I saw my specialist yesterday and he is suggesting a total hysterectomy and removal of both ovaries and Fallopian tubes - basically the whole lot - given how severe my endometriosis and adenomyosis is. (I had initially thought the good ovary would remain.)
I will also need a bowel surgeon on standby as my bowel is adhered to my uterus. The Dr. said there was a small risk of bowel complications, which could require a colostomy bag for 3-4 months. While this is a small risk, he threw it out there like it was not very significant. I will see the bowel surgeon next week and hopefully learn more about how much risk this is.
If anyone has experienced this surgery, I would appreciate hearing about how you've managed going into menopause and taking HRT, an whether anyone has had bowel complications. I should note I am 42yo and fertility is not an issue.