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 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.

    Copyright 2014 McGraw-Hill Global Education Holdings, LLC


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