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I am 49, periods have not come for 8 months. Can I stop using contraception now or still risk is there?

An AskHer answer: what is known, what depends on you, and what only a clinician can decide.

Nobody asked this one. AskHer’s editorial team wrote the question to open the topic. It is not anyone’s submission, and nobody’s own words are in it.

Written with AI assistance — not yet reviewed by a person Version 1 · Not yet reviewed by a person · English

The short explanation

Not quite yet. Although eight months without a period suggests you are close to menopause, ovulation can still happen occasionally, so pregnancy is still possible. The usual advice is to continue contraception until you have had no periods for two full years if you are under 50, or one full year if you are over 50. Since you are 49, many doctors would suggest continuing until you have gone a full year without a period after turning 50, or two years in total, whichever comes first. If you are using a hormonal method that stops periods, the timing works differently, and your doctor may suggest blood tests or simply continuing until around 55.

What depends on your situation

The parts of this that change from woman to woman. Uncertainty is stated, not hidden.

  • Any bleeding after you have gone a year without a period should be checked by a doctor.
  • Contraception does not need to be complicated at this stage; condoms, a Copper T, a hormonal IUD or progestogen-only methods are common choices.
  • Hot flushes, sleep problems and vaginal dryness can be treated if bothersome.
  • A hormonal IUD can also be used to protect the womb lining with some menopause treatments.

What this answer cannot determine

The boundary of online education. These need a clinician who can see you.

  • This answer cannot tell exactly when you can stop. Your doctor can advise based on your method and history.

Questions for your clinician

Take these with you. You can add any of them to an appointment card.

  1. When can I safely stop contraception?
  2. Do I need blood tests to confirm menopause?
  3. Which method is easiest to continue for now?
  4. What should I do about menopause symptoms?

When to seek help

Clinician-approved guidance for this topic. When in doubt, being seen is never the wrong choice.

Book an appointment soon

  • See a doctor within a couple of weeks if you have any bleeding after a long gap without periods.

Raise it at a routine appointment

  • Book a routine appointment to plan when to stop contraception.

Sources

The evidence this explanation is built on.

  1. Contraception NHS
  2. Intrauterine device (IUD) NHS
  3. Progestogen-only pill NHS

Who wrote and reviewed this

Every AskHer answer names its author. A clinically reviewed answer also names the clinician who signed it off — if no clinician is named below, it has not been clinically reviewed.

Author
AskHer Editorial (AI-assisted draft) AskHer's editorial team — not an individual clinician Works in English, தமிழ், हिन्दी
Clinical reviewer
Nobody yet No clinician has signed this answer off, and no person on the editorial team has read it yet. That is what the “Written with AI assistance” label means. It is queued for an editor to read, and then for a clinician who works in this area. The sources it was drafted against are listed above.
Review status
Written with AI assistance — not yet reviewed by a person
Last reviewed
Not yet reviewed by a person
Version
1

Correction history

Substantive changes are listed, not quietly edited away.

No corrections have been made since this answer was first published.

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