If she is bloated and her breasts are sore, she probably needs less estrogen. Risk Factors and HRT Studies have shown that women who undergo an early surgical menopause are at higher risk for osteoporosis and heart disease. I'm 41 and had a hysterectomy when I was 29. I'd like to talk with other women with hysterectomies. So unless a patient has strong negative feelings about taking estrogen, I encourage estrogen replacement therapy, which can help alleviate risks of these diseases.
Some gynecologists routinely recommend taking testosterone.
Many doctors start by prescribing estrogen alone, and add testosterone if the patient experiences decreased libido. You should talk with your caregiver to help you decide. Exams If you do keep your ovaries, remember you should have a pelvic exam every year. I do recommend a routine exam even if you don't have ovaries left inside, but it's especially important for women with ovaries in place. If your ovaries remain, you should undergo in a few years what women normally do with menopause, but no irregular periods will signal this time for you.