Can I Get Pregnant During Perimenopause

As we age, our bodies undergo various changes, including a shift in our ability and chances of conceiving. Perimenopause, the period when women transition into menopause, is a time many women feel unsure about their fertility. One common question that women sometimes wonder about during this time is whether it’s possible to get pregnant.

If you are in a hurry, the short answer is yes. While the chances of conception decrease as women get older, it’s important to remember that ovulation can still occur, even if it’s less frequent than during your younger years.

Perimenopause – what’s that?

In case you are wondering what we are talking about, perimenopause is when a woman’s body starts to transition into menopause. If you are already experiencing it, you will likely encounter a real rollercoaster of emotions during your journey.

During perimenopause, our ovaries start to produce less estrogen and gradually stop working. Some people describe it as a bit like puberty in reverse, and it can last several years before menopause officially kicks in. So it’s a time of change, but it’s also perfectly natural.  

Can I get pregnant during perimenopause?

According to research, approximately 5% of women between the ages of 40 and 44 become pregnant during perimenopause. The chances of getting pregnant during this time decrease even further for women over 45. However, it’s important to note that every woman is different, and fertility can vary widely between two different women.

One thing that can make it hard to determine fertility during perimenopause is irregular periods. During this time, women may experience fluctuations in their menstrual cycle, including longer or shorter ovulation cycles, heavier or lighter bleeding, or missed periods altogether. These changes can make it difficult to predict ovulation and plan for pregnancy.

Despite the challenges, if you want to try for a baby, it’s still possible for women in perimenopause to conceive. 

If you’re hoping to start or add to your family during perimenopause, are aged over 35 and have been trying naturally for six months or more, it’s recommended that you speak to your doctor who will be able to discuss the options available.


It is possible to get pregnant during perimenopause, although you should be aware that the chances of conception decrease as you age. In addition, irregular periods during this time can make it hard to track cycles, but by working with your doctor or a fertility specialist, it’s possible to understand your options and make informed decisions about pregnancy.

Are you perimenopausal and trying to conceive? Join the free Hoopsy fertility community for advice and support.

Did you find this blog post useful? Interesting? Helpful? Insightful?

Pop your email below to receive every new blog post in your inbox

We don’t spam! Read our privacy policy for more info.

Shopping Cart