Yes, it’s entirely possible to become pregnant during perimenopause. There are just a few things to be aware of. save article By Natalie Gontcharova, Senior Editor Published September 16, 2024 NEW! Medically Reviewed by Kendra Segura, MD | Fact Checked by G. O’Hara Image: Rob and Julia Campbell | Stocksy United Perimenopause—aka the body’s natural transition to menopause—is finally getting the attention it deserves.