My Thyroid Health: Thyroid, Midlife Hormones + Weight Loss23 Okt 2025

Ep. 235: Can You Get Pregnant During Perimenopause?

Think fertility ends in your 40s? Not so fast. Even as hormone levels fluctuate and cycles become irregular, many women in perimenopause are surprised to learn that pregnancy is still possible — and sometimes more common than you might think.

In this episode, we explore what really happens to your fertility during perimenopause, why your ovaries can still release eggs, and how conditions like thyroid disease and autoimmune disorders can affect conception.

💡 We discuss:

How perimenopause differs from menopause
Why ovulation still happens (even with unpredictable cycles)
How egg quantity and quality change with age
The impact of thyroid and autoimmune conditions on fertility
What tests and steps to take if you’re trying — or trying to avoid — pregnancy
Why reliable contraception is still important until menopause is confirmed

🎧Tune in and uncover – whether you’re hoping to conceive or preventing pregnancy – how your body changes in perimenopause can help you make informed decisions.

LEARN MORE

You can learn more about the topic at the Paloma blog:

Can You Get Pregnant During Perimenopause?

https://www.palomahealth.com/learn/pregnant-during-perimenopause

ABOUT PALOMA HEALTH

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you.

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout.

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

🎙️ Follow Paloma Health for empowering conversations about thyroid health, hormonal balance, fertility, and perimenopause — all backed by science and patient experience.

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