Hello,
If you have your ovaries removed, you may want to wait and see if you experience any, and to what extent you may experience, menopausal symptoms (particularly hot flushes and vaginal dryness) before deciding whether to start HRT or not. Additionally, being on a SSRI may provide some relief of possible menopausal symptoms.
For your bone protection, you'll want to make sure you are getting an appropriate daily requirement of Calcium (1500 mg/day) and Vitamin D (800 IU), and participate in some degree of weight bearing exercises.
Best wishes,
Dr. Downing
What I mean about being stabilized on my meds is my panic disorder. I still get pmdd during the luteal phase usually until menses end. Sometimes worse than others. Thanks in advance for your advice.