Menopause and pregnancy have several symptoms that are similar including weight gain, a missed period, mood swings and bloating and cramping. If a patient is sexually active, it is recommended that they consult their physician for diagnosis. Menopause is official once a patient has gone through an entire year without a period. Prior to this time, the patient is in the stage of perimenopause, which has symptoms including irregular periods, hot flashes and night sweats. During perimenopause, pregnancy is still possible.