I had a hysterectomy with bilateral oophorectomy and appendectomy due to severe
endometriosis which had infiltrated my ovaries
and was all over my other organs as well (plus a lot of endometriosis was also removed that had adhered to my bowels, bladder, and appendix) . To help me avoid radical menopause sypmtoms, my doctor immediately started me on a .5 mg. Vivelle-dot estrogen patch after surgery, and I felt fine. Two weeks later, he added a 100 mg.