{"id":634369,"date":"2025-11-25T09:30:33","date_gmt":"2025-11-25T14:30:33","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=634369"},"modified":"2025-11-18T15:58:06","modified_gmt":"2025-11-18T20:58:06","slug":"birth-control-for-perimenopause","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/birth-control-for-perimenopause\/","title":{"rendered":"What&#8217;s the best birth control to treat perimenopause symptoms?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">For many women, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-perimenopause\/\"><span style=\"font-weight: 400;\">perimenopause<\/span><\/a><span style=\"font-weight: 400;\"> marks a major turning point, the bridge between the reproductive years and menopause. As estrogen levels fluctuate, symptoms like hot flashes, irregular menstrual periods, and mood changes can disrupt daily life. While it\u2019s easy to think of this midlife transition as a time to leave birth control like barrier methods and copper IUDs behind, hormonal contraceptives can actually be one of the most effective tools for managing perimenopause symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here, experts share how certain birth controls can help smooth out hormone fluctuations, reduce discomfort, and support your quality of life during this stage. You\u2019ll also learn about the best types of birth control for perimenopause and additional lifestyle strategies to help you feel more like yourself again.<\/span><\/p>\n<h2 id=\"understanding-perimenopause\"><span style=\"font-weight: 400;\">Understanding perimenopause<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cPerimenopause is a transition period into menopause when we see changes to the menstrual cycle and hormones associated with the cycle,\u201d explains<\/span> <a href=\"https:\/\/www.womenshealthaz.com\/providers\/alissa-floman-md-facog\/\"><span style=\"font-weight: 400;\">Alissa Floman, MD<\/span><\/a><span style=\"font-weight: 400;\">, a board-certified OB-GYN with WREN Obstetrics, Midwifery, and Gynecology in Gilbert, Arizona. \u201cTypically, your hormones are in a state of fluctuation, specifically estrogen and progesterone, which can lead to a myriad of symptoms.\u201d\u00a0 After menopause, your ovaries make very low levels of the hormones called estrogen and progesterone.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cycle changes are the earliest and most noticeable sign that perimenopause has begun. Per<\/span> <a href=\"https:\/\/menopause.org\/patient-education\/menopause-topics\/perimenopause\"><span style=\"font-weight: 400;\">The Menopause Society<\/span><\/a><span style=\"font-weight: 400;\">, you could experience more or fewer menstrual bleeding days or a heavier or lighter flow, unpredictability, and the length of your cycle will start to vary.<\/span><\/p>\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12014197\/\"><span style=\"font-weight: 400;\">Research<\/span><\/a><span style=\"font-weight: 400;\"> shows that perimenopause typically lasts four to seven years, while the average age of menopause in the United States is 52, according to the<\/span> <a href=\"https:\/\/womenshealth.gov\/menopause\/menopause-basics\"><span style=\"font-weight: 400;\">Office on Women\u2019s Health<\/span><\/a><span style=\"font-weight: 400;\">. That means that for most women, perimenopause will start in their 40s, though some do see changes earlier.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cPerimenopause is a time of hormonal volatility. Ovulation and the predictable peaks and troughs of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/estriol-vs-estradiol\/\"><span style=\"font-weight: 400;\">estradiol<\/span><\/a><span style=\"font-weight: 400;\"> and progesterone can be irregular and less orchestrated,\u201d explains<\/span> <a href=\"https:\/\/hellobonafide.com\/blogs\/authors\/alyssa-dweck\"><span style=\"font-weight: 400;\">Alyssa Dweck, MD<\/span><\/a><span style=\"font-weight: 400;\">, the Chief Medical Officer of Bonafide Health and Menopause Society Certified Practitioner. This can lead to many symptoms on top of an irregular menstrual cycle, Dr. Dweck adds. They include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hot flashes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Night sweats<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/sleep-aids-guide\/\"><span style=\"font-weight: 400;\">Sleep disruption<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood changes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irritability<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brain fog<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight gain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal dryness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low sex drive<\/span><\/li>\n<\/ul>\n<h2 id=\"does-birth-control-help-with-perimenopause-symptoms\"><span style=\"font-weight: 400;\">Does birth control help with perimenopause symptoms?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThe first-line treatment of perimenopausal symptoms is some type of hormone therapy,\u201d Dr. Floman says. Considering that hormonal birth control contains estrogen or progesterone, it fits the bill. \u201cEspecially combination varieties (like pills, patches, and vaginal rings) containing estrogen and progesterone prevent ovulation and keep estrogen and progesterone levels stable throughout the cycle,\u201d Dr. Dweck explains. The <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/depo-provera\"><span style=\"font-weight: 400;\">progesterone shot<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/mirena-52-mg?q=Mirena%20(52%20Mg)&amp;isHomeSearch=false\"><span style=\"font-weight: 400;\">hormonal IUD<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nexplanon\"><span style=\"font-weight: 400;\">hormonal implant<\/span><\/a><span style=\"font-weight: 400;\"> contain progesterone only and can also help with perimenopausal symptoms. \u201cThe lack of hormone volatility on combination contraception helps to manage typical perimenopause symptoms, including irregular menses. In fact, menses can be skipped altogether with continuous administration; in other words, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/can-i-skip-placebo-pills-on-slynd\/\"><span style=\"font-weight: 400;\">skipping placebo pills<\/span><\/a><span style=\"font-weight: 400;\">.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A review in<\/span> <a href=\"https:\/\/gremjournal.com\/journal\/01-2024\/hormonal-contraception-and-menopausal-transition-a-short-review\/\"><i><span style=\"font-weight: 400;\">Gynecological and Reproductive Endocrinology &amp; Metabolism<\/span><\/i><\/a> <span style=\"font-weight: 400;\">found that, in addition to cycle-related symptoms like irregular bleeding, combined hormonal birth control also helped with vasomotor symptoms (like hot flashes and night sweats), which are some of the most common issues women experience during perimenopause. Dr. Dweck adds that combination birth control pills can also lower your risk of fatigue, lightheadedness, and weakness from heavy bleeding, pain during your cycle, mood swings, and changes to your skin and hair.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finally, birth control will do what it was designed to do. \u201cThere is still a concern during perimenopause of pregnancy,\u201d Dr. Floman says. \u201cSo we primarily choose these options with women seeking contraception needs in addition to treatment of perimenopausal symptoms.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our wellness newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Wellness Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"what-is-the-best-birth-control-for-perimenopause-symptoms\"><span style=\"font-weight: 400;\">What is the best birth control for perimenopause symptoms?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThe type of contraceptive is very individualized as to personal preference, health concerns, lifestyle, tolerance, and symptoms,\u201d Dr. Floman says. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430882\/\"><span style=\"font-weight: 400;\">Hormonal birth control<\/span><\/a><span style=\"font-weight: 400;\"> can contain both estrogen and progesterone (combination methods) or just progesterone. Both of which can be effective for controlling perimenopause symptoms, but your medical history may determine which form of birth control is best.<\/span><\/p>\n<p><b>Combination birth control (estrogen and progesterone):\u00a0<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Includes contraceptive pills, patches, and vaginal rings<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Helps stabilize hormones and regulate cycles<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">May improve PMS-type symptoms, mood, and skin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">May protect bone density and protect against osteoporosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Not recommended for women who smoke, have hypertension (high blood pressure), migraine with aura, a history of blood clots, or are at high risk of breast cancer<\/span><\/li>\n<\/ul>\n<p><b>Progesterone-only birth control: <\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Includes the hormonal intrauterine device (IUD), implant, shot, and certain birth control pills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Best suited for those who can\u2019t take estrogen<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can help reduce heavy bleeding and protect the uterine lining<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not improve vasomotor symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not protect bone density or prevent osteoporosis<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cProgesterone-only pills are best for those who have hypertension or who smoke,\u201d or have a history of blood clots, stroke risk, migraine with aura, or high risk of breast cancer, Dr. Dweck says. They are also known as mini-pills or low-dose pills.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Within those two types of birth control, there are also different forms of estrogen and progesterone that are used. \u201cSome varieties of progesterone are less androgenic (male hormone-like) and also best for PMS-type symptoms, common during perimenopause,\u201d Dr. Dweck says. \u201cThere is also a new estrogen now available in <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/drospirenone-ethinyl-estradiol?q=Drospirenone-Ethinyl%20Estradiol%20(Loryna)&amp;isHomeSearch=true\"><span style=\"font-weight: 400;\">combination pills<\/span><\/a><span style=\"font-weight: 400;\"> (drospirenone-ethinyl estradiol), which claims to have a better cardiovascular risk profile and less effect on breast tissue,\u201d if those are concerns for you.<\/span><\/p>\n<h2 id=\"who-is-a-good-candidate-for-birth-control-during-perimenopause\"><span style=\"font-weight: 400;\">Who is a good candidate for birth control during perimenopause?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are a few key factors that your healthcare provider would consider when determining if you are a good candidate for birth control during perimenopause. According to Dr. Dweck, the criteria that would make you a good candidate include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You need or want contraception for family planning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You want better cycle control or help with symptoms related to your cycle<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You struggle with premenstrual syndrome-type symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You have no medical contraindications or risk factors to hormonal birth control<\/span><\/li>\n<\/ul>\n<h3 id=\"hormonal-replacement-therapy-hrt-vs-birth-control-pills-for-perimenopause\"><span style=\"font-weight: 400;\">Hormonal replacement therapy (HRT) vs. birth control pills for perimenopause<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you\u2019re even vaguely familiar with common menopause treatments, you\u2019ve likely heard of hormone replacement therapy, or HRT. Just like hormonal birth control, HRT (which is also often called menopausal hormone therapy, or MHT, or just hormone therapy, or HT) uses estrogen and progesterone to control symptoms that women experience during this transition.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both therapies balance hormones, but they\u2019re designed for different life stages and goals.<\/span><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 id=\"key-differences-between-hrt-and-birth-control\"><span style=\"font-weight: 400;\">Key differences between HRT and birth control<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Feature<\/b><\/td>\n<td><b>HRT<\/b><\/td>\n<td><b>Hormonal contraceptive<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Purpose<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Manages menopause symptoms (e.g., hot flashes, vaginal dryness, GSM)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Prevents pregnancy and helps regulate cycles<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hormone levels<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Lower-dose estrogen and\/or progesterone<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3\u20134 times higher estrogen than HRT, in various forms. Or progesterone only.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Best for<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Women between 55 and 60, within 10 years of their last period<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Perimenopausal women younger than 55 and also need contraception<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cycle control<\/span><\/td>\n<td><span style=\"font-weight: 400;\">May not regulate cycles as effectively<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Excellent for managing irregular bleeding<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pregnancy prevention<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Does not prevent pregnancy<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Prevents pregnancy<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Forms available<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Pills, patches, gels, vaginal rings, creams<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Oral contraceptives, patches, vaginal rings, IUDs, shots, implants<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Examples<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angeliq (combination estrogen\/progestin tablet)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Estradiol patch or gel<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Progesterone capsules<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yaz (combination pill)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Norethindrone (progestin-only pill)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mirena IUD (long-acting, up to 8 years)<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Dr. Dweck adds that birth control tends to work better for cycle control and prevents pregnancy, while HRT is a better fit for women who\u2019ve been in perimenopause longer or experience side effects from contraceptives.<\/span><\/p>\n<h2 id=\"other-strategies-for-managing-perimenopause\"><span style=\"font-weight: 400;\">Other strategies for managing perimenopause<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The gold standard of care for perimenopause symptoms is hormone supplementation like birth control, Dr. Floman says. \u201cIt is always necessary to include lifestyle changes, \u2026 as there is not one type of therapy that completely helps with all symptoms,\u201d she adds.\u00a0<\/span><\/p>\n<ul>\n<li><b>Make lifestyle changes: <\/b><span style=\"font-weight: 400;\">A review in the <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11562152\/\"><i><span style=\"font-weight: 400;\">American Journal of Lifestyle Medicine<\/span><\/i><\/a><span style=\"font-weight: 400;\"> found that a Mediterranean diet and other plant-based diets, combined with moderate-intensity exercise and strength training, are the most effective lifestyle changes for managing symptoms of perimenopause. \u201cFor some women, different types of bed cooling systems can add to their toolbox,\u201d Dr. Floman says.<\/span><\/li>\n<li><b>Explore dietary supplements:\u00a0 <\/b><span style=\"font-weight: 400;\">\u201cThere are also many over-the-counter supplements women can find helpful and other prescription medications which treat various symptoms,\u201d she adds. According to <\/span><a href=\"https:\/\/www.health.harvard.edu\/womens-health\/menopause-supplements-effective-relief-or-empty-promises\"><span style=\"font-weight: 400;\">Harvard Medical School<\/span><\/a><span style=\"font-weight: 400;\">, if you decide to try a supplement such as black cohosh or red clover, choose one that is third-party tested and contains only one ingredient, rather than a mixture of several.\u00a0<\/span><\/li>\n<li><b>Consider natural estrogens: <\/b><span style=\"font-weight: 400;\">Eating a diet rich in plant-based, or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/foods-high-in-estrogen\/\"><span style=\"font-weight: 400;\">phytoestrogens<\/span><\/a><span style=\"font-weight: 400;\">, can also support a healthy hormone balance. Try incorporating foods like flaxseeds, lentils, broccoli, garlic, and tea into your diet.<\/span><\/li>\n<li><b>Partner with your healthcare provider: <\/b><span style=\"font-weight: 400;\">If you are struggling with mood swings or depression, you could talk to your healthcare provider about prescribing an antidepressant. Ultimately, the best thing you can do is maintain open communication with your healthcare team about your symptoms and concerns.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">That way, you can work together to create a personalized treatment plan that has the best chance of working for you while minimizing unnecessary health risks.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For many women, perimenopause marks a major turning point, the bridge between the reproductive years and menopause. As estrogen levels fluctuate, symptoms like hot flashes, irregular menstrual periods, and mood changes can disrupt daily life. While it\u2019s easy to think of this midlife transition as a time to leave birth control like barrier methods and [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":634325,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[4783,8670],"coauthors":[20980],"class_list":["post-634369","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-birth-control","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Can birth control pills help with perimenopause symptoms?<\/title>\n<meta name=\"description\" content=\"Your healthcare provider may prescribe birth control for perimenopause instead of HRT to prevent the symptoms of perimenopause while also preventing pregnancy.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/birth-control-for-perimenopause\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Think you\u2019re done with birth control? 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