Misinformation about perimenopause is exposing women to risks of unintended pregnancies, unnecessary treatments and overlooked medical conditions, according to specialists. Greater public attention to menopause and hormone replacement therapy has followed initiatives such as a documentary featuring Davina McCall. However, experts worry that misleading social media content is leading some women to incorrect assumptions that may hide other health problems. Dr Paula Briggs, a consultant in sexual and reproductive health, noted that many younger women now request HRT when they actually need contraception because they remain fertile. She reported seeing more patients over 35 in abortion services who are surprised by pregnancies after assuming they had reached menopause. The British Menopause Society states that over 80% of women become menopausal by age 54, defined as no periods for 12 months, while about 5% experience it before 45. Menopause occurs gradually through perimenopause, involving fluctuating hormones and symptoms like irregular cycles, hot flushes and sleep issues. Briggs expressed alarm at online advice urging women in their 30s to demand HRT for insomnia or migraines or to seek testosterone. Dr Channa Jayasena of Imperial College London acknowledged improved awareness but warned of misdiagnosis when other conditions are present. Prof Janice Rymer of the British Menopause Society stressed that regular natural periods indicate a woman is not perimenopausal. Experts also highlighted risks from stopping contraception prematurely due to assumptions about declining fertility. They noted that certain progestogen-only methods can be combined safely with HRT, and modern combined pills offer safer options during perimenopause. Dr Zara Haider of the College of Sexual and Reproductive Healthcare added that outdated studies on hormone risks continue to influence decisions, while accurate information remains essential.
