At 44 menopause is possible but statistically unlikely.
If you take a combined pill continuously like I take Zoely, and you have nice stable estradiol levels that are the same every day, and no periods, you do not know if or when you have become postmenopausal.
But it doesn't matter one bit, because you have remained estrogen replete throughout and completely bypassed all the chaos of perimenopause.
One day, in my early to mid 50's I will simply finish my last pack of the birth control pill and the very next day I will take my first menopause hormone therapy pill.
This is what many if not most female gynaecologists do. They aren't dealing with periods and perimenopause and shit like that because they know better, and I just wish this information could be more widely known.