oophorectomy
"I've been using Vivelle Dot 1.0, and other forms of estrogen replacement, since my ovaries were removed six years ago.  The patch is very convenient and works well to manage my menopause symptoms.  While using estrogen my lipids stay normal, my skin isn't as dry or thin, I can sleep well with the addition of some progesterone and I have a much nicer mood.  I need to add vaginal estrogen to avoid vaginal atrophy.  I cover the patch with a waterproof skin cover to keep it attached better and avoid the black glue residue.

After doing much research I have determined estrogen is safe for me in fact important to my overall health particularly my bone health.  I intend to continue to use estrogen for many years to come to maintain my good health."