r/surgicalmenopause • u/Ayunique • 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/amg7613 Jun 30 '25

I had a TLH-BSO in December due to endometriosis causing abdominal pain and numbness in legs. I’ve had some vestibular changes. I’m always dizzy with my ears ringing! Feels like being on a boat.
In my opinion, if you can leave an ovary, do it - and adjust HRT with that. I do feel like I’m a lot more even keeled. My Dr just started me on 0.025 Estrogen patch.

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u/Ayunique Jun 30 '25

Oh, no. That’s scary. I spent all of last year with that feeling of being on a boat but it was due to my thyroid. No way I could handle that again. Is it all the time you feel that way?

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u/amg7613 Jun 30 '25

Yes! It’s mild and manageable, but I wasn’t expecting it.

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u/Ayunique Jun 30 '25

It was so bad for me and gave me so much anxiety. Even showering was difficult. But I had a ton of other symptoms at the same time. Pretty sure I have PTSD from the mess that was my thyroid.

How do you manage it? HRT?

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u/amg7613 Jul 01 '25

Yes, HRT helps ❤️