---
title: "Can you get pregnant during perimenopause"
description: "Can you get pregnant during perimenopause? Learn why ovulation can still occur, when to use contraception, and how to tell pregnancy from menopause."
url: "https://www.myalloy.com/knowledge-base/can-you-get-pregnant-during-perimenopause"
---

# Can you get pregnant during perimenopause

> Can you get pregnant during perimenopause? Learn why ovulation can still occur, when to use contraception, and how to tell pregnancy from menopause.

## Can you get pregnant during perimenopause?

Yes. During perimenopause, ovulation becomes less predictable, but it doesn't stop completely, so pregnancy is still possible even if your periods are irregular. Menopause is only confirmed after 12 straight months without a period, so if you don't want to get pregnant, contraception is still recommended until then. One important detail, hormone therapy for perimenopause symptoms does **not** prevent pregnancy.

If your period is late or missed, a pregnancy test, usually most accurate several days after the missed period, is the simplest way to rule pregnancy in or out. Early pregnancy and perimenopause can look very similar, with symptoms like fatigue, breast tenderness, and cycle changes. Here at Alloy, we break that down in [Menopause or Pregnancy: Understanding the Signs](https://www.myalloy.com/blog/menopause-or-pregnancy-understanding-the-signs). If you want symptom relief plus contraception while you're still getting periods, our [Low-Dose Birth Control Pill](https://www.myalloy.com/solutions/low-dose-birth-control-pill) is made for that stage. This short [video chapter on contraception during perimenopause](https://www.youtube.com/watch?v=UWRNUxc_cFI&t=2435s) explains it clearly.


[Watch video](https://www.youtube.com/watch?v=UWRNUxc_cFI&t=2435s)

[Find Your Plan](https://secure.myalloy.com/experience)

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This answer was created using the following resources:

- [Low-Dose Birth Control Pill](https://www.myalloy.com/solutions/low-dose-birth-control-pill)
- [Ask the Expert: Personalizing Menopause Care | Dr. Mary Claire Haver - Contraception During Perimenopause](https://www.youtube.com/watch?v=UWRNUxc_cFI)
- [Menopause Myth Busting: Separating Fact from Fiction | Dr. Mary Jane Minkin - Real-Life Examples of Perimenopausal Pregnancy](https://www.youtube.com/watch?v=P1ulgvNA0YY)
- [Hormones, Health and What Comes Next with Dr. Mary Claire Haver | UNDISMISSED by Alloy Health - Fertility and Follow-Up](https://www.youtube.com/watch?v=cD-n9GYxSBo)
- [Can You Get Pregnant During Perimenopause? | Alloy Health](https://www.myalloy.com/blog/menopause-or-pregnancy-understanding-the-signs)
- [Myths About Perimenopause & Menopause: Symptoms & Solutions](https://www.myalloy.com/blog/top-perimenopause-menopause-myths)
- [Alloy | Kudzai Dombo](https://www.myalloy.com/blog/your-perimenopause-and-menopause-questions-answered-by-a-doctor)
- [Can You Test for Perimenopause? Diagnosis & Hormone Testing](https://www.myalloy.com/blog/can-you-test-for-perimenopause)
- [What is Menopause?](https://www.myalloy.com/blog/what-is-menopause)
- [Catching Up with Dr. Sharon Malone | Alloy](https://www.myalloy.com/blog/your-menopause-questions-answered-with-dr-sharon-malone)

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*This is a markdown version of [https://www.myalloy.com/knowledge-base/can-you-get-pregnant-during-perimenopause](https://www.myalloy.com/knowledge-base/can-you-get-pregnant-during-perimenopause) for AI/LLM consumption.*