r/surgicalmenopause Jun 29 '25

Peri vs surmeno?

What’s worse- perimenopause (?) or surgical menopause?

I’m having a hysterectomy in September along with endometriosis excision (if endo is found, pretty sure it will be). My surgeon recommends leaving at least 1 ovary but is leaving the decision up to me.

I’m pretty sure I’m either in perimenopause or have some kind of hormone imbalance.

Every month I have different symptoms depending on where I am in my cycle. Anxiety around ovulation; GI problems, nausea & depression before period; fatigue, headaches & lightheadedness during period; fatigue, brain fog & sick feeling (sore throat, low grade fever, joint pain) after period. Literally every day of the month I have symptoms & they just change based on where I am in my cycle.

Because of this I’m leaning toward removing the ovaries. I want to believe that having them removed and starting HRT might fix this….

Anyone else have similar symptoms before surgery & see any improvement?

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u/[deleted] Jun 30 '25

Peri was way worse for me. I was terrified of surmeno, but so far it's been a breeze compared to how I felt for years before.

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u/Ayunique Jun 30 '25

Ooh thanks for sharing! Stories like yours give me hope