vetting processes. If you buy through links on this page, we may receive a small commission or other tangible benefit. Healthline has sole editorial control over this newsletter. Potential uses for the products listed here are not health claims made by the manufacturers. Healthline and Optum Now are owned by RVO Health. | | | | | | | | | | | HEALTHY TIP | | Track your periods in perimenopause | | Tracking your periods during this transitional time can be a good way to determine how close you are to reaching menopause. This information can also be valuable to your doctor or a menopause expert, as it can help inform their treatment of your symptoms. | | | | | | | |  | | | | We may feature your messages to our inbox within our content. Please do not provide any personal identifiable information. Replies may be edited for length and clarity. For more, see our Privacy Policy. | Healthline, Optum Now, and their respective logo(s) are trademarks of RVO Health, LLC. All other trademarks are the property of their respective owners. © 2025 RVO Health, LLC. All Rights Reserved. 1101 Red Ventures Drive, Fort Mill, SC, 29707 | | | |
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