Pregnancy still possible during perimenopause

Dear Doctors: I’m 48 years old and in perimenopause. I’ve missed a few periods and joked with my doctor about being pregnant. She said not to laugh — it can happen. Considering my age, I was really surprised. What happens with your body in perimenopause?

Do I need to keep using birth control?

Dear Reader: The term “perimenopause” refers to the physical changes that take place as your reproductive ye…