Current Management of the Menopause

In the next few decades, an estimated one billion women will reach menopause. They will depend on the preventative measures, management, and advice provided to them by their gynecologist or general practitioner. At a time when doubts and criticisms have been raised concerning the real benefit and the justification of peri- to postmenopausal estrogen-progestogen substitution, especially for long-term primary prevention, an authoritative resource summarizing the established facts and clarifying the lines of the debate will go a long way toward dispelling confusion and setting the standard for treatment. The most up-to-date and comprehensive international work on menopause and postmenopause, Current Management of the Menopause defines the menopause and explores how it affects different systems in the body. Drawing on the expertise of an international panel, the editors include discussions of the non-medical aspects, such as women's reactions to making a transition into a new phase of life. The experts fully explain the medical issues, addressing controversies, such as the place of HRT in treatment of menopausal patients, head-on. They provide an analysis of the sometimes overwhelming amount of information available and explore how to transfer it into clinical practice.

Table of Contents:
Foreword, E. Diczfalusy Preface, C. Lauritzen and J. Studd After the Women's Health Initiative abd Million Women Study, J. Studd and C. Lauritzen THE THIRD PART OF LIFE Basic Facts and Definitions, C. Lauritzen Social Structure and Social Medicine, A. Rieder Menopausal Changes of Ovaries and Hypothalamus-pituitary and Cerebral Function, A.R. Genazzani, F. Bernardi, N. Pluchino, C. Ceccarelli, and M. Luisi Premenopausal Cycle Anomalies, M. Neves-e-Castro History of Estrogen-progestogen Replacement Therapy, H. Rozenbaum THE PATIENT'S PERSPECTIVE The Awareness of the Menopausal Woman Concerning the Menopausal Transition, S. Palacios The Considerations, Hopes and Fears of the Menopausal Woman, C. Zelinsky HORMONE THERAPY AND REPLACEMENT The Climacteric Syndrome, G.-A. Hauser Practice of Hormone Substitution, C. Lauritzen Mechanisms of Action of Sex Steroid Hormones and their Analogs, C. Ibanez and E. Baulieu Estrogens, Progestogens and the Endometrium, D.W. Sturdee Estrogen Deprivation and Hormone Replacement Therapy, I.F. Godsland Possible Side-effects of Sexual Hormones, G. Creatsas ROLE OF HORMONES IN PREVENTIVE GYNECOLOGY Osteoporosis, N.H. Bjarnanson and C. Christionsen Hormone Replacement Therapy (HRT) and Atherosclerotic Vascular Disease, E. Windler Direct Vascular Actions of Estrogens, A.O. Mueck and H. Seeger Neurotropic and Psychotropic Action of Estrogens: Implications for Alzheimer's Disease, P. Schonknecht, J. Pantel, J. Schroder, and K. Beyreyther Sexuality in Postmenopause and Senium, A. Graziottin Estrogens and Urogenital Atropy, D. Robinson and L. Cardozo Estrogens in the Treatment of Premenstrual, Postnatal and Perimenopausal Depression, J. Studd Anti-aging and Esthetic Endocrinology, C.J. Gruber and J.C. Huber Skin and Connective Tissue, M.P. Brincat, Y. Muscat Baron, and R. Galea Lifestyle Counseling, A.S. Wolf Phytoestrogens, H. Adlercruetz Possible Risks of Hormone Replacement Therapy (HRT): Venous Thromboembolism (VET), I. Greer Gall Bladder, Liver and Pancreas, H. Kuhl Cancerogenesis and the Role of Hormones: Promotion and Prevention, H.P.C. Schneider Strategies for Prevention of Breast and Gynaecologic Cancer, C. Lauritzen Benefits, Risks and Costs of Estrogen and Hormone Replacement Therapies, C. Lauritzen MISCELLANEOUS Information Sheet for Climacteric Women, C. Lauritzen The Male Climacteric, B. Lunefeld Future Developments, C. Lauritzen Index