I'm facing a very difficult decision. I'm having my uterus removed (which is fine), but the doctor said they can take my ovaries at the same time throwing me into a fast menopause. The problem is they can't give me estrogen due to my high blood pressure. I'm worried about how this could effect my bipolar, especially since I tend to be on the manic side. I could wait, but chances are they'll have to go in at a later time and take them anyway. I take lithium & lamitil as my mood stabilizers as well as seroquel & buspar. Has anyone else faced this situation (or similar)? Any ideas on what, if anything, other than estrogen I can take? Any place I can/should be looking? Any suggestions & ideas to look into would be greatly appreciated. PS I have a month or so to decide - I just want to make sure I have more than enough information to make an educated decision.