Top 5 Best Birth Control Options for Perimenopause

1. Low-Dose Combination Pill

This is the OG. The pill combines estrogen and progestin to help regulate your cycle and reduce symptoms like heavy bleeding, hot flashes, and mood swings. In perimenopause, low-dose versions are especially helpful because they give your body just enough hormonal support without going overboard.

Why it's great:

• Evens out wild cycles

• Reduces hot flashes + PMS

• Helps with acne and bloating

• Still works for pregnancy prevention (because yes, you can still get pregnant in perimenopause—rude, I know)

2. Hormonal IUD (like Mirena or Kyleena)

Don’t want to deal with daily pills? A hormonal IUD is a solid choice. It releases a tiny amount of progestin locally, so you get all the benefits without the systemic hormone flood. Bonus? Many women stop getting a period altogether while using it (can I get an amen?).

Why it's great:

• Super low maintenance (lasts up to 7 years!)

• Reduces or stops periods

• Eases cramps and heavy bleeding

• Doesn’t mess with estrogen levels too much

3. The Patch or the Ring

These are good for folks who don’t love remembering a daily pill but still want combo hormone support. The patch you wear weekly, the ring you change monthly. They work similarly to the pill—smooth out your hormones and regulate your cycle.

Why it's great:

• Fewer mood swings and hormonal rollercoasters

• Less brain fog from hormonal dips

• Regulates erratic cycles

4. Mini Pill (Progestin-Only Pill)

If you can’t take estrogen (hello migraines, blood pressure, or other risk factors), the mini pill is a progestin-only option that still helps regulate bleeding and reduce perimenopause chaos.

Why it’s great:

• Safe for more women (even those over 40)

• Helps control spotting and heavy flow

• Good if you’re sensitive to estrogen

5. Permanent Options + Hormonal Support

If you’re done with birth control for birth control’s sake, but still struggling with perimenopause symptoms, you might want to consider a permanent option (like a tubal ligation or partner vasectomy) plus hormonal support like low-dose hormone therapy or a non-contraceptive IUD.

Why it’s great:

• You’re free from pregnancy worries

• You can still target symptoms through other hormonal tools

• Best of both worlds for women over 40

Now Read This Twice: Birth Control Helps, But It’s Not the Whole Story

Listen up. While hormonal birth control can help regulate chaos, it doesn’t give your body everything it needs during perimenopause.

Your hormones are fluctuating everywhere, your stress levels are higher, your nutrients are depleted, and your nervous system is basically trying to hold it all together with duct tape and prayer.

That’s why pairing your birth control with a targeted perimenopause supplement—like NNABI’s Peri Essential 5—is the move.

Why You Need NNABI with Your Birth Control

Balances what birth control can’t
Supplements help nourish your nervous system, support adrenal health, and ease symptoms like brain fog, anxiety, and fatigue—stuff the pill can’t really touch.

Restores depleted nutrients
Hormonal birth control can actually deplete key nutrients like B vitamins, magnesium, and zinc—NNABI helps replenish and restore.

Supports your second puberty
Your body is changing. You need tools that work with it, not just mask symptoms. Peri Essential 5 helps you feel more steady, supported, and energized.

Gives you your power back
When you combine smart medical care + daily support? That’s when the magic happens. You're not just surviving this season—you’re owning it.

The Solution that's Right for You.

This isn’t about picking one solution. It’s about building a toolkit that supports you—your lifestyle, your body, your season.

If you’re on birth control and still feeling off, listen to that.
If you’re skipping the hormones but want to feel better naturally, NNABI is here.
And if you’re juggling it all and wondering, “Is this normal?”—yes, babe. It’s normal. But it’s also time to stop settling for just “getting through.”

You deserve to feel amazing, in control, and completely at home in your body—even while your hormones are throwing tantrums.

Take the “Are U Peri?” quiz here, talk to your doctor, and start supporting your body like the queen she is.

You’ve got this. And we’ve got you. 💙