Control: No Surgery

This option is for premenopausal women who are not ready to have surgery because they have not completed their families or do not want surgery for any other reason. Once a year, for three years, participants will have a blood test to measure their hormone levels (FSH) and they will receive questionnaires via email or post. Participants are free to change their mind at any point and switch to one of the surgical arms of the study if they decide to undergo surgery. 

We understand that making a decision about surgery is a personal one and can be very difficult. You may be concerned about the implications of surgery on your quality of life, menopause symptoms, fertility, and reproductive options. You will be able to speak to a doctor about all of these issues. You may also wish to have more support during the decision-making process. Many hospitals have a dedicated team of specialists to support you and manage these aspects. If you feel you will benefit from extra support, please speak to your local team.