Medical menopause vs surgical - how to make a decision?

Hi I am on Zoladex and Letrozole and in a medical menopause. I have been given the option to have my ovaries removed but no help in making an informed decision taking into consideration risks / benefits. Is was wondering if there is any information / guidance i could get about this so that it can help in my decision making. It feels such a big decision to make after everything else. 

Thank you so much. 

  • Dear coffeemug,

    Thank you for getting in touch and welcome to our online community, I hope you find it supportive. My name is Jo and I am one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

    Making treatment decisions can be difficult. There are several things to consider when you are about to make a decision about treatment. It is good to think about the possible benefits and disadvantages of treatment to help you make the right decision for you. There are no right or wrong answers. What is important is that you have all the information about all the options.

    As you are already taking treatment that has caused medical menopause, you are aware of how this is making you feel. Removal of the ovaries (or oophorectomy) will cause an immediate and permanent menopause. You would then manage any menopause symptoms should they occur.

    Our booklet Making Treatment Decisions might be useful in helping you focus on what’s important to you, which may in turn make your decision clearer. Sometimes talking things through with someone can help. You can speak to friends or family, and ask your healthcare team more questions. It may also be helpful to give one of our specialist nurses a call. We can take time to go over things, and we are always happy to help.

    I hope this information is helpful but if you have any more questions please don’t hesitate to get back in touch.

    Best wishes,


    Jo, Cancer Information Nurse Specialist 


    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or email us.