Thank you, Sue and Darlene, for your advice. I see my Neurologist this afternoon and hope for some clarification. I have read that Neurontin can help with hot flashes. Maybe that can be added to the Keppra.

I think people with epilepsy are the only ones who can relate to the fear of having a seizure and what I call "confidence building" that you go through to feel comfortable that the seizure will not happen. When I was a child, I had grand mal seizures. When they started up again as a teenager after some years being seizure free, it took me time to adjust and "build my confidence" that they weren't going to happen during the day time (since I only get them in my sleep). I feel like this new journey is going to require "confidence building" all over again, which makes me anxious and sad. I am sure that since I have never had seizures in the day time that it wouldn't present that way now, but I just have this great fear of having them at work, or not being able to drive. I feel like this light switch is going to go off and they are going to get worse. One time years ago a neurologist said that a time to watch for is when I go through menopause. I don't know why this doctor said that. Maybe I have built this up in my head all these years. For me, the risk of having a change in seizures creates more fear in my mind than fear of developing ovarian cancer. So I do tend to lean towards leaving in at least one ovary to see if that will help. But I hope my neurologist can allay some fears today.

Thanks again, and thank you also for your kind words and prayers. (I found out that a re-review of my pathology slides does show stage 1 endometrial cancer, so hopefully it will be taken care of with the surgery and I will not need treatments.)