Management of the Perimenopause (eBook)

Management of the Perimenopause
By:Gass, Margery L.S.; Gass, Margery; Liu, James;
Pub Date:May 23rd 2010
Format:Electronic book text 360 pages
ISBN:0071491937 / 9780071491938
Your Price:$108.00 ADD TO CART
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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


    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


    b.Soy and phytoestrogens


    d.Vitamin E



    g.Megavitamins and antioxidants


    Author Information

    Downloads & Resources


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