 [ Symptoms ] how long be on birth controll pills i am age 53 years old 5 2 114lb non smoker and do not drink and do exercise i just had my yearly check up few months ago with my doctor he recommended i be on pills for few more years i use azurette 28 is still have menstration every months do you have any comments [ Disease ] hi i would say 2 years 4 years max as by then the menopause should have taken over your birth control needs but do get blood test done each year as a hormone check this will tell if your menopause is coming hope this helps you good luck