Dr. Hanif warmly Welcomes you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.   Once your uterus is out, its all menopause. No periods. The hormonal imbalance is causing you fatigued and weak. It happens with women of deranged hormones. Consult your Gynaecologist to adjust the dosage of the Elleste Solo. If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures with direct question. Have a wonderful time ahead. Please don t forget to give your valuable feedback and five star rating, to help me assist you always in a better way. Click at Thanks & I Find This Answer Helpful too. Please, write a review on my profile, about your experience with me.   Regards! DR. MUHAMMAD M. HANIF PHILADELPHIA, USA