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The fifth edition of this well-established book provides a new and upbeat approach for the health care of the maturing woman. Women begin to feel older - well before they should - because of the overwhelming menstrual-affiliated changes that occur with reproductive dysfunctions that begin during the mid-thirties. The ensuing clinical events enhance the anxieties and fears in women that have been already overemphasized and exaggerated by the media and commercial commentary.

Menopause

AGING AND THE MENOPAUSE. The menopause and aging. The demographics of aging in women. Pathology of the menopause. Pregnancy in perimenopausal and menopausal women. Women's sexual capacities at mid-life. Quality of life in the menopause. ENDOCRINOLOGY OF THE MENOPAUSE. The sex hormonal continuum in the menopause and geripause. Hormonal changes in the perimenopause and clinical consequences. Sex steroid hormone metabolism in the climacteric woman. Infertility in the older woman. The thyroid in the menopause. CLINICAL PROBLEMS IN THE MENOPAUSE. Surgical care in the menopause. Osteoporosis.Cognitive changes in the menopause. Gynecologic oncology. Urological problems. Menopause and cardiovascular disease. The breast in the menopause. TREATMENT OF THE MENOPAUSAL WOMAN. Therapeutic modifications in the menopausal woman. Pharmacology of hormonal therapeutic agents and routes of hormone replacement. Hormone replacement therapy - a dilemma. Alternative therapies. Nutritional aspects of the menopause. Exercise in the menopause. Ophthalamalogic care in aging. Hearing loss alternatives. Index & Bibliographies