Is It Dangerous to Get Pregnant During Perimenopause?


Written by

Catherine Smith

Published on

Getting pregnant during perimenopause carries increased risks, including complications due to hormonal changes. But seeking out expert guidance is the best way to ensure you know the key facts.

Key Takeaways:

  • Getting pregnant is less likely but still possible.
  • The FSRH advises contraception until pregnancy risk drops.
  • Ask doctors for help if you’re trying to conceive while in perimenopause.
  • Pregnancy risks during this time may be higher.
  • The Coil Clinic is Edinburgh’s first specialist menopause and contraception clinic

What Are The Changes To Expect During Perimenopause?

Did you know that noticing changes in your periods is common during perimenopause? This is likely to affect your chances of conception..  Although many women may not have thought about getting pregnant at this stage, it’s important to be aware of the facts – whether pregnancy is something you are hoping for or hoping to avoid.

The Faculty of Sexual and Reproductive Health (FSRH) suggests using birth control until it’s less likely to get pregnant. But what does that actually mean, and is it different for everyone? In short, the answer is yes. But, if you’re trying for a baby, it’s not impossible during perimenopause. You might still release an egg from time to time, even with irregular periods. What should you think about if you’re considering this?

Increasing Your Chances of Getting Pregnant During Perimenopause

If getting pregnant during perimenopause is your goal, talk to perimenopause healthcare experts. A fertility specialist can also offer valuable advice. They’re skilled in finding the best ways to boost your odds of conceiving.

At The Coil Clinic, we can discuss your individual circumstances with you and ensure that you are fully informed of the journey ahead, including any associated risks to mum and baby.

Knowing your fertility and menstrual cycle is crucial during perimenopause. Monitoring your period and ovulation days is key to spotting your most fertile periods. Using ovulation tests, checking your body temperature, and noting changes in mucus can help.
Living healthily is also important for getting pregnant and a smooth pregnancy. A good diet full of nutrients, vitamins, and minerals is advised. Regular physical activity keeps your body fit. It’s important to keep stress low with yoga, meditation, or hobbies.

If natural methods aren’t working, your doctor might suggest fertility treatments. Options like hormone therapy or IVF can increase pregnancy chances. They work by helping eggs mature and creating the optimum conditions for pregnancy.

Support Networks and Emotional Well-being

The journey of trying to get pregnant can be tough during perimenopause. Sharing your feelings and stories with loved ones can offer comfort and much-needed encouragement.

Support groups and therapy can also be helpful. They let you connect with others in similar situations and share tips. Such resources can reduce feelings of isolation and stress.

It’s important to remember that every woman’s journey is different. Stay positive and patient. Trust in your healthcare team’s advice and your own efforts. With the right help and a positive mindset, achieving pregnancy during perimenopause is possible.

Risks and Considerations of Getting Pregnant During Perimenopaus

It is possible to have a healthy pregnancy during perimenopause. Yet, there are risks to consider. Women over 40 have a higher chance of health problems like diabetes and high blood pressure. These can make pregnancy harder. Talking to your doctor about these risks and getting good care is key to a safe pregnancy.

One big risk is the chance of a miscarriage being higher. As women get older, their eggs might not be as healthy. This can lead to more miscarriages. Also, older mums-to-be are at a higher risk from conditions like pre-eclampsia or gestational diabetes. These can be very harmful. So, seeing the doctor often can help spot and deal with these issues early.

It’s not a given that pregnancy will be complicated just because you’re in perimenopause. But you should know there might be risks. Talking to your doctor early and often, and getting the right care, can improve your chances of a healthy baby. Your doctor can give you advice that’s tailored to your situation and offer support along the way.


Is it dangerous to get pregnant during perimenopause?

Getting pregnant during perimenopause is possible. But it comes with risks. Your body naturally changes as you get older. Women over 40 may have more health problems like diabetes or high blood pressure. This can lead to pregnancy complications. It’s crucial to talk with your doctor. They can help you lower these risks through proper care for you and your baby.

What are the risks and considerations of getting pregnant during perimenopause?

There are more risks for pregnancy during perimenopause. These risks include miscarriage, preeclampsia, and gestational diabetes. It’s crucial to discuss these risks with your doctor. They can make sure you get the right prenatal care. This will help keep you and your baby safe.

Can I still get pregnant during perimenopause?

Yes, it’s still possible to get pregnant during perimenopause.. Even with fewer periods, occasional ovulation can happen. Seeking advice from a healthcare professional is key. They might recommend seeing a fertility specialist. These experts can suggest ways to boost your chances of conceiving.

What can I do to increase my chances of getting pregnant during perimenopause?

To boost your pregnancy chances at this stage, seek professional advice. A healthcare provider or a fertility specialist can help. They will guide you on effective methods and treatments. Also, leading a healthy life plays a big role. Maintain a balanced diet, exercise, and try to reduce stress. These steps can aid in better conception and a healthy pregnancy.

Should I use contraception during perimenopause if I don’t want to get pregnant?

Yes, using contraception is wise while in perimenopause. The FSRH suggests this until pregnancy risk is low. Even with irregular periods, the chance of ovulation remains. This means you can still get pregnant. It’s smart to talk over your options with a doctor. They can help pick the best choice for you.

At The Coil Clinic, we can talk to you about pregnancy during perimenopause in a welcoming and relaxed environment at a time that suits you. Our team look forward to hearing from you.

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Dr Catherine Smith

Dr Catherine Smith is the founder of The Coil Clinic. A GP and Women's Health Expert with nearly 20 years of experience. She is a BMS Certified Menopause Specialist