I had a total hysterectomy at the age of 36 due to an ovarian cycst the size of a grapefruit. (It had become that large in a matter of 3 weeks). They had prepared us for it being cancerous but luckily it was not. When they opened me up, I also had endometrosis everywhere. They literally had to scrape all my internal organs and even removed my appendix. I had already had uteral surgery to help me get pregnant and a C-section with the smiley shaped incision but they had to do a huge incision that goes from above my belly button all the way down to you know what! It kinda looks like an anchor with both incisions. Let me say this was way back in 1986 so alot has changed since then. I took estrogen and progestone for a few years then dropped it to just estrogen. I stoppped that about 10 years ago now and my biggest complaint is that everything on me is dry. I have tried the creams and stuff but nothing seems to work. Hot flashes come and go but overall that isn't my main issue. I still have paps done every three years - its actually more of the lining of course but you should still be checked for endometrial cancer. The estrogen threat is not just for the ovarian cancer but also breast. It was actually my husband who suggested I talk with my doctor about stopping the estrogen as it was being discussed among the doctors at the cancer center where he works in Radiation Therapy. As I said that was 10 years ago or more. So much depends on your age - I was so young at the time, the hormones were basically a necessity but now I am glad I have stopped them.

Okay, when you mentioned the heavy periods, IMO, that's your problem with the anemia and lack of energy. I had that back in '04, and I was put on iron, then given shots to make the blasted bleeding stop. It would stop then start again. I remember just walking from one room to another I'd have to sit down and catch my breath. One day the bleeding got so bad I went to the ER, was given two transfusions then had the hysterectomy a few days later. They kept me on iron for three months afterwards. I remember the heart palpitations which is NOT good. I later read that I came THIS close to having a stroke! Get your Ablation done ASAP. I was such an idiot I didn't know how much danger I put myself in. I guess I didn't tell the doctor just how much I was bleeding. lol. BTW, to this day I've never gotten all my energy back even though I'm not anemic anymore. My anemia lasted a year before I had surgery. Stupid stupid me. lol

Aunt Jen, Hope you come back here and see this reply to you! This might get a little long, but since every woman is different, I feel like you need to know MY circumstances. I always swore I would never take hormones! I was just going to tough it out. I am 47 and "think" I have been in perimenopause for almost 10 years. I was having super heavy bleeding and it had gotten to the point where I couldn't leave the house for a couple of days, and then it was 3 weeks on and one week off! ugh! My gyn had offered in the past for me to take birth control pills to help with the bleeding. Well I also had a tubal ligation 20 years ago and it just didn't settle right with me to take birth control pills. So I just kept "dealing" with it. Then last year it got bad enough that I was going to have a hysterectomy. I was all prepared, and my mother n law was diagnosed wtih Brain Cancer. My DH was the only caretaker living close by, so I knew I couldn't put him through caring for him dying mom and me trying to recuperate from a hysterectomy and still go to work everyday. So, my gyn and I decided I should try an endometrial ablation. It has been a miracle! I have not had one period in a year's time! woohoo! So I do still have my ovaries. Around Christmas last year, I started having strong heart palpitations in the middle of the night when I would get up to go potty. I couldn't believe that walking like 10 steps to and from the bathroom would cause such a thing, and I was convinced I was fixing to have a heart attack or something major! I went to a cardiologist, and convinced him to do a stres test on me, also a chemical one, and everything showed up fine. My blood pressure was up a little, so he put me on a beta blocker, but it's a low dosage. Then later in the spring, I started feeling sort of dizzy, light headed, like I might pass out...even had that feeling driving to church one morning...that really scared me! I just felt very strange and very wierd. And then at the same time, the hot flashes at night started...it felt like 20 times a night I was pushing the covers down, and then 5 minutes later pulling them back up because I was freezing. Not easy to sleep with all that going on!!! So, it got to the point, I was not getting much sleep, and then during the day, the wierd head feeling( i was convinced I had a brain tumor) was keeping me from functioning. I found myself waiting for my hubby to get home from work, and then asking him to drive me to Walmart or to the grocery store, etc...becaue I was too scared to go by myself, for fear of passing out somewhere. It was awful! Then, I had a breakthrough thanks to ThatHOmesite! There is a menopause message board on here, and I started reading threads there and OMG! There were threads about, wierd head feeling, palpitations, feeling like you are going to pass out...and most of these women were right around my age!!!! I couldn't believe it! So, I printed all those things out, and took them to my gyn at my annual checkup in June. I talked to her about it, and she knew I had never wanted to take hormones, and she was also concerned about be taking them so that they didn't start to build up the lining of my uterus that she had ablated. So she recommended I go to our compounding pharmacy and get a saliva testing kit...it was $170 out of my pocket, but I was so desperate, it was worth every penny! So I spit in a tube, and mailed it off to Oregon. A couple of weeks later, the results came back in and my hormones were WAY out of whack AND my adrenals were exhausted. So to answer your question...=), I am on a progeserone/estrogen cream that I use twice daily right now. This cream is made just for me according to my results. There is also a long questionnaire that you fill out about all your symptoms. I am also on DHEA and adrenal forte, to get my adrenals working the way they should again. I started all this about 6 weeks ago, and the difference it has made in my life has been life changing! I would say I am at least 50% better already, maybe even 75% and I feel so much stronger during the day, I have actually been able to start exercising. Couldn't even do that before! The hot flashes at night have all but gone away...there might be a couple sometime, but they are very mild and I seem to fall back asleep easier than I was. I still wake up during the night now, for what reason I don't know. I am going to try cutting out all caffeine, even though I don't consume much of it anyway. But it came down to quality vs. quantity of life for me, and I wound up choosing quality. I have seen my 91 year old mother, be miserable, with not much quality of life, and I just decided I would rather enjoy my life now, instead of just trying to go for quantity of years and be miserable later. I am still trying to take care of myself, in fact, I feel like doing that now where as before the hormones, I really didn't care! So I hope this somewhat helps you. Sorry it took so long to explain, just wanted you to know my own situation. You have to decide what's best for you!

Hi gusser, First of all, I know what you're going through, and I feel your pain. I'm a woman, 53, my BF is 43, and we've been together for over two years. I have been going through the same problems as your Fiance', but my first concern is WHY would a Dr. prescribe HRT when she's still having periods, that is totally wrong, they usually don't give you HRT, until you're done w/ having periods. I was having periods every two weeks and bleeding heavily, this went on for a year, and finally after seeing numerous Dr. I found an OB/GYN that preformed an Endometrial Ablation, and my perods have gone back to normal, and I have one, then skip a month, etc. She really needs to have a thorough exam,ultrasound and get to the bottom of these problems.Usually the heavy bleeding is caused by Fibroids, and having the procedure will, get rid of them, but, they do grow back, unless they are removed surgically. I know this is very frustrating for both of you. Now, about the not seeming interested, that I believe is due to a Hormonal Imbalance, she needs to have her hormones checked, that can be done with bloodwork. Women's Sex drive comes from Testastrone(spelling?)and she could be low in that hormone and/or producing too much estrogen. Urge your Fiance to go and seek a Good OB/GYN and have her write down all the problems she's having, they'll get to the bottom of this, there's no reason for her to suffer like this. Good Luck!