Hormone Therapy - Pea Thoughts/Experience

Are they proposing hormone therapy like progesterone/estrogen, or metformin for insulin resistance?

I had a hysterectomy and one ovary removed at age 30 due to endometriosis. It was a great decision for me, I was having horrible pain during my period, during ovulation, and had frequent UTI symptoms.

In my mid 40’s, I started having horrible night sweats/hot flashes and after working with my doctor and research on my own, I decided to use an estrogen only patch. I use a low dose which allows me to sleep (I still have an occasional night sweat) most nights.

ETA: I was not a candidate for a vaginal hysterectomy and my surgery was pre-DaVinci. I had the good old fashion open hysterectomy. I spent two days in the hospital and a full 6 week recovery. A large part of my recovery was a reaction to the Demerol I was given post-surgery. It made me incredibly sick and even with 3 different anti-nausea medications, was still sick to my stomach every 30 minutes or so. That lasted 4 or 5 hours before they changed to morphine and the Demerol cleared my system. 

I had a hysterectomy in April due to atypical cells. I didn't battle endo so I don't have that experience, but I can't imagine battling it and not wanting to be absolutely done with it. I do get the fear of surgery, but it sounds like you've been through a lot and would benefit from the hysterectomy. You mentioned your age is 49 on the other post so likely be a good choice to go from managing to done.

My hysterectomy was done with the Da Vinci robot assisted. I've since been told that it's a less painful surgery that way, but I have no idea if that is true. I was wheeled into surgery between 1-1:30 in the afternoon and I left the hospital at 5:30 pm. I woke up and was asked about my pain level and told them I didn't have any. It was sore, but I didn't consider it painful. I'm guessing they gave me something in the hospital, but I never took anything once I left.

There are lifting restrictions which went on for 6-8 weeks for me, which is annoying but necessary. I felt good, but tired during the weeks after. Had my ovaries removed also. I hadn't felt like I was having many symptoms of perimenopause, but at 50 I should have been headed in that direction. My guess is I must have been one of the lucky ones who didn't/wouldn't have had much for symptoms because my only complaint is occasional hot flushes as my MD called them. Sometimes my face/neck feel hot, but they're quick to go and infrequent (maybe a few a week.)

MD mentioned that if things were bad symptom wise after surgery they'd consider some very short term hormonal therapy, but she wasn't a big fan. While I know surgery can be scary, I think your quality of life would be so much better if you went the surgery route. Good luck with your decisions.