Overview
Main description
"This reference offers evidence-based guidance on the assessment and
treatment of common perimenopausal problems seen in daily office
practice. The text provides an overview of the physiologic and endocrinologic
changes and the staging of perimenopause, as well as discussions
of symptom management and preventive clinical practice. The contributors
also address all major alternative therapies. Guiding questions,
highlighted key points, case studies and references for further study all
make this a useful resource."
Table of contents
Management of the PerimenopauseIntroductory informationApproach to the patientStaging of the Perimenopause (STRAW definition)Perimenopausal Symptom ComplexIntermittent hot flashesCognitive changes Depression, moodiness, irritability, and midlife stressSleep dysfunctionSexual function and change in libidoMigraine and cluster headachesPhysical changesRole of growth hormone in perimenopauseManagement of specific clinical problemsFertility and contraceptionAbnormal uterine bleeding (menorrhagia and menometrorrhagia)Uterine myomaPelvic painOvarian cyst or massBreast pain, mass, or dischargeDepression, moodiness, and PMSVulvodyniaAndrogens and androgen therapyHormone therapy: observational studies to clinical trialsHormone therapy: when and howPreventive clinical practiceCancer screening and preventionCardiovascular health and lipoprotein disorders Preventing osteoporosisThyroid dysfunctionAlternative Medicine UseAlternative Medicine Use in Management of Perimenopause5. Alternative medicine usea. Supplementsb. Soy and phytoestrogensc. Herbsd. Vitamin Ee. Aspirinf. DHEAg. Megavitamins and antioxidants
Author comments
James H. Liu, MD is Professor and Chair, Department of Obstetrics, Gynecology & Reproductive Biology, Case Western Reserve School of Medicine, University MacDonald Women's Hospital.
Margery L.S. Gass, MD is Director, University Hospital Menopause and Obsteoporosis Center, University of Cincinnati College of Medicine.
