What experts are saying about getting pregnant in perimenopause
Here's what the experts have to say.
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Quick facts
Pregnancy in perimenopause is discussed in relation to continued ovulation until menopause is reached, contraception, and fertility evaluation. Experts below describe cycle irregularity alongside the 12-month menopause definition. Individual fertility and contraception decisions are presented as provider discussions.
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Dr. Stacy SimsMSc, PhD, exercise physiologist and nutrition scientist
Researcher
Dr. Sims discusses ovulation and pregnancy possibility in primary ovarian insufficiency.
Dr. Sims notes that people with POI may still ovulate from time to time and discusses that eggs may still be present as she presents POI. She discusses oral contraceptive pills as an option discussed with a physician in relation to hormone stabilization, symptoms, and contraception for POI. She also discusses working with a fertility specialist for people wanting children as she presents it. She lists irregular periods alongside menopausal symptoms for POI.
Dr. Sharon MaloneMD, FACOG, MSCP, board-certified OB-GYN
Medical doctor
Dr. Malone discusses birth control pills in perimenopause for contraception in this interview.
Dr. Malone discusses birth control pills in perimenopause for cycle control and contraception, as she presents their uses. She describes oral and transdermal estrogen categories for menopause hormone therapy separately. She discusses timing around menopause in relation to hormone treatment discussions. The interview also covers vaginal estrogen topics.
Alloy website, interview with Dr. Sharon Malone · April 12, 2024See the original ↗
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Dr. Jolene BrightenBoard-certified naturopathic endocrinologist, FABNE, Menopause Society Certified Practitioner (MSCP)
Licensed practitioner
Dr. Brighten describes perimenopause phases and the menopause definition in this episode.
Dr. Brighten describes several phases of perimenopause based on cycle and symptom changes. She defines menopause as 12 consecutive months without a period and describes the next day as postmenopause. She states that symptoms can occur seven to ten years before menopause as she presents the timeline. She presents cycle topics as part of a broader perimenopause discussion.
Dr. Gunter explains menopause timing definitions in this post.
Dr. Gunter states that menopause officially starts one year after the final menstrual period, so the diagnosis is made in retrospect. She describes the menopause transition as the time leading up to menopause. She notes that by the time periods are 60 days apart, the final period is likely less than three years away as she presents it. This source provides timing background for contraception discussions.
Dr. Mary Claire HaverMD, FACOG, MSCP, board-certified OB-GYN and Menopause Society Certified Practitioner
Medical doctor
Dr. Haver discusses perimenopause biology and early menopause definitions in this episode.
Dr. Haver discusses perimenopause as the years before the last menstrual period and menopause in relation to declining ovarian function. She describes hormone fluctuations during perimenopause. She also discusses early menopause and ovarian insufficiency definitions in the episode. This is a broad biology and timing discussion.
Dr. Attia discusses menopause diagnosis timing in this AMA episode.
Dr. Attia describes menopause as diagnosed retrospectively after 12 months without a period, without another obvious cause. The show notes state that symptoms can occur before the 12-month point is reached. He discusses FSH and estradiol in evaluating the approach to menopause. The full episode is subscriber-only, with a public preview and show notes.
The Peter Attia Drive podcast, AMA #52 · October 16, 2023See the original ↗
MenoFYI shares what experts have said publicly. It is not medical advice. Talk to your own doctor before making health decisions.