Surgical menopause is worse to go through than natural menopause by the way, so you would need hormone replacement if you loose them both, and just like p pills, they increase the risk of stroke (especially if you have a
history or family
history of it), breast cancer, etc, and you would need to try to balance the dose yourself if the dose or combination doesnt work for you. I would reckomend you read up on hormone replacement and chat your doctor about it.