I am scheduled to have this surgery done in 3 weeks. I haven't felt well all summer. My hotflashes have gotten so bad that I'm almost passing out. Can anyone tell me if I will have to have hormones afterwards. I read some of the postings about bio-identical hormones. So I guess I need to do some research on them so I can make an informed decision. I'm also having surgery on my bladder at the same time kinda 2 doctors for the price of 1. I'm waiting to see if my thyroid levels are ok or if I need my dosage increased. It's like a dominoe effect when 1 thing starts everything else falls with it. I would appreciate your opinions with regard to the hormones and if I'll need them. I've spoken to some women that have never taken hormones after this procedure and they are coping fine. I unfortunately have Fibro, Arthritis, Hypthyroidism, GAD. So you can imagine my dilemma with taking more meds than I do now. I'm a single parent with 2 college students and I don't make much money so my options are very limited.