I am sort of in menopause but I don't really know because if I am on the lowest dosage possible for the birth control pill how can I really know if I am going 12 months without a period since the pill gives you false one? I am afraid to go off it since I am happily married and still sexually active with my husband. My gyn says that it is good to stay on the pill since it can help me with my hormone fluctuations. I am really confused. I definitely have symptoms of menapause: sleeplessness, moodiness, occasional hot flashed etc. Do I need to find a new gyn and at least one who specializes in menopause. My mom went throught it at 50 but I am going on 53. Last year I had the blood test at the end of the 'cycle' but it said I was only starting...can that be accurate due to the pill?