The Brilliant Fertility Podcast

Episode 074: Can You Get Pregnant in Perimenopause?


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Being labeled as “Perimenopause” can feel so overwhelming, especially if you’re also trying to conceive! In this episode, I unpack the truth about perimenopause and fertility, clear up common myths, and remind you that perimenopause does not mean the end of your fertility journey. 

We talk about what perimenopause really is, why it can start earlier than many people expect, and how pregnancy can still be possible when your body is supported in the right way.


Since getting good sleep is KEY for thriving through perimenopause I’m including my favorite guide:

10 Steps to Optimize Sleep and Circadian Rhythm

Ready to go deeper? I’d love to support you. Book your discovery call with me HERE.


What You’ll Learn in This Episode:

✨What Perimenopause Actually Means: Perimenopause is simply the transitional phase before menopause—not a fertility deadline. 

✨Can You Get Pregnant in Perimenopause?: Yes, you can. If you’re ovulating, there is still a chance of conception each cycle, even during perimenopause.

✨Early Signs and Symptoms of Perimenopause: From subtle cycle changes to insomnia, mood shifts, and heart palpitations, we explore how perimenopause can show up differently for everyone.

✨Why Age Alone Doesn’t Tell the Whole Fertility Story: Fertility is influenced by far more than age—sleep, nutrition, stress, inflammation, and metabolic health all play powerful roles.

✨Lifestyle Shifts That Support Fertility in Perimenopause: Slowing down, honoring your circadian rhythm, prioritizing protein, and deeply nourishing your body can make a meaningful difference.

✨Why Stress and Unprocessed Trauma Matter: I share why unresolved trauma and long-term emotional strain can intensify perimenopausal symptoms—and how listening to your body creates healing.

✨Individualized Support Makes All the Difference: From acupuncture to nutrition and, in select cases, hormone therapy, fertility support in perimenopause must be personalized.

Perimenopause is not a dead end, it’s a transition that asks for deeper care, stronger boundaries, and more self-trust. With the right support, it can become a powerful time of healing and realignment rather than fear. 

If you’re navigating perimenopause while trying to conceive, please know you’re not alone and that there are ways to support your body and your fertility through this season. I’m sending you so much love.


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Stay tuned for more episodes filled with tips, personal stories, and expert advice to support you on your fertility journey!

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The Brilliant Fertility PodcastBy Dr. Katie Rose

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