Contraception during Perimenopause

During this episode of Coffee & a Chat with Dr Shahzadi Harper, we talk about contraception during perimenopause, and menopause. 

Many women think that once they’ve hit 40 maybe their fertility is so diminished that they don’t need to use contraception, but did you know that 1 in 100 women in the ages of 50 will get pregnant. So you still need to be careful when having sex if you don’t want a pregnancy.


If you’re under the age of 40, it’s safe to not use contraception once you’ve gone 2 years without a period. It does not count if you have a Mirena Coil or any other medication that stops your period, so make sure you’ve had 2 years without a period naturally. If you’re over the age of 50, it’s safe to not use contraception once you’ve gone 1 year without a period naturally.

In this video, Dr Harper and I answer your questions, many of which involve the Mirena Coil, such as how long should you go before replacing it, and if it’s safer to be on the pill than HRT during perimenopause.

Dr Shahzadi Harper

Dr Shahzadi Harper is a menopause specialist. She is an expert on all things menopause, HRT, contraception and so much more. Dr Harper optimises women’s wellbeing and health and empowers them to look and feel their best. She looks after women of all backgrounds and ethnicities enabling them to make informed choices for their optimal health. Click here to read more about her clinic.