I am taking the combined oral contraceptive pill. How will I know if I have reached my menopause?

As you approach the age of 50 there is an increasing chance that you will be reaching your menopause but withdrawal bleeds will continue for however long the combined oral contraceptive pill is taken. There is no test that can absolutely define when the menopause has occurred even for a woman who is not taking the combined oral contraceptive pill and seems to have stopped her periods although a blood test for FSH and oestradiol levels (14) can be a useful guide. If you want to know if you are likely to have reachedyour menopause, the blood test should be scheduled for the last day of the combined oral contraceptive pill-free interval.

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Women's Health

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

Women's Health Home Page





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