I have had six children and had a tubal ligation after my 6th child. I am 44 years old and have always been an easy going person. My thoughts tend to lie with if there is nothing wrong with my ovaries and tubes, I should not have them removed and not have to be on the hormone therapy. My doctor says that he recommends all of his patients over 40 to have everything removed. He states that the one advantage to having this done is that I will never go through menopause, unless I do not take my hormones.
Many women do have difficulty with hormone replacement after removal of ovaries.
Doctors usually recommend ovary removal at age 45. Below 40 it's definitely best to leave them in. After 45, the reduction in ovarian cancer outweighs the increase in heart problems if you can't take HRT for 4-5 extra years, and the possible increase in breast cancer. I see many women deciding based on their medical and family history at your age. If there is any colon cancer, breast cancer, or uterine cancer, they choose to have the ovaries removed on the slight chance they have a familial tendency to cancer.