Perimenopause is the transitional period before menopause when a woman’s body shows signs of decreasing fertility. It starts between the early 40s and mid-50s and can last up to 4 years, although the onset age can vary among individuals . Its symptoms include : ★ Irregular menstrual cycles★ Hot flashes★ Night sweats★ Mood swings★ Sleep disturbances★ Vaginal dryness★ Weight gain Perimenopause can be divided into early and late stages. Early perimenopause is characterized by irregular menstrual cycles. Late perimenopause is marked by extended gaps between periods, often exceeding 60 days, with intense menopausal symptoms [3]. But amidst hormonal and reproductive changes, can you get pregnant during perimenopause? Pregnancy During PerimenopauseDuring perimenopause, the ovaries shrink, producing less estrogen and more follicle-stimulating hormone (FSH). This causes hormonal fluctuations, leading to irregular ovulation and menstrual periods . However, your ovaries still produce and release eggs because of FSH, giving you a chance to conceive . The likelihood of pregnancy during perimenopause reduces as fertility decreases with age. However, pregnancy is still possible until menopause, which is 12 consecutive months without a menstrual period . Importance of Understanding Menopause StatusDetermining your menopause status is crucial if you want to conceive or avoid pregnancy. Knowing