Do I need hormones if my tubes and ovaries have been removed?

Q: I am 46 years old. Two months ago, my tubes and ovaries were removed. I had a fibroid and the left ovary had a dermoid cyst. I do not have any hot flushes but don't feel really good. Do I need to start taking hormones?

A:If you are doing fine, then there is really no need for any hormones.