I can empathize with you, but autoimmune diseases such as Sjogren's are not caused by hysterectomies although they certainly can cause problems in pregnancies, such as eclampsia and spontaneous miscarriage. Currently, scientists believe that there is both a genetic and environmental component such as virus exposure to autoimmune diseases, but the mechanism remains unknown as to what exactly causes the immune system to kick into hyperdrive. I have secondary Sjogren's caused by my CREST (an old term for a type of systemic scleroderma) and know something of your feelings. I had an emergency C-Section too, by the way. Learn as much as you can about Sjogren's from your Dr and reliable Internet sources. There are a lot of sites that will prey on you, and your worries with worst possible outcomes, if not out and out misinformation. so check your sources. As far as letting your family know, that is up to you, how much you care to share, but you are not alone at least, and as you go along, I think the medicines will start working - many of them do take time - and that will certainly help. I think too, that as you learn to manage your symptoms, you WILL feel more in control. As to the pills, and eyedrops, and such, at least in my case, I have learned to appreciate them as I have benefitted from them. as my family says, Mom can't do without her "spit pills". There are plenty of support groups for sjogren's available, both in person and through the internet. Remember that you are not "inflicting" this on anyone. It is a disease to be managed like any other, and medicine, like life, sometimes doesn't have an answer, whether we like it or not. I hope this helps a little to let you know that what you are feeling right now is something that most, if not all, patients with autoimmune diseases, have felt at one time or another. I have been diagnosed for 10 plus years, and had symptoms long before then when my children were little and am now 51 so I have had a little more time to get adjusted
. Take care and let us know how you're doing.