Woman holding a contraceptive pills. Concept of contraception methods.

Contraception and Perimenopause: What You Need to Know

Contraception is an important consideration for women at all stages of life, including those going through perimenopause or dealing with heavy menstrual bleeding. Understanding your options can help you manage reproductive health and prevent unintended pregnancies.

Contraception During Perimenopause

Perimenopause—the transition period leading up to menopause—typically occurs in your 40s and is marked by fluctuating hormone levels, irregular periods, and changes in fertility. Despite these changes, you can still get pregnant during perimenopause. Most women will need contraception until they have gone 12 consecutive months without a period, which marks menopause.

Contraceptive Options:

  • IUD (Intrauterine Device): IUDs are a highly effective form of contraception and can be particularly beneficial during perimenopause. They work by releasing hormones or by being a physical barrier that prevents sperm from reaching the egg. IUDs are also helpful for managing heavy menstrual bleeding, a common issue during perimenopause. At The Claremont Clinic, we can organize IUD insertion for women who are interested in this option.
  • Contraceptive Pills and rings: Combined hormonal contraceptive pills and rings can help regulate periods and provide reliable contraception. They may also reduce the severity of heavy bleeding.
  • Contraceptive Implant: This is an effective form of contraception and for some women can also reduce or even stop menstrual bleeding.
  • Barrier Methods: Condoms or diaphragms can also be used to prevent pregnancy. These methods do not affect hormones and are suitable for women who prefer non-hormonal options.

Contraception for Younger Women with Heavy Menstrual Bleeding

For younger women experiencing heavy menstrual bleeding, hormonal methods like the IUD or contraceptive pills can help reduce bleeding and provide contraception simultaneously.

If you have concerns about contraception, perimenopause, or heavy menstrual bleeding, consult your healthcare provider. At The Claremont Clinic, we are here to help you explore your options and support your reproductive health.