{"id":2506,"date":"2025-05-14T12:32:39","date_gmt":"2025-05-14T12:32:39","guid":{"rendered":"https:\/\/menopausematter.org\/?p=2506"},"modified":"2025-08-20T14:17:50","modified_gmt":"2025-08-20T14:17:50","slug":"still-on-the-pill-at-50-heres-what-you-need-to-know-about-menopause-hormone-testing-and-what-comes-next","status":"publish","type":"post","link":"https:\/\/menopausematter.org\/fr\/still-on-the-pill-at-50-heres-what-you-need-to-know-about-menopause-hormone-testing-and-what-comes-next\/","title":{"rendered":"Toujours sous pilule \u00e0 50 ans ? Voici ce que vous devez savoir sur la m\u00e9nopause, les tests hormonaux et l'avenir."},"content":{"rendered":"<figure class=\"wp-block-image size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C-1024x683.png\" alt=\"\" class=\"wp-image-2507\" style=\"width:179px;height:auto\" srcset=\"https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C-1024x683.png 1024w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C-300x200.png 300w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C-768x512.png 768w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C-600x400.png 600w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C.png 1536w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>Introduction:<\/strong><\/p>\n\n\n\n<p>Many women in Ontario and across Canada are on hormonal birth control well into their 40s and 50s, not realizing that these medications can mask the symptoms\u2014and even the timing\u2014of menopause. If you\u2019re still on \u201cthe pill,\u201d patch, or ring in your 50s, you may already be in perimenopause or even postmenopause and not know it.<\/p>\n\n\n\n<p>This post breaks it all down:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>How hormonal birth control affects your cycle<\/li>\n\n\n\n<li>How to know if you\u2019re in menopause<\/li>\n\n\n\n<li>What hormone testing can reveal<\/li>\n\n\n\n<li>What your treatment options are\u2014including hormone therapy<\/li>\n\n\n\n<li>Real stats, real solutions, and what women in Ontario need to know now<\/li>\n<\/ul>\n\n\n\n<p><strong>1. Birth Control and Menopause: A Hidden Overlap<\/strong><\/p>\n\n\n\n<p>Hormonal birth control (like the pill, patch, or ring) regulates your menstrual cycle artificially by providing synthetic estrogen and\/or progesterone. As a result:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You still bleed monthly\u2014but it\u2019s a withdrawal bleed, not a true period.<\/li>\n\n\n\n<li>The synthetic hormones override your natural cycle, meaning your body may have already stopped ovulating without you realizing it.<\/li>\n\n\n\n<li>This makes it impossible to track the 12-month no-period rule that defines menopause.<\/li>\n<\/ul>\n\n\n\n<p>So, while it may look like everything is normal, you could already be in perimenopause or menopause without knowing it.<\/p>\n\n\n\n<p><strong>2. Understanding the Stages:<\/strong><\/p>\n\n\n\n<p>Let\u2019s clarify the terms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perimenopause: The transition years before menopause. Hormones fluctuate, causing symptoms like hot flashes, irregular cycles, mood changes, and sleep problems.<\/li>\n\n\n\n<li>Menopause: Officially defined as the 12-month mark without a period. The average age in Canada is 51, according to the\u00a0<a href=\"https:\/\/na01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fsogc.org%2F&amp;data=05%7C02%7C%7C451d5c2c80e942037c9608dd92e13259%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C638828218095703967%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=%2F0vMCDih33T14SLGm8MY%2B9mVSwz4Q%2F%2FI0XqMqV3HH%2F4%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Society of Obstetricians and Gynaecologists of Canada (SOGC)<\/a>.<\/li>\n\n\n\n<li>Post-Menopause: The stage after menopause. Periods are gone, and hormone levels remain low. Risks of osteoporosis and heart disease increase during this phase.<\/li>\n<\/ul>\n\n\n\n<p><strong>3. How Common Is This?<\/strong><\/p>\n\n\n\n<p>In Canada:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>23% of women aged 40\u201355 are still using hormonal contraception.<\/li>\n\n\n\n<li>In Ontario, over 50% of women aged 45\u201354 reported being unsure if they were in menopause, according to 2022 data from Women\u2019s Health in Women\u2019s Hands CHC.<\/li>\n\n\n\n<li>Many women are prescribed the pill to manage symptoms like heavy periods or migraines, which may also disguise the underlying transition to menopause.<\/li>\n<\/ul>\n\n\n\n<p><strong>4. How Do You Know If You\u2019re in Menopause If You\u2019re Still on the Pill?<\/strong><\/p>\n\n\n\n<p>This is where hormone testing comes in.<\/p>\n\n\n\n<p>If you\u2019re 50+ and stop taking birth control and your period doesn\u2019t return, your doctor may order menopausal blood tests such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>FSH (Follicle-Stimulating Hormone): Typically rises sharply in menopause. A level over 30 IU\/L is a strong indicator.<\/li>\n\n\n\n<li>Estradiol (a form of estrogen): Usually low (&lt;30 pg\/mL) in menopause.<\/li>\n\n\n\n<li>LH (Luteinizing Hormone): Also increases after menopause.<\/li>\n\n\n\n<li>AMH (Anti-M\u00fcllerian Hormone): Optional, this hormone declines as ovarian reserve is depleted.<\/li>\n<\/ul>\n\n\n\n<p>Your doctor will also assess:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Age<\/li>\n\n\n\n<li>Symptoms (hot flashes, vaginal dryness, etc.)<\/li>\n\n\n\n<li>Period history, if available<\/li>\n<\/ul>\n\n\n\n<p><strong>5. Should You Stop Birth Control to See Where You Are?<\/strong><\/p>\n\n\n\n<p>This should be done under medical supervision, but yes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Many doctors recommend stopping birth control around age 50\u201352 to assess natural hormone levels.<\/li>\n\n\n\n<li>After stopping, if your period doesn\u2019t return within 3\u20136 months, you may be in menopause.<\/li>\n\n\n\n<li>If symptoms flare up (hot flashes, night sweats), that\u2019s also a sign your natural hormones have dropped.<\/li>\n<\/ul>\n\n\n\n<p>Note: If you\u2019re still at risk of pregnancy, non-hormonal options like copper IUD or condoms may be recommended during the transition.<\/p>\n\n\n\n<p><strong>6. What Are Your Options After Birth Control?<\/strong><\/p>\n\n\n\n<p>If hormone tests confirm menopause, here are your choices:<\/p>\n\n\n\n<p><strong>A. Hormone Therapy (HT or HRT)<\/strong><\/p>\n\n\n\n<p>Prescribed if symptoms affect quality of life.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Estrogen replaces what your body no longer makes.<\/li>\n\n\n\n<li>Progesterone (or a progestin) is given to protect the uterus.<\/li>\n\n\n\n<li>Available as pills, patches, gels, vaginal creams, or rings.<\/li>\n\n\n\n<li>In Ontario, some HT options are covered under OHIP+ for women under 65, or under private insurance plans.<\/li>\n<\/ul>\n\n\n\n<p><strong>B. Non-Hormonal Therapies<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SSRIs or SNRIs for hot flashes and mood<\/li>\n\n\n\n<li>Gabapentin for sleep issues<\/li>\n\n\n\n<li>Lifestyle approaches (diet, exercise, cognitive behavioral therapy)<\/li>\n<\/ul>\n\n\n\n<p><strong>C. Vaginal Estrogen (Local)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For dryness and painful sex<\/li>\n\n\n\n<li>Doesn\u2019t affect the whole body\u2014safe for most women, even those with a history of breast cancer<\/li>\n<\/ul>\n\n\n\n<p><strong>7. What You Should Do Next<\/strong><\/p>\n\n\n\n<p>If you\u2019re 50+ and still on birth control, take the following steps:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Talk to your doctor about safely coming off the pill to assess your natural cycle.<\/li>\n\n\n\n<li>Request hormone tests if periods don\u2019t return or you experience menopause symptoms.<\/li>\n\n\n\n<li>Track your symptoms using a menopause journal or app.<\/li>\n\n\n\n<li>Review treatment options and risks with your provider.<\/li>\n<\/ol>\n\n\n\n<p><strong>8. Key Takeaways for Ontario Women<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Birth control can mask menopause for years.<\/li>\n\n\n\n<li>If you\u2019re in your 50s, consider assessing your menopause status\u2014even if you\u2019re still bleeding.<\/li>\n\n\n\n<li>Hormone testing (FSH, estradiol, etc.) can confirm menopause if periods are not a guide.<\/li>\n\n\n\n<li>Hormone therapy can be safe and effective for most healthy women under 60, including in Ontario. <\/li>\n\n\n\n<li>Post-menopause care should include bone health, heart health, and symptom support.<\/li>\n<\/ul>\n\n\n\n<p><strong>Resources for Ontario Residents<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/na01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.menopauseandu.ca%2F&amp;data=05%7C02%7C%7C451d5c2c80e942037c9608dd92e13259%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C638828218095740653%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=gTysKuTqCbRESM1IPUnYTBfGhwPwjaFFolTc4oKhoKM%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Menopause and U (SOGC)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/na01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.ontario.ca%2Fpage%2Fapply-ohip&amp;data=05%7C02%7C%7C451d5c2c80e942037c9608dd92e13259%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C638828218095761014%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=TH35I%2FBR8m%2F4%2BtdIS7kmWstemRy94JxIGQ2srynYASU%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Ontario Health Coverage<\/a>\u00a0(for test access &amp; medication)<\/li>\n\n\n\n<li><a href=\"https:\/\/na01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.womenscollegehospital.ca%2F&amp;data=05%7C02%7C%7C451d5c2c80e942037c9608dd92e13259%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C638828218095777721%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=l26ZzDrfsJ%2BoSO0IHxYUe6xYNdGhdKH7goNg%2BY5lAD8%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Women\u2019s College Hospital Menopause Clinic \u2013 Toronto<\/a><\/li>\n<\/ul>\n\n\n\n<p><strong>Final Thought<\/strong><\/p>\n\n\n\n<p>You\u2019re not alone. Thousands of women in Ontario are navigating this hidden transition. Whether you\u2019re still on the pill or just coming off, now is the time to get informed, get tested, and take control of your next chapter.<\/p>\n\n\n\n<p>If you\u2019re confused, overwhelmed, or simply want support, reach out to Menopause Matter Canada. We\u2019re here to educate, advocate, and empower you.<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Introduction: Many women in Ontario and across Canada are on hormonal birth control well into their 40s and 50s, not realizing that these medications can mask the symptoms\u2014and even the timing\u2014of menopause. If you\u2019re still on \u201cthe pill,\u201d patch, or ring in your 50s, you may already be in perimenopause or even postmenopause and not [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[38,24,74,58,37,34,25],"class_list":["post-2506","post","type-post","status-publish","format-standard","hentry","category-menopausematter","tag-menoauseeducation","tag-menopause","tag-menopause-support","tag-menopause-symptoms","tag-menopausematter","tag-menopauserelief","tag-peri-menopause"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Still on the Pill at 50? Here\u2019s What You Need to Know About Menopause, Hormone Testing, and What Comes Next - Menopause Matter<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/menopausematter.org\/fr\/still-on-the-pill-at-50-heres-what-you-need-to-know-about-menopause-hormone-testing-and-what-comes-next\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Still on the Pill at 50? Here\u2019s What You Need to Know About Menopause, Hormone Testing, and What Comes Next - Menopause Matter\" \/>\n<meta property=\"og:description\" content=\"Introduction: Many women in Ontario and across Canada are on hormonal birth control well into their 40s and 50s, not realizing that these medications can mask the symptoms\u2014and even the timing\u2014of menopause. If you\u2019re still on \u201cthe pill,\u201d patch, or ring in your 50s, you may already be in perimenopause or even postmenopause and not [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/menopausematter.org\/fr\/still-on-the-pill-at-50-heres-what-you-need-to-know-about-menopause-hormone-testing-and-what-comes-next\/\" \/>\n<meta property=\"og:site_name\" content=\"Menopause Matter\" \/>\n<meta property=\"article:published_time\" content=\"2025-05-14T12:32:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-20T14:17:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/05\/DB29E373-B58A-4888-8AB9-B0AC8D67300C-1024x683.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Brand Developers\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Brand Developers\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimation du temps de lecture\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/menopausematter.org\\\/still-on-the-pill-at-50-heres-what-you-need-to-know-about-menopause-hormone-testing-and-what-comes-next\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/menopausematter.org\\\/still-on-the-pill-at-50-heres-what-you-need-to-know-about-menopause-hormone-testing-and-what-comes-next\\\/\"},\"author\":{\"name\":\"Brand Developers\",\"@id\":\"http:\\\/\\\/y8w.155.myftpupload.com\\\/#\\\/schema\\\/person\\\/fa35980ddecb640112e3177f9b8f64bb\"},\"headline\":\"Still on the Pill at 50? 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