Hi
If you aren't on hrt, and even if you were and on a low dose, as we still have our ovaries post hysterectomy we still get all the period cycle symptoms just no bleeds as we don't have the wombs.
So a few days before our period would have been due and the first few days of our phantom period the Oestrogen levels are rock bottom so all the symtoms are worse. Muscle and general pains, mood, tiredness, emotions etc. As we have oestrogen receptors all over our body we get symptoms everywhere. You mentioned eye pain. I had this too. I even went to the opticians to check it out but my eyes were fine. All the mucus membranes dry out with low oestrogen so dry eyes, sinus problems, dry mouth, dry skin etc etc. I don't have this any more.
You probably notice that everything is much worse for 1 week a month. The trouble is post hysterectomy it is difficult to judge when this time would be. I started trying to predict but this went out of the window. Now I'm on hrt I barely notice it now, and it used to floor me.
I don't get the muscle pain when active, in fact the opposite, it's when I'm inactive. But I certainly did when my arches collapsed. Take a look at your feet when you are stood up. Do they maintain a natural arch or are they flat. Ask somebody to watch as you walk barefooted in a straight line. Are you overpronating, by that I mean are your ankles rolling in as you walk. If so this pulls all your posture out, your knees and hips will go in and your back will be under a lot of strain.
I think the pains may be some nerve pains. I had this for ages and they can start to get really over sensitive and so painful. Did you have an MRI to check your discs weren't trapping a nerve? Mine did go eventually. Nerves are great at regenerating themselves.
Your lifestyle sounds really healthy so nothing to work on there.
I have a hiatus hernia so acid reflux is another joy I have to contend with. I've had this years so can't blame the peri but I know a lot of ladies on here have started with it at this time. I was on the tablets for it a while back but they are bad news so try to keep it under control naturally now with good success. Cut out alcohol, fizzy drinks, caffeine, spicy food, citrus fruit, tomatoes, anything with citrus acid, chocolate, greasy food, sugary food (it's easy after a while honest

). Don't eat huge meals, don't eat late, sit upright 2 hours after eating, have supplements and medication with/after food. Avoid NSAIDs if possible. I find kefir yogurt helps. It could be those supplements you took have irritated your stomach a bit.
I wonder what the ovary pain is? Is it a cycle thing? Does it just happen a couple of days a month? Did you have your Fallopian tubes removed during hysterectomy?
I wonder if, after your ultrasound, it might be worth going to see a meno specialist? It is expensive, but you have these other things to take into consideration. If you have atrophy starting that definitely needs addressing and local hrt (Vagifem) should not effect your ovaries I don't think. You may only need to go a couple of times, they can write to your doctor and then they can take over.
I see Dr Newson, who is a goddess! But she has 12 other specialist doctors and some specialist nurses at her practice. If you haven't already done so check out her website Menopause Doctor, there is loads of info on there and useful podcasts etc.
We are a similar age and you are too young to be going through this without the doctors considering hrt for your current and future health. Hopefully your ovaries are fine and they can just be monitored with ultrasound and you can start hrt. Do try vitamin D3 and Omega 3 supplements though as I found these helped with aches and pains before I started my hrt.
You might want to try full body massages too. These helped me loads and I'm desperate to go back now I've waited ages post surgery. Swedish massage tends to be a good allrounder. Failing this you can self massage with any oil (almond is quite good or boots will probably have something) or rope in your other half. Using palms not pokey fingers!! Also try the Epsom salt baths, hot water bottles etc. X