Why You Shouldn't Stop Childbearing During PerminEnopause

Although fertility declines with age, perimenopausal contraception is the only way to prevent unwanted pregnancy.

It's not possible to get pregnant when your period stops, but it's not impossible.Contraceptive methods are still important in menopause.Photo: Voitevich/Pexels.

If you are Perry Elpeusse, why should you still use birth control after 45?

Irregular cycles or the appearance of hot flashes and lightheadedness do not mean infertility.For this reason, doctors insist that we must not let our guards down when it happens to avoid unplanned pregnancies.

DECEMBER 13, 2025 / 08:00

It is not very common to hear speeches emphasizing the benefits of menopause.But there is, there is.One of the most cited is the freedom that comes from thinking you can no longer be pregnant.However, it must be clear that this point of complete sterility cannot be reached immediately.Only with age does it go away.Just to give you some information: between the ages of 40 and 44, the chance of spontaneous pregnancy is 10%.Between 45 and 49, it drops to 2%.Which means that bringing a baby into the world at this stage is unlikely, but not impossible.Therefore, experts are clear: if you do not want surprises, you should continue to use contraceptive methods during perimenopause.

"It is much more common than we think," confirms Drbara FernhlendEz del fel bas."The deviation is a transitional period in which the work of the ovaries accelerates, but does not stop. The cycles become irregular, but this does not mean that there is no box. It is still there, and when this happens, there is a possibility of pregnancy," explains the gynecologist, a member of the women's group of experts.

Even if there are disturbances, there is ovulation

These unexplained developments in people over 40 are common because the disorders are confused with a sign of false loss.“While in reality they are an expression of the changing hormonal system,” explains Dr.Fernndez dena.As we get older, the function of the eggs no longer works like clockwork.Cycles are long or short, but can also be repeated.

Having one or several months without a period is not a guarantee of insurance coverage.The research on the current figures: up to 23% of the cycles the action that is the energy in the year before menopause.

As Dr.Matmez shows women who don't have time (zenith) can work well. "Then you do what you expect.

Clans still exist

While it is true that it is closer to meeting doctors who say 'Old mothers' - This expression is used from the age of 35!-, we cannot forget the fact that these pregnancies face the truth, directly, different risks, they were not surprised."These old risks are not subject to humility, but they agree, but they like the health of mothers and in general," he points out.

An expert on femininity lists those that exist after 40 years:

- Spontaneous abortion rate reached 40%

- High probability of chromosomal changes

- Complications (hypertension in pregnancy, preeclampsia and gestational diabetes)

- Premature birth

Contraception during perimenopause, yes, but until when?

The doctors' belief is clear.It is recommended to adhere to the use of special signs during Permiseopaud.But how long?It is happening in order to come to Menopause look - that is, after 12 consecutive hours no period - until the woman is over 50 years old over 50 years old over 50 years old over 50 years old over 50 years old over 50 years oldover 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 years over 50 yearsAll the doctors were careful.They also agree that stress testing is a sign of uncertainty.

As for the method of contraception, condoms should be chosen.(Remember, this is the only way to protect yourself from STDs.) Or, in the case of healthy women, every situation must be evaluated by a doctor.non-smoker and did not have high blood pressure or coronary artery disease The pill can be preserved if taken."Combined contraception. (Estrogen and progestin) are not contraindicated by age. But because there are risk factors Especially cardiovascular diseases," said Fernandez del Bas.

Benefits beyond pregnancy prevention

In addition to the pill, there are other hormonal forms, such as the vaginal ring or patches.All of them, as the doctor points out, have additional benefits in perimenopause.

However, if a woman suffers from hypertension, migraine with aura, severe obesity, smoking, history of thrombosis, or high cardiovascular risk, it is advisable to switch to a method without estrogen.

Infants and over 45 years old

In summary, spontaneous pregnancy at age 40 or even 45 is possible but unlikely.Something that does not fit very well with the fact that in our country there are more births of women aged 40 and over (10.7% of the total) than those under 25 (9.4%).In addition, it is estimated that Spain is the country with the highest number of mothers of this age." Geriatric A good opportunity to look at the name "Pregnancy", which is still mentioned in some publications.

In many of these cases, the answer lies in assisted reproductive treatment.Especially egg donors, Dr. Matilde Gomez explains, even if you're just entering menopause.Because, as pregnancy after 40 shows, medicine will not be an exact science, but it is taking giant steps forward.

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