Unfortunately removing the ovaries has its own side effects like going into menopause early and losing hormones. Hormone replacement can actually be dangerous for some people especially if you have a heart condition or some forms of cancer. Hormone replacement after surgery can be risky and can cause certain cancers from what I was told by my OB/GYN when I had my Hysterectomy. They can also cause blood clots too. You would have to put up with moodiness and hot flashes sometimes. You can also get Osteoporosis. Hope this explains it better and doesn't confuse you more.
There are multiple reasons why zoladex is a better option than having your ovaries removed:
Zoladex is not permanent and your ovaries will start working again.
It may not work (eg if your pain is caused more by nerve damage than the endo itself) so you may have lost your ovaries for no good reason.
If you have your ovaries removed you'll get the same side effects as zoladex, as it essentially stops your ovaries working temporarily. HRT can make endo grow again; so having ovaries out and then HRT is a bad idea.
Surgery carries more risks in general.
Surgery causes adhesions which cause more pain.
I would never even consider having my ovaries out unless zoladex has worked well, and I had completed my family. At least with zoladex you have the option of trying for kids later. Having both ovaries out puts you in menopause permanently and not everyone finds their pain improves after this - which is why a hysterectomy plus removal of ovaries is not a cure for endo.
Hope that helps :)
- Zoladex Information for Consumers
- Zoladex Information for Healthcare Professionals (includes dosage details)
- Side Effects of Zoladex (detailed)
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