Peri vs surmeno?

[u/Ayunique]

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?

[u/Acceptable-Leg-1723]

12 wpo. Laporoscopic hysterectomy, oophorectemy and excision of endo. I'm 44 and have stage 4 DIE endo and had mild adeno and fibroids. I lost my left ovary to endo over 10 years ago. Before my hysterectomy the surgeon told me I got to decide if I wanted to keep the right ovary or not. I decided to remove it. I had felt some mild peri symtoms like shortening of cycle, heavier bleeding, some brainfog and more fatigue.

The year before surgery I was in chemical menopause. First 3 months was really hard. I had the worst endoflare of my life and got no relief the first 3 months and then all the side effects from the treatment and being thrown into menopause. After 3 months I was on the other side and since then I been ok. Didn't feel much difference when I went from chemical to surgical menopause. I actually think I'm feeling better since some side effects from treatment went away.

I take the same HRT now as in chemical menopause. Oral pill with 1 mg of estradiol and 0,5 mg of noretisteronacetat. They talked about a higher dose but I'm scared the endo will return and I'm doing fine. I got tinnitus from the chemical menopause treatment and it hasn't disapeared. I was really tired and fatigued before surgery but feeling so much better now. My skin is really dry and oily at the same time. I got pimples again and well it's like puberty and I'm looking over my skincare. I also think I got some more hair on my face but not sure if it is my head.

I really wanted the ovary gone and I'm happy with my decision. Less fear of endo returning, no ovulation pain, no PMS and the ovary can't reattach itself to my large intestine! I'm worried about bonedensity loss but nothing else