I have nothing useful to suggest, I just wanted to send my sympathy. Perimenopause has been wrecking havoc on my everything so I feel like I have a tiny sense of what you're going through. My doctor has recommended a bilateral oophorectomy or possible a hysterectomy for me, due to some problems I'm having, and if I go that route I'll be in the same boat as you (though I'm probably older [I'm 47], and appear headed into menopause anyway, so it is different, I know).
My mother had ovarian cancer and after surgery did choose to do HRT. She still takes estrogen now, in her 70s, because life without at least a little bit of estrogen turned out to be too miserable. For her, it is a tradeoff for sure.
Anyway, just wanted to say hang in there, I know it's tough. I wish I had some good advice to offer, but all I've got is this virtual hug! <<<hug>>>
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