I have been on Livial for about 10 years and I have been in good health in all respects. I have had a hystorectomy and both ovaries have been removed. In a few months I am having an op ( cosmetic) and have been told to come off Hrt.Why is this neccesary? also does Livial count as much as say premarin would ?? I have not taken Livial for about 4 weeks now, and am having hot flushes and bad nights sleep, and feel fed up. I was only taking Livial every other day because I was wanting to reduce any risks associated with taking tabs. so was surprised that I have had such marked withdrawl symptoms.