Hi.. I'm new to the forum and I have a question. I'm 42 and have been on birth control for 22 years. How would one know if they are in "peri-menopause" if still on the pill? Dr. will not perfom a FSH test until I have been off of them for about a month. I've started having hot flashes off and on and sometimes I'm freezing to death!! Gee, what else is next to come??? Thanks for any input!!