Perimenopause is a recently coined term used for  the years preceding menopause, which acts as a warning sign for the end of  reproductive years. Chances of getting pregnant during perimenopause are slim  but not impossible. With advancement in medical technology, it is now possible  to get pregnant during perimenopausal years. With medical assistance,  successful pregnancy is possible during perimenopause. Learn about this more,  read on.What is Perimenopause?
    A  lot of people are yet to know about the term perimenopause. This is a stage in a  woman’s life that usually falls during her forty-fifth to fiftieth years. For  majority of the woman, menopause commences from or after forty-five. This is  naturally a period when her fertility status is very low or rather absent in  some cases. But it can well be the case that a woman desires to become pregnant  during her perimenopausal years. Apparently this prospect might seem outright  improbable, but with the advancement in medical technology, this can be made  possible too.  
    Apart  from the plummeting fertility points, the woman is exposed to an enhanced risk  of miscarriage and still births. There are wide chances that the baby is born  with congenital defects and Down’s syndrome. Once these risks are taken duly  care of, it is indeed possible to have a healthy pregnancy and give birth to a  healthy baby as well.
    So  before getting  pregnant during these perimenopausal years, it is advisable to seek expert  advice on how and exactly when you should proceed with the pregnancy plan, so  that there are maximum chances of an enjoyable and risk free pregnancy.
    Given Below are a Few Tips That Can Help  You
    Perimenopause should be confused with menopause. The latter is when the reproductive  system virtually stops in a woman, while the former is more of a warning  symptom that your reproductive years are drawing to a close. 
    There is no fixed age when this perimenopause will commence. It varies from  woman to woman. In some women, it can start after 45 years while in some it can  be experienced after 35 years. So it is best to know your body well and  understand the signals given out and consult with the doctor in due time. It  has also been seen that in some women, the perimenopause starts as late as 60!
    The perimenopause period stays for about a couple of years to five years at  a stretch and in some cases, it can continue up to a decade.
    What Are the Symptoms of Perimenopause?
    1.       Irregularity in your menstrual  cycle
    2.       Frequent spotting
    3.       Hot flushes
    4.       Rapid mood swings
    How Does This Affect Fertility?
    Since this period marks the slowing down of the reproductive system, the sex  hormones get affected very prominently. The two major hormones, estrogen and  progesterone levels fall thereby making your menstrual cycle irregular. The  eggs released by your ovaries also fall in number and ovulation  also does not take place every month. These are the reasons that woman finds it  difficult to conceive.
    Treatments for Getting Pregnant During  Perimenopause
    Here are some treatments for getting pregnant during perimenopause
    Clomiphene: The process of  ovulation is triggered by the fertility drug Clomiphene citrate. It also  increases the number of eggs that are being released. The drug can enhance the  pregnancy rates by 30%.    
FSH: FSH or follicle stimulating  hormone induces ovulation. They can dramatically increase pregnancy chances and  are usually used along with IUI.    
IVF: With the direct placement of  an externally fertilized egg in the uterus of the woman undergoing perimenopause,  success rates of pregnancy are heightened by as much as 25%.    
Egg Donation: This is an  effective option where an egg is obtained from a fertile woman and fertilized  by the sperm of the woman’s partner and placed into her womb.