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menopause and pregnancy
An_248694 posted:
I am 50 years old. I went 14 months without a period. During that time I was still taking birth control pills. The last 2 months I have had light bleeding. My doctor said I am in menopause and I need to stop taking the pill as it is too high hormone level. He said I will not get pregnant but I am concerned. Is that true?
Mary Jane Minkin, MD responded:
Dear An_248694,
It is unlikely that you will conceive at this point, but not impossible. So here's what I would suggest as a reasonable compromise. Stop taking the pill now, and start using condoms right away. Wait for a month or two; if you haven't had a period, then get some blood work drawn. I would suggest an FSH and estradiol test. (you cannot have them done while you are on the pill, they won't tell you anything about your menopausal status.) If the FSH is high, and the estradiol low, welcome to perimenopause (you cannot say full menopause until you go a year without a period) but with a very high FSH it would be very unlikely for you to conceive. If your FSH is low, and you have plenty of estrogen, I'd put you back on the pill, and have you try this again in a year or two. I think that should work for you, and then you don't have to worry about not being protected.
Good luck,
Mary Jane

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