While you are perimenopausal and going through the change, your fertility is reduced, but you may still be at risk for pregnancy. Once your periods have stopped altogether for a year or your hormone levels demonstrate irreversible decline in ovarian function, you can feel confident that you can safely stop birth control. Remember though, while on most hormonal birth control, those blood hormone values are strongly impacted by your birth control, making the values very difficult to interpret. You may need to get off your birth control for several weeks and use a barrier method, such as condoms, until those tests can be done.
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