Hi. Thanx. Yes I'm in peri menopausal, but my pattern had become irregular. Could have 2 periods in 1 month & then nothing for 6 wks. I went on HRT to see if it would settle the long list of perimenopause symptoms & the migraines/vertigo/sickness was having massive impact in everyday life & my work. The surgery has been recommended due to the severity of the migraines/motion sickness & vertigo each & everyday. I understand when you say it seems drastic & I feel the same, its a massive operation to have, their is no other reason or anything else underlying as to why the op. I've never wanted children & won't change my mind now at 49 & the op is the solution offered. Oddly enough I only started having migraines when I started my periods at 15. I suppose no one knows how long it could take to get through menopause & it was Sept 19 when suddenly I got all the sickness & vertigo side starting & worst migraines I've ever had & its taken till Nov 22 before I've seen gynaecologist. I had 1 period after the Leuprorelin injection & again I felt like a flick had switched on the sickness & then a bad migraines & a bleed started, once my system had got through that I started feeling better but the hot flushes started then. I then had a further wk of spotting-symptoms came back but not as severe & since then have eased. Still got odd dizzy/sickness moments for a few seconds & do have headaches daily but it's made a massive difference.