What You Need to Know About Perimenopause & Birth Control

Jeannette | Posted on January 20, 2023 
birth control for perimenopause

Women use contraception to prevent pregnancy and treat other health conditions. But as menopause approaches, women begin to consider birth control for perimenopause.

There is a great deal of confusion or opinions regarding how women approaching menopause should use contraception, also known as birth control. It is necessary to dispel any confusion to make the best decisions regarding one’s hormonal health.

Learn everything there is to know about birth control for perimenopause, including why it is used, what it does, what it can do, what it can do wrong, and much more, by continuing to read this article. Let’s explore birth control, perimenopause, and more about women’s health.

Birth Control for Perimenopause

The period preceding menopause is known as perimenopause. It is when a woman’s body begins preparing for menopause. During this time, your ovaries will produce fewer hormones, which could result in an unpredictable or irregular menstrual cycle. The body is preparing for the end of productive years.

You may start experiencing symptoms of perimenopause in mid of your 30s or as late as the mid of your 50s.

Some women experience perimenopause for a brief period. However, most people can experience it for between four to eight years. Birth control for perimenopause is considered to alleviate the severity of these symptoms.

Since the body adjusts to new hormone levels, you may experience additional changes and symptoms. Even if your fertility declines, you might still become pregnant during perimenopause; birth control approaches are thus necessary. When perimenopause symptoms begin, how long they continue, and at what age a woman experiences them can vary greatly from woman to woman. A woman is regarded to have passed through perimenopause and entered menopause after 12 months without a menstrual period.

hormonal replacement therapy

Purpose of Birth Control during Perimenopause

Birth control during perimenopause can serve two purposes: first, as contraception for women who have not been diagnosed with menopause but do not wish to become pregnant, and second, as symptom relief for women who do not choose to take hormone replacement therapy.

Perimenopausal women have a variety of contraceptive alternatives. Birth control for perimenopause includes the below methods:

The optimal perimenopause birth control method for you will depend on various factors. Women who are more susceptible to experiencing hormone-related health issues should investigate therapy options that include low quantities of the relevant hormones.

For instance, if there is evidence indicating older women who take birth control tablets are more likely to develop breast cancer, this may persuade them to switch to a different technique. Therefore, to avoid difficulties later in life, you must speak with your doctor about the potential health concerns associated with each type while deciding on birth control for perimenopause.

Perimenopause birth control pills can assist in maintaining appropriate hormone levels in the body. Here are the two most prevalent types of these pills:

  • Combination Pills

Both estrogen and progestin are included in a single tablet. Typical combination pills have a 28-day cycle, whereas continuous dosing pills have a four-month cycle. Most combo medications have a 28-day cycle.

  • Mini Pills

They contain only progestin, and there are no additional active components. These perimenopause birth control pills are mostly used by breastfeeding mothers.

Whether they are combination pills, mini pills, or both, the effectiveness of birth control tablets varies. Combination pills function by thinning the uterine lining and thickening the cervical mucus. It prevents ovulation, the egg’s release, and sperm from fertilizing an egg.

Due to the absence of estrogen, the mini perimenopause birth control pill primarily functions by thinning the uterine lining and thickening the cervical mucus. The pill can also prevent the release of an egg.

Birth Control, Perimenopause, and Symptoms Relief

If you exhibit any symptoms of perimenopause, birth control pills may assist in alleviating them. As menopause approaches, estrogen levels will begin to decline. However, this decline will not be consistent, as estrogen levels fluctuate greatly during perimenopause. The birth control pill’s synthetic hormones conceal the normal decline in hormone levels that occurs in the years preceding menopause. Therefore, birth control pills may help alleviate some perimenopause symptoms.

In addition to reducing the severity and frequency of irregular bleeding and hot flashes, birth control pills may also prevent bone density loss caused by the natural decline in estrogen levels. In addition, birth control pills may reduce perimenopausal symptoms such as brain fog, anxiety, and depression.

Best Birth Control for Perimenopause

The primary function of birth control pills is to prevent pregnancy. CDC, i.e., Centers for Disease Control and Prevention, advises women to utilize contraception for up to one year following their last menstruation. Numerous women find that birth control tablets prevent pregnancy and improve their health when they are ill.

Synthetic estrogen can help alleviate perimenopausal symptoms. Your physician may recommend that you use birth control pills with hormone adjuvants. Some women, however, cannot take the pills of birth control for perimenopause without endangering themselves due to one or more of the following risks associated with them:

  • Migraines
  • Diabetes
  • Hypertension
  • Obesity
  • Liver disease

Contraception is an effective method for managing the symptoms of perimenopause. On the other hand, you should discuss the risk factors with your physician. Everyone should not take contraceptive pills. When determining whether or not to take birth control tablets to alleviate perimenopause symptoms, it is crucial to assess the risks against the potential benefits.

See Also: What Are The Benefits Of Progesterone After Menopause?


Even if there is some uncertainty about contraception during perimenopause, the reasons are simple: to prevent conception, to alleviate symptoms, or to do both. There are various birth control methods for women experiencing perimenopause, but tablets are the most frequent.

However, it is essential to remember that using hormones from outside the body carries certain hazards, including bloating, nausea, and cramping. Consequently, alternative treatments are gaining popularity to assist women in achieving the hormonal balance necessary for a higher quality of life.

Every woman has unique qualities. So, initiating a dialogue with your primary care physician regarding birth control for perimenopause is crucial. It helps to determine if these medications can help you during perimenopause.

Expert medical attention for women of all ages is available at Family Medicine Austin. A variety of women’s health issues are evaluated and treated by our experienced team of health professionals. We are here to help with your women’s healthcare needs. Our doctors are available to answer your queries and assist you in making health-related decisions. You must discuss the specifics of your problem with one of our physicians.

Contact Family Medicine Austin to book your consultation with one of our knowledgeable women’s health specialists.

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