I am 30 years old and I had my cervix, complete uterus, and both fallopian tubes removed in June 2011. I then had both ovaries removed in January 2012. Once the ovaries were removed I was put on HRT (a patch I change twice a week). It is not doing it's job and I feel the risks are going to out weigh the benefits once this whole thing is over because of my age. I have to continue HRT for 20 years. I already take medication for irregular heart rate and one for high cholesterol. I am also on numerous medications for migraines, bipolar, PTSD, social anxiety, GERD. Diabetes, heart disease, high blood pressure and other major medical issues run highly on both sides of my family. My grandmother now has a severe case of Dementia due to her long-term use of HRT ( she had a hysterectomy when she was 28). What would happen if I decided to NOT take HRT? Is there other options I could try or discuss with my doctor? Please help! I am scared!