*Content reviewed by HotPause Health Medical Advisor & Board-Certified OB/GYN Beverly Joyce, MD, MSCP

Can You Get Pregnant During Perimenopause?

HotPause Health Medical Advisor and OBGYN, Dr. Beverly Joyce shares how you can get pregnant during perimenopause. Yes, it is possible to get pregnant during perimenopause. Although fertility declines with age, and menstrual cycles become irregular, ovulation can still happen occasionally.

If you’re not planning to become pregnant during this time, it’s important to continue using contraception until you have reached menopause (12 months without a period). Once you’ve reached the age of 40, your chances of getting pregnant naturally is about 5% each menstrual cycle. It is estimated that for women 40–44 years of age, 48% of pregnancies are unintended.

Factors Affecting Fertility During Perimenopause

• Hormonal Fluctuations: Irregular hormone levels can make ovulation unpredictable.
• Decreased Egg Quality: Eggs released during perimenopause may be of lower quality, reducing the chances of fertilization and increasing the chances of chromosomal anomalies and miscarriage.
• Lifestyle and Health: Smoking, stress, and overall health can further diminish fertility.

The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.