question re hormone replacement post surgical menopause

[Guest guest]

I have been trying to find information on hormone replacement for

women with surgical menopause (no ovaries, no uterus). Amazingly though

I did find an article that said approx 600,000 hysterectomies per year

were performed in the years 1990 to 1997, I cannot find anything

specific about what castrated women need.

What I'm finding is instead very brief mention of

hysterectomy/removal of ovaries (from a paragraph to a sentence in very

large books!), but so far everything I've read about hormone

replacement is really for women who are intact but are post menopausal.

It seems to be generally assumed that hormone replacement is the same

for both, but I don't see how that makes sense, since a uterus has

hormone receptors, and so do ovaries. Those of us without those organs

no longer have those receptors, so how could the hormone

needs/appropriate doses and so forth be the same?

Getting very frustrated, can anyone point me to info specifically for

women who no longer have a uterus or ovaries?

thanks,

sol