Management of the Perimenopause

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May 23, 2010


Electronic book text, 360 pages

Other Formats


0071491937 / 9780071491938

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Main description


This evidence-based resource provides easy-to-use, expert guidance on the assessment and treatment of common perimenopausal problems seen in daily office practice. After a brief overview of physiologic and endocrinologic changes, and the staging of the perimenopause (by STRAW definition), you'll find practical, easy-to-access coverage of:

  • Management of specific symptoms and problems, such as hot flashes, cognitive changes, breast masses, and osteoporosis
  • Preventive clinical practice, featuring in-depth coverage of hormone replacement therapies
  • Alternative therapies, including vitamins, herbs, and phytoestrogens

    Separate sections cover screening tests and all major alternative therapies.

    About the Practical Pathways Series:

    Practical Pathways in Obstetrics & Gynecology is a unique new series especially designed to tackle the challenging clinical topics encountered in daily practice. Each title in the series features a standardized, user-friendly approach that guides you systematically through evaluation, diagnosis, and management:

  • A high-yield, algorithmic Pathway at the start of most chapters provides an "at-a-glance" summary of recommended management
  • What's the Evidence? questions summarize major clinical trials and their application to daily practice
  • Guiding Questions review what strategic questions clinicians should ask themselves when first evaluating a patient
  • Key Points are highlighted in the margins
  • Case Studies demonstrate the clinical application of concepts, and further hone diagnostic skills
  • References facilitate further research or study

  • Table of contents

    Management of the Perimenopause Introductory information Approach to the patient Staging of the Perimenopause (STRAW definition) Perimenopausal Symptom Complex Intermittent hot flashes Cognitive changes Depression, moodiness, irritability, and midlife stress Sleep dysfunction Sexual function and change in libido Migraine and cluster headaches Physical changes Role of growth hormone in perimenopause Management of specific clinical problems Fertility and contraception Abnormal uterine bleeding (menorrhagia and menometrorrhagia) Uterine myoma Pelvic pain Ovarian cyst or mass Breast pain, mass, or discharge Depression, moodiness, and PMS Vulvodynia Androgens and androgen therapy Hormone therapy: observational studies to clinical trials Hormone therapy: when and how Preventive clinical practice Cancer screening and prevention Cardiovascular health and lipoprotein disorders Preventing osteoporosis Thyroid dysfunction Alternative Medicine Use Alternative Medicine Use in Management of Perimenopause 5.Alternative medicine use a.Supplements b.Soy and phytoestrogens c.Herbs d.Vitamin E e.Aspirin f.DHEA g.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.

    Copyright 2014 McGraw-Hill Global Education Holdings, LLC


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