Short answer
Pregnancy is still possible during perimenopause because ovulation can happen irregularly. Clinicians generally advise continuing contraception until menopause is confirmed. Ask your clinician when it's safe for you to stop, since the timing depends on your age and the method you use. Contraception also doesn't change STI risk, so condoms remain important with new or untested partners at any age.
Read the full guideMenopause and Pleasure: What Changes and What HelpsMenopause and pleasure: how falling estrogen affects arousal, dryness and desire, plus the lubes, toys and clinician support that genuinely help. Updated November 9, 2026 · All questions