Decreased Fertility
While women can still get pregnant while transitioning into menopause, the odds of that happening is less. Ovulation becomes irregular, so eggs are released less often. If you want to avoid pregnancy during perimenopause, you will still need to use contraceptives or a low dose birth control (which could also aid with night sweats and hot flashes).
Also, it should be noted that just because your libido is slowing down and you will eventually be unable to get pregnant, you can still get sexually transmitted infections and diseases. STIs can be obtained at any age, so continue to practice safe sex.
