With up to 60 per cent of women experiencing both physical and emotional symptoms during the menopause, including hot flushes, mood swings and loss of libido, managing these symptoms can be a complex task. Managing the Menopause is a highly practical, evidence-based reference, covering all forms of management in detail. Providing guidance on prescribing, as well as the advantages and disadvantages of various products and therapies, particular emphasis is given to addressing concerns over the long-term complications of Menopausal Hormone Therapy (MHT) use. The book contains new chapters on nutrition, ovarian tissue cryopreservation and migraine in the menopause and previous chapters have been fully updated to inform readers of the latest research. Treatment plans are included in the text, helping clinicians to support their patients quickly and effectively. A comprehensive review of the menopause that is easily understood at all levels, this is an essential guide for clinicians.
Example treatment plans are included, leading to the quick and accurate treatment of patients and giving the reader confidence in their decisions
Symptoms and other medical issues are discussed comprehensively, making this an essential reference guide for practising clinicians
Fully updated with the latest research, readers will be confident they are following the most recent guidelines for treatment
Contents
List of Contributors
Foreword
1. Physiology of the Menstrual Cycle and Changes in the Perimenopause Philip J. Dutton and Janice M. Rymer
2. Clinical Features of the Menopause/Post-menopause Gab Kovacs
3. The Ovarian Reserve: Predicting the Menopause Richard A. Anderson
4. Premature Ovarian Insufficiency: Fertility Options Tony Rutherford and Gab Kovacs
5. Premature Ovarian Insufficiency: Optimizing Quality of Life and Long-Term Effects Vujovic Svetlana, Miomira Ivovic, Milina Tancic Gajic, Ljiljana Marina and Svetlana Dragojevic-Dikic
6. Natural Hormone Replacement Therapy After Menopause by Ovarian Tissue Jacques Donnez and Marie-Madeleine Dolmans
7. Migraine in the Menopause E. Anne MacGregor
8. Psychological aspects of the menopause Myra S. Hunter
9. Memory and Mood in the Menopause Michael C. Craig
10. Libido and Sexual Function in the Menopause Claudine Domoney
11. Vulvo-Vaginal Atrophy (VVA) Rossella E. Nappi
12. Pelvic Floor, Urinary Problems and the Menopause Marco Gambacciani, Eleonora Russo, Magdalena Montt Guevara and Tommaso Simoncini
13. The Effect of Menopause of the Musculoskeletal System Jean Calleja-Agius and Mark P. Brincat
14. Hormonal Management of Osteoporosis During the Menopause Panagiotis G. Anagnostis and John C. Stevenson
15. Cardiovascular Disease and the Menopause Marta Caretto, Andrea Giannini , Tommaso Simoncini and Andrea R. Genazzani
16. Gynecological Pathology in the Menopause (Excluding Cancers) John Eden
17. Nutrition and Weight Gain in the Menopause Nigel Denby
18. The Use of Estrogens and Progestogens in Menopausal Hormone Therapy Kugajeevan Vigneswaran and Haitham Hamoda
19. Androgen Therapy for Postmenopausal Women Susan R. Davis
20. Contraception for the Perimenopausal Woman Paula Briggs and Nicola Kersey
21. Hormone Therapy and Cancer Anne Gompel
22. Menopausal Hormone Therapy (MHT) and Venous Thrombosis Sven O. Skouby and Johannes J. Sidelmann
23. The Risk-Benefit Analysis of Menopausal Hormone Therapy in the Menopause Elizabeth Stephenson and Tim Hillard
24. Selective Estrogen Receptor Modulators (SERMs) and Menopausal Hormone Therapy (MHT) Steven R. Goldstein
25. Non-hormonal Treatments for Menopausal Symptoms Jenifer Sassarini
26. Alternative Therapies for the Management of Menopausal Symptoms Edzard Ernst and Paul Posadzki
27. Menopause Symptoms Sarah Gray
Index
Nick Panay is a consultant gynaecologist and Director of the West London Menopause & PMS Centre at Queen Charlotte's & Chelsea and Chelsea & Westminster Hospitals, London, UK. He is an honorary senior lecturer, Imperial College London.
Paula Briggs is a consultant in Sexual and Reproductive Health at Liverpool Women's Hospital, Liverpool, UK.
Gabor Kovacs is Professor of Obstetrics and Gynaecology at Monash University, Melbourne, Australia.
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