Based on what I know, estrogen comes in pills, patches, and vaginal creams. I'm sure it could be injected but it isn't usually. And, if you have your ovaries removed, you'd need to be on some kind of hormone replacement pretty much forever. Surgical menopause can be very rough-- disabling hot flashes several times a day, mood swings, vaginal dryness enough that it becomes uncomfortable to walk. And being without any hormones long-term can lead to osteoporosis bad enough to cause fractures with only minor injuries.