Dr. Sitruk-Ware explains if women can become pregnant during perimenopause.
Certainly, perimenopause is the time when I say the ovulation is in irregular balance. So the woman may have still some ovulation from time-to-time, and if she doesn’t have menses, she may not be sure she will be pregnant. She thinks it is menopause, and she is pregnant. So during the perimenopause, it’s important that the woman has a protection and has treatment that would cover at the same time the imbalance of her hormones and prevents pregnancy.
One of the methods that the Population Council has developed is an important method that is a proof for contraception, the levonorgestrel intrauterine system, and this system, which is introduced in the uterus, can at the same time protect the uterus, protect the endometrium, prevents pregnancy, and also help the women during the transition to the menopause until the moment she needs estrogen replacement therapy, and this is one of the methods which delivers the least quantity of hormones which can be a good contraceptive during this period of her fertile years.
About Dr. Sitruk-Ware, M.D.:
Dr. Régine L. Sitruk-Ware is a reproductive endocrinologist and the executive director of research and development at the Population Council’s Center of Biomedical Research. She supervises the basic research in reproductive biology as well as the pre-clinical research and clinical development of new molecules designed for reproductive healthcare in men and women suitable for use in developing countries. Prior to joining the Council, she had a successful academic career in Paris, France and then an international career in research and development. She taught and conducted clinical research in reproductive endocrinology at the University of Paris for ten years. From 1983 to 1989 she was a member of the International Committee for Contraceptive Research (ICCR), established by the Population Council in 1970. RSW is now chairing the ICCR since January 2007. She is a member of several national and international medical societies. She has been a founding member of the International Menopause Society and a member of its Board for several terms and is presently the General Secretary of that society. She is also member of the Expert group on Hormonal Contraception of the European Society for Contraception. She is the Program Director and Principal Investigator of a NIH Center grant from the National Institute of Child Health and Human Development.
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