If you are in menopause its not as big of a question because you still have all your female parts and there are still manufacturing some hormones just not as many as before. Now can you live on the lowered level, and are the risks worth taking the HRT to make things better? A loot depends on how much better the HRT would make your life.
If you had a hysterectomy then it depends more on whether they removed your ovaries or not. If you still have two, good function ovaries, then will will most likely have no need for HRT, which is great. If you only have one ovary left, then it will depend on if that one can supply the whole body with enough hormones. Of course is you are like me and the took everything out, the suitcase the scarf and the cute balls attached to the scarf, then you definitely need HRT.
My hysterectomy was three and a half years ago. The took everything because of issues in my uterus and my ovaries. Then the dr asked me to wait six months and see how my body did on it's own before trying HRT. That was the start of a long hard struggle and journey. At six months it as awful, so they tried a hormone, upped it as high as it would go, and then try to me that they don't know what to do and send me off to find another doctor. That dr tried a specialized blend of nutrient and hormone supplements, but that didn't work, so now on to another doctor.
Tomorrow I start pellet HRT. In pellet therapy, they run a lot o blood work before the therapy starts to analyze why we need as much of each hormone and create a special bled for each patient. Then the pellets and injected subdermally, just under the skin, so that they will slowly release the same amount of medicine at the same day and they last three to four months! I am really hopeful for the pellet HRT, one because we have never done it yet, but nervous at the same time. I just want this to work.
I am tired of feeling like I am living in someone else's life. I want to make the decisions and enjoy my life. Continue to enjoy my kids and not be so tired and lost all the time.
I will continue to post, comments and keep you updated on how things go.