Perimenopause--Preparing for the Change: A Guide to the Early Stages of Menopause and Beyond
Every Woman's Guide to Taking Charge of the Change\ Did you know that the symptoms associated with menopause can begin fifteen years prior to its onset? During this seldom-recognized stage—called perimenopause—many women may experience hot flashes, mood swings, irregular menstrual cycles, sleeping disorders, and what some describe as "PMS all month." It doesn't have to be that way. Authors Nancy Lee Teaff, M.D., and Kim Wright Wiley offer real solutions in a reader-friendly style. Inside...
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Every Woman's Guide to Taking Charge of the ChangeDid you know that the symptoms associated with menopause can begin fifteen years prior to its onset? During this seldom-recognized stage—called perimenopause—many women may experience hot flashes, mood swings, irregular menstrual cycles, sleeping disorders, and what some describe as "PMS all month." It doesn't have to be that way. Authors Nancy Lee Teaff, M.D., and Kim Wright Wiley offer real solutions in a reader-friendly style. Inside you'll learn everything you need to know about this important stage of life, including:·What perimenopause is, how to diagnose it, and what it means to you ·The effectiveness of different medical treatments and natural alternatives ·How to create a healthy lifestyle through stress management, weight control, exercise, diet, and nutrition ·How perimenopause affects sexuality, fertility, and pregnancy This book gives you the tools you need to stay healthy and feel good about yourself—before, during, and after the change.
ContentsForeword Preface1. Perimenopause: Preparing for the ChangeWhat Is Perimenopause?When Will Perimenopause Occur?The Life Cycle of the Ovary The Egg Count Medically Induced Menopause How Do You Know If You're in Perimenopause? Reverse Puberty Diagnostic Tests for Perimenopause An Overall Health Evaluation Your Medical History Why Should You Care?2. Fertility and InfertilityHow to Tell If You're Ovulating How to Get Pregnant An Infertility Consultation: What to Expect Infertility Treatments High-Tech Pregnancies How to Stay Pregnant How Not to Get Pregnant 3. Symptoms and SolutionsHow Bad Will the Symptoms Be?HRT: The Umbrella Treatment Symptoms of Perimenopause Hot Flashes Night Sweats and Insomnia Poor Memory and Loss of Concentration Menstrual Irregularity Mood Swings Declining Libido Vaginal Dryness Urinary Incontinence Headaches Joint Aches and Back Pain Dry Skin, Wrinkling, and Itching4. Hormone Replacement TherapyNatural vs. Medicated Menopause What Does HRT Do?HRT: A Process of Trial and Error How Much Is Enough?What Are the Risks?How Many Hormones Will I Have to Take?Will I Still Have Periods?Dosing Regimens Continuous Estrogen Cyclic Estrogen Plus Cyclic Progestin Continuous Estrogen Plus Cyclic Progestin Continuous Estrogen Plus Continuous Progestin Continuous Progestin Alone Types of Estrogen Premarin17b-Estradiol Estrone Conjugate Tamoxifen and Other SERMs Methods of Administration Pills Patches Vaginal Creams Vaginal Rings Injections On the Horizon: New Methods of Estrogen Administration Types of Progestin Testosterone Replacement On the Horizon: Tibolone, the Combination Pill The Pill Is HRT Forever? 5. Natural Remedies for Menopausal SymptomsNutritional Supplements Soy Flaxseed Vitamin E Omega-3 Fatty Acids Herbal Supplements Black Cohosh (Cimicifuga Racemosa)Dong Quai St. John's Wort (Hypericum)Ginkgo Biloba Mexican Yam Valerian Garlic Kava Ginseng Hormonal Supplements Melatonin DHEA A Symptom-by-Symptom Guide to Natural Remedies Hot Flashes Vaginal Dryness Insomnia or Night Sweats Osteoporosis Heart Disease6. Risky Business: Heart Disease, Osteoporosis, Alzheimer's, and Breast CancerHeart Disease Osteoporosis Building Better Bones Now Alzheimer's Disease Breast Cancer Advice for Women with Family Histories of Breast Cancer Advice for Women with Personal Histories of Breast Cancer Cancer Screening The Bottom Line 7. Wellness: Weight Control, Diet, and ExerciseWeight Control Do Hormones Affect Weight Gain?How Fat Is Fat?Muscle Mass: The Missing Component in Weight Loss Exercise Types of Exercise Exercising for Weight Loss How Does Exercise Counteract Calorie Intake?Walking How Am I Supposed to Work This All In?Some Commonsense Precautions Diet How Many Calories Should You Eat?High Protein vs. High Carbohydrates: What to Believe?Understanding the Dietary Pyramid Portion Size Restaurant Eating Make Changes Gradually . . . and Permanently8. Nutrition, Detoxification, and Stress ReliefStep 1: Increase Your Antioxidants Vitamin A/Beta-Carotene Vitamin C Vitamin E Phytochemicals Calcium Vitamin B6Iron Step 2: Cut Fat Step 3: Eat More Fiber Detoxifying the Body Eliminating Alcohol Eliminating Caffeine Eliminating Nicotine Stress Relief Techniques for Managing Stress Attitude 9. Finding the Right DoctorSchedule a Consultation Is This the Right Doctor for You?Top 10 List of Insensitive Physician Comments What to Expect During an Office Visit If You Opt for HRT When Is It Necessary to See a Specialist? 10.Psychology, Sexuality, and PerimenopauseDoes Perimenopause Cause Depression?Are Mood Swings Worse When Menopause Is Abrupt?Is It All Hormonal?Plastic Surgery Talking to Your Partner Frequency of Sexual Activity Physical Changes in the Genitals How to Combat These Changes Will Your Sex Life Be the Same? 11. Talking with Other WomenBenefits of a Support Group The Women's Stories Claudia Annie Amanda Lynn Debbie Peggy Rituals of Perimenopause 12. Perimenopause: Have It Your WayPatient A Patient B Patient C Patient D Patient ESources Glossary Index
