People of older reproductive age may still require contraception to prevent unintended pregnancy. An individual’s preferences and values should be considered during contraceptive counseling, and anticipatory guidance on the perimenopausal transition should also be discussed. Age alone is not a contraindication to the use of any contraceptive method; however, certain medical conditions and comorbidities may limit the use of certain methods. Outside of these considerations, contraception can be safely used by perimenopausal persons until menopause or age 55 (when most people will have gone through menopause). In addition to preventing pregnancy, hormonal contraception has several important noncontraceptive health benefits in this age group. Furthermore, perimenopause may be characterized by irregular menses and vasomotor symptoms, which may be improved by hormonal contraception.