Objective: The incidence of infertility is quite increasing in India. One in every six couples is having infertility. Due to work culture, couples are planning pregnancy in their fourties. A retrospective study was conducted to analyze the etiopathology management and outcome in perimenopausal age group i.e. 44 to 55 years [1].Method: This was a retrospective study conducted among 384 patients during their infertility workup, IVF, antenatal period. We reviewed the data of patients attending our clinic from Jan 2014 to Dec 2014. This was an observational study and not compared with. Results: The perimenopausal age group patients were 40% to 60% of the total patients. They were benefited wit IVF/ICSI with success rate of 50% to 60%. Success rate increased with donor egg upto 50% as compared to self egg (20%). 90% were caesarean  deliveries. Conclusion: Perimenopausal age groups are a high risk group attending an infertility clinic. They are a challenge to manage, which grows as the period of gestation.  

Keywords: Perimenopausal Age Group; High Risk Groups; Ageing and Infertility.