<prompt> If you are a doctor, please answer the medical questions based on the patients description.My partner is 48 and is menopausal. She is on HRT and has stopped taking the pill. She is quite convinced that she cannot conceive naturally anymore and that we don t need contraception. I am not so sure. As our children are grown up and we don t need to start again what is the likelihood of a natural conception?  <response>: Hi, I guess you concern is about chances of getting pregnant at the age of 48 yrs, that is menopausal stage. Firstly I want to discuss the menopause- it means permanent cessation of menstruation at the end of reproductive life reproductive life is between 15-45 yrs age group, during which maximum chances of getting pregnancy occurs. So once menses stopped, there is no chance of getting conceive naturally. That means after getting menopause there is 0 chances of getting conceive naturally. So DONT WORRY, RELAX. Secondly you told me that your partner is on HRT hormone replacement therapy and has stopped taking pills. After the menopause there is no need of contraceptive pills birth spacing pills. So RELAX. Your partner dont need the extra burden of these pills. But you have not told me that which medicines your partner took under HRT, so I cant comment on this. With the above information you can try out my suggestions:1. RELAX, DONT WORRY, NO NEED TO TAKE TENSION. Your partner is on the safe side.2. You told me that your partner is taking HRT. In my suggestion you can continue it but not for more than 3-5 yrs, because it may cause some harmful effects to your partners body. For that I would like to suggest you to visit your treating doctor or nearby gynecologist for your HRT related pros and cons. Lastly again I want to tell you that after menopause there is no chance of getting pregnant. So live the life with your child Chat Doctor. I hope this information is useful, informative and helpful for you. Let me know if I can assist you further. 