Of course there is the chance of pregnancy if you are sexually active, but you could also be in the years of perimenopause when your periods begin to vary in length, spacing, characteristics, etc. You could be ovulating inconsistently so pregnancy is still a possibility even when periods have slowed and even disappeared for a while. Not everyone experiencing menopause has unpleasant side effects such as hot flashes so this is not a good indicator. Even hormone tests are not very reliable here, though they can sometimes give clues that support the onset of menopause. You should continue to use birth control until you are well into menopause, defined as a full year of absent periods, with or without other symptoms.
The perimenopause period can last for several years. It's very inconvenient because you never know when you might expect a period so be prepared at all times. Meanwhile, repeat pregnancy tests weekly until you are quite sure you are not pregnant. The two conditions can definitely mimic each other.
The answers in online forums are for information only and are not intended to substitute for medical advice and care. Please see your personal health care provider for further evaluation of your individual case.
Debbie Miller, RN