Is it Possible to Get Pregnant During Menopause?

Menopause is defined as the permanent end of menstruation. Since regular menstrual periods are associated with fertility, it is assumed that fertility ends with regular monthly menstruation. Misunderstanding the relationship between menses and ovulation can lead to unplanned pregnancies.

Facts

• A woman has not entered menopause until 12 months have passed without a menstrual period. Many unplanned pregnancies in older women occur before this 12 month period has passed. According to Merck Medical Library, birth control should continue for the full year after your last menstrual cycle.

Misconceptions

• Irregular periods associated with falling hormone levels (perimenopause) do not signal the end of ovulation. Hormones that stimulate egg growth and release are still active and pregnancy is still possible.

Significance

• Pregnancy after age 35 is considered high risk. Older women are more likely to have chronic health issues, like high blood pressure (hypertension), that can worsen during pregnancy. Gestational diabetes is also more common with pregnancies later in life.

Considerations

• According to The American Congress of Obstetrics and Gynecologists, premature births and stillbirths are more frequent with perimenopausal pregnancies. Your doctor may offer genetic testing because birth defects, like Down syndrome, are more common in babies born to older mothers.

Prevention/Solution

• Ask your gynecologist for hormone testing. Once you have confirmed your entry into menopause, you cannot get pregnant. Birth control isn't necessary.