Andrew Kaunitz, MD, FACOG, a professor in the Department of Obstetrics and Gynecology at the University of Florida College of Medicine in Jacksonville, discusses birth control for women in perimenopause. He highlights that there is still a possibility to conceive among this population until the last period is at least 1 year ago. Dr Kaunitz explains that women who are not overweight and do not have contraindications can continue to take oral contraceptives until their mid-fifties and may not experience the hot flashes and irregular bleeding associated with menopause.