Fertility \u00b7 Perimenopause
Ovulation in perimenopause: cycles you can't predict
Cycles shorten, lengthen, skip, and return in perimenopause. Ovulation still occurs unpredictably \u2014 meaning pregnancy is possible. Contraception is needed until 12 months after the final menstrual period (or 24 months if under 50).
Key points
- IUD is versatile — endometrial protection later
- Progestin-only pills if VTE risk
- Track cycles
Frequently asked questions
When can I stop contraception?
12 months amenorrhea after 50, 24 months if under 50.
What contraception is appropriate?
IUD, progestin-only options, and — in low-risk women — combined pills.
Can I get pregnant in my late 40s?
Yes — chance is low but not zero.
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Medically reviewed by Kindr Health Clinical Team · Last reviewed 2026-06-19. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.