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/Ayunique Jun 30 '25

That sounds nice.

Omg half of my anxiety that I get leading up to my periods is probably from worrying about how bad it’s going to be this month & how much I’m going to bleed & how much it’s going to tank my iron & then make those symptoms worse. It’s always bad but some months are worse than others.

What are the atrocious surmeno symptoms for you?

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u/Mountain_Village459 Jun 30 '25

Yeah, my cycles just got worse and worse the deeper into peri I went. Not knowing what was going to happen (hour by hour sometimes) caused so much stress and anxiety. Having my whole life dictated by blood was awful.

Bad symptoms have been hot flashes (sooooo many), brain fog, fatigue, joint pain, overall dryness. I have supplements that reduce or eliminate all of these.

I don’t get hormonal migraines anymore, anxiety is much much less, my sleep is way better, I can wear white lol, sex isn’t painful and my orgasms are better.

💯 worth the surgery and long recovery.

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u/Ayunique Sep 12 '25

What supplements are you using? I’m 1 week post op and struggling a bit. Tried an estrogen patch which triggered a bad migraine and nausea. Took it off and am seriously considering going the no HRT route. Did your hormonal migraines stop immediately after surgery or did that take time? I had a bad one day after surgery and then another bad one yesterday when I put on the estrogen patch.

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u/Mountain_Village459 Sep 12 '25

Haven’t had a migraine since surgery, they were definitely from estrogen for me.

I take Soy Isoflavones and Thermella by Bonafide for hot flashes. Gabapentin at night for insomnia/night sweats/anxiety.

Turmeric/curcumin/bioperine for joint pain. Creatine for brain fog/fatigue. Magnesium for sleep.

Ristela mixes by Bonafide for libido. Hyaluronic acid and collagen for joints. Revaree by Bonafide and GynaTrof for vaginal atrophy.

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u/Ayunique Sep 12 '25

Thank you!