Hi, Thanks for the query. I understand that you are having a lot of menopausal symptoms after removal of ovaries. You seem to be having a bit of confusion about your current therapy. First of all I would like to inform you that the test is not a cure or treatment. So the zrt will help in determining your hormone levels and response to therapy. Also when you ask about hormone replacement therapy and miniville, I understand that you are talking about using oral drugs rather than patches because miniville is also a form of hormone replacement therapy [HRT]. In miniville the hormones are given in the form of patches and they get absorbed through the skin as oral estrogen hormone is not tolerated by most women. Having said all this I would like to tell you that this is just a part of the workup for HRT. Do undergo the test and if the levels are low, try increasing the dose of miniville. Also take care while applying the patch, press it nicely so that no gaps are left between the skin and patch and change it as prescribed regularly. If it is kept longer than the stipulated time, the drug is exhausted and it will not have any effect. Meanwhile try other measures like eating soya products like soya milk and soya beans as they contain compounds called phytoestrogens that are helpful. Regular exercise, and low fat healthy diet also help. Protein powders like menopro contain phytoestrogens and can be taken with milk teice daily. Have a positive outlook towards life and if needed consult a behavioral therapist or psychiatrist to cope up with this situation and also get drug prescriptions for depression during this acute phase. If needed, oral estrogen can be started to decrease the menopausal symptoms. Please do not loose hope. This is not the end of time. Take care and go ahead with the test. Hope this was helpful, thanks for using HCM.