Geripause: Medical Management during the Late Menopause
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Geripause is a newly coined term referring to the time of anatomic and hormonal changes experienced by women after menopause. In this volume, 17 contributions from researchers and clinicians address a variety of topics related to this stage of life, including gait disorders, osteoporosis, urological issues, and cognition in the geripause. The final chapter looks at ethical and end-of-life issues. Eskin teaches obstetrics and gynecology at Drexel U. and Troen teaches gerontology at the U. of Miami. Annotation (c)2003 Book News, Inc., Portland, OR Doody Review Services Reviewer:David O. Staats, MD(University of Oklahoma Health Sciences Center)Description:This is a multiauthored book that talks about the "geripause"-- that phase of a woman's life from menopause until death. Thus this book is about health and disease of older women.Purpose:The authors' purpose is to provide a primer on the "geripause" in order to make clinicians more aware of the entity. This book looks to synthesize gynecology and geriatrics, but misses the mark in a number of areas.Audience:This book is written for those physicians caring for women at the menopause and beyond.Features:The book is divided into three parts: effects of aging, the clinical approach to older women and a concluding discussion of ethics and older women. Some of the chapters are excellent, particularly Fred Sherman's elegant synthesis of assessment of older women. That the chapter on female sexuality by Eskin acknowledges the existence of older lesbians should be met with loud hosannas, even though this theme is not as developed as it might be. Noticeable by their absence are chapters on breast cancer, the impoverishment of older women, and elder abuse.Assessment:This book was written before the latest bad news about hormone replacement therapy had become available, making its otherwise excellent discussions of the hormonal changes of aging now somewhat skewed. This book attempts to be a synthesis of geriatrics and gynecology of older women. It selects elements of the two areas that, however, do not produce a pleasing whole when mixed together.
List of ContributorsForewordPrefaceAcknowledgementsPt. IThe Effects of Age11Geripause32Diversity of health-related attitudes and strategies of older patients113Endocrinology of postmenopause and geripause174Pharmacology315Cognition in the geripause516Sexuality in the geripause597Gynecological changes of the geripause69Pt. IICare of the Older Patient778Approach to the elderly patient799Functional assessment in the geripause8310Therapies of the geripause: hormone replacement and modifications9311Neuromuscular conditions: definition and epidemiology of falls and gait disorders11312Cardiovascular disease in the geripause12313Osteoporosis13914Urological issues in the aging woman15515Surgery in the postmenopausal and geripausal patient16916Gastrointestinal disease in the geripause175IIIConclusions and Commentary18517Ethical and end-of-life issues187Epilogue197Index199
