I'm Perimenopausal And Have Been Told That I Should be Taking Very-Low-Dose Birth Control Pills. Why?

Compared to regular birth control pills, the lower dose of estrogen in very-low-dose pills may be safer for perimenopausal women. (Perimenopause begins about 3 to 5 years before your final period.) While regular birth control pills contain 30 to 50 micrograms of estrogen, these low dose pills contain only 20 micrograms of ethinyl estradiol.