Synopses & Reviews
A Unique Decision-Making Tool for Daily Practice 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 and Gynecology is a unique series specially 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 Review
"This reference offers evidence-based guidance on the assessment and treatment of common perimenopausal problems seen in daily office practice. The text provides an overview of the physiologic and endocrinologic changes and the staging of perimenopause, as well as discussions of symptom management and preventive clinical practice. The contributors also address all major alternative therapies. Guiding questions, highlighted key points, case studies and references for further study all make this a useful resource."--Sci-Tech Book News
Review
"This reference offers evidence-based guidance on the assessment andtreatment of common perimenopausal problems seen in daily officepractice. The text provides an overview of the physiologic and endocrinologicchanges and the staging of perimenopause, as well as discussionsof symptom management and preventive clinical practice. The contributorsalso address all major alternative therapies. Guiding questions,highlighted key points, case studies and references for further study allmake this a useful resource."
Review
"This reference offers evidence-based guidance on the assessment andtreatment of common perimenopausal problems seen in daily officepractice. The text provides an overview of the physiologic and endocrinologicchanges and the staging of perimenopause, as well as discussionsof symptom management and preventive clinical practice. The contributorsalso address all major alternative therapies. Guiding questions,highlighted key points, case studies and references for further study allmake this a useful resource."
Synopsis
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A Unique Decision-Making Tool for Daily Practice
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 osteoporosisPreventive clinical practice, featuring in-depth coverage of hormone replacement therapiesAlternative 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 series specially 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 managementWhat's the Evidence? questions summarize major clinical trials and their application to daily practiceGuiding Questions review what strategic questions clinicians should ask themselves when first evaluating a patientKey Points are highlighted in the marginsCase Studies demonstrate the clinical application of concepts, and further hone diagnostic skillsReferences facilitate further research or studyAbout the Author
James H. Liu, MD Arthur H. Bill Professor
Chair, Department of Reproductive Biology
Case School of Medicine
Chair, Department of Obstetrics and Gynecology
University MacDonald Women's Hospital
Cleveland, OH
Margery L.S. Gass, MD
Director, Clinical Obstetrics and Gynecology
Department of Obstetrics and Gynecology
University of Cincinnati College of Medicine
Cincinnati, OH
Table of Contents
Contributors Foreword, Sherry Sherman, PhD, National Institute on Aging Preface Section 1: Physiology of the Perimonopause
1. Perimenopause Perspective, Margery L.S. Gass
2. Endocrine Changes and Stages of the Menopausal Transition, Robert W. Rebar
Section 2: Aging and Neurocognitive Changes
3. Management of Hot Flashes, Robert R. Freedman
4. Cognitive Changes in Perimenopause, Robert Krikorian
5. Sleep Disorders in Perimenopausal and Menopausal Women, Diagnosis and Clinical Management, E.O. Bixler and A.N. Vgontzas
6. Perimenopause and Sexuality, Sheryl A. Kingsberg
7. Migraine Headaches, Ken N. Muse
8. Impact of Perimenopause on Physical Appearance and Reproductive Tissues, James H. Liu
Section 3: Pathophysiology
9. Abnormal Uterine Bleeding: Evaluation, Diagnosis, and Treatment, James H. Liu
10. Clinical Management of Uterine Myomas, Karen L. Ashby
11. Evaluation and Management of Pelvic Pain, Thomas Janicki
12. Management of Cystic Ovarian Tumors in the Perimenopausal Woman, Fred R. Ueland, Paul D. DePriest, John R. van Nagell, Jr.
13. Breast Pain, Mass, or Discharge, Elizabeth A. Shaughnessy
14. Hypercholesterolemia and Lipoprotein Disorders, Cynthia A. Stuenkel
15. Depression, moodiness, and Premenstrual Syndrome, Lesley M. Arnold
16. Thyroid Dysfunction, Sona Kashyap, Shahla Nader
17. Vulvodynia, Michael S. Baggish
Section 4: Hormone Therapy
18. Sexual Dysfunction and Androgen Replacement Therapy, Elizabeth A. Wise, Carol J. Mack, James A. Simon
19. Postmenopausal Hormone Therapy: Observational Studies to Clinical Trials, Shari S. Bassuk, JoAnn E. Manson
20. Hormone therapy: When and How? Margery L.S. Gass
Section 5: Preventive Health Strategies
21. Contraception, Paul A. Robb, Daniel B. Williams
22. Cancer Screening and Prevention, Elizabeth V. Brandewie
23. Bone Health in the Perimenopause, Rebecca D. Jackson, W. Jerry Mysiw, Shubhangi Shidham
24. Alternative Medicine Use, Maida Taylor
Index