Navigating contraception during perimenopause can be complex, as fertility can persist even with irregular periods. It's essential to continue using reliable contraception until you've been without a period for 12 consecutive months, marking the onset of menopause. Options like hormonal contraceptives—such as combined oral contraceptives, the mini-pill, or hormonal intrauterine devices (IUDs)—not only prevent pregnancy but can also alleviate perimenopausal symptoms like hot flashes and menstrual irregularities. However, considerations regarding age, health history, and potential risks are crucial. Consulting with a healthcare provider ensures the chosen method aligns with your individual health needs and lifestyle.