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Perimenopause Preparing For The Change - Nancy Lee;Wiley, Kim Wright; Teaff

Perimenopause Preparing For The Change

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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 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.

Every Woman's Guide to Taking Charge of the Change

Forewordp. xiii
Prefacep. xv
Perimenopause: Preparing for the Changep. 1
What Is Perimenopause?p. 2
When Will Perimenopause Occur?p. 3
The Life Cycle of the Ovaryp. 6
The Egg Countp. 6
Medically Induced Menopausep. 8
How Do You Know If You're in Perimenopause?p. 11
Reverse Pubertyp. 12
Diagnostic Tests for Perimenopausep. 12
An Overall Health Evaluationp. 14
Your Medical Historyp. 15
Why Should You Care?p. 18
Fertility and Infertilityp. 21
How to Tell If You're Ovulatingp. 22
How to Get Pregnantp. 23
An Infertility Consultation: What to Expectp. 25
Infertility Treatmentsp. 27
High-Tech Pregnanciesp. 28
How to Stay Pregnantp. 30
How Not to Get Pregnantp. 31
Symptoms and Solutionsp. 33
How Bad Will the Symptoms Be?p. 35
HRT: The Umbrella Treatmentp. 35
Symptoms of Perimenopausep. 36
Hot Flashesp. 36
Night Sweats and Insomniap. 38
Poor Memory and Loss of Concentrationp. 40
Menstrual Irregularityp. 42
Mood Swingsp. 43
Declining Libidop. 45
Vaginal Drynessp. 46
Urinary Incontinencep. 49
Headachesp. 50
Joint Aches and Back Painp. 51
Dry Skin, Wrinkling, and Itchingp. 52
Hormone Replacement Therapyp. 55
Natural vs. Medicated Menopausep. 56
What Does HRT Do?p. 60
HRT: A Process of Trial and Errorp. 60
How Much Is Enough?p. 62
What Are the Risks?p. 63
How Many Hormones Will I Have to Take?p. 65
Will I Still Have Periods?p. 66
Dosing Regimensp. 67
Continuous Estrogenp. 67
Cyclic Estrogen Plus Cyclic Progestinp. 67
Continuous Estrogen Plus Cyclic Progestinp. 68
Continuous Estrogen Plus Continuous Progestinp. 68
Continuous Progestin Alonep. 69
Types of Estrogenp. 70
Premarinp. 70
17b-Estradiolp. 70
Estrone Conjugatep. 70
Tamoxifen and Other SERMsp. 71
Methods of Administrationp. 72
Pillsp. 72
Patchesp. 73
Vaginal Creamsp. 74
Vaginal Ringsp. 75
Injectionsp. 76
On the Horizon: New Methods of Estrogen Administrationp. 76
Types of Progestinp. 77
Testosterone Replacementp. 79
On the Horizon: Tibolone, the Combination Pillp. 80
The Pillp. 81
Is HRT Forever?p. 82
Natural Remedies for Menopausal Symptomsp. 83
Nutritional Supplementsp. 85
Soyp. 85
Flaxseedp. 87
Vitamin Ep. 87
Omega-3 Fatty Acidsp. 87
Herbal Supplementsp. 88
Black Cohosh (Cimicifuga Racemosa)p. 88
Dong Quaip. 89
St. John's Wort (Hypericum)p. 89
Ginkgo Bilobap. 90
Mexican Yamp. 90
Valerianp. 91
Garlicp. 91
Kavap. 92
Ginsengp. 92
Hormonal Supplementsp. 93
Melatoninp. 93
DHEAp. 94
A Symptom-by-Symptom Guide to Natural Remediesp. 95
Hot Flashesp. 95
Vaginal Drynessp. 95
Insomnia or Night Sweatsp. 95
Osteoporosisp. 96
Heart Diseasep. 96
Risky Business: Heart Disease, Osteoporosis, Alzheimer's, and Breast Cancerp. 99
Heart Diseasep. 100
Osteoporosisp. 103
Building Better Bones Nowp. 108
Alzheimer's Diseasep. 110
Breast Cancerp. 112
Advice for Women with Family Histories of Breast Cancerp. 116
Advice for Women with Personal Histories of Breast Cancerp. 117
Cancer Screeningp. 120
The Bottom Linep. 120
Wellness: Weight Control, Diet, and Exercisep. 123
Weight Controlp. 124
Do Hormones Affect Weight Gain?p. 124
How Fat Is Fat?p. 125
Muscle Mass: The Missing Component in Weight Lossp. 126
Exercisep. 127
Types of Exercisep. 127
Exercising for Weight Lossp. 131
How Does Exercise Counteract Calorie Intake?p. 133
Walkingp. 134
How Am I Supposed to Work This All In?p. 137
Some Commonsense Precautionsp. 138
Dietp. 140
How Many Calories Should You Eat?p. 140
High Protein vs. High Carbohydrates: What to Believe?p. 142
Understanding the Dietary Pyramidp. 144
Portion Sizep. 145
Restaurant Eatingp. 146
Make Changes Gradually ... and Permanentlyp. 149
Nutrition, Detoxification, and Stress Reliefp. 151
Increase Your Antioxidantsp. 151
Vitamin A/Beta-Carotenep. 153
Vitamin Cp. 153
Vitamin Ep. 153
Phytochemicalsp. 154
Calciump. 154
Vitamin B[subscript 6]p. 155
Ironp. 155
Cut Fatp. 155
Eat More Fiberp. 157
Detoxifying the Bodyp. 158
Eliminating Alcoholp. 158
Eliminating Caffeinep. 160
Eliminating Nicotinep. 160
Stress Reliefp. 162
Techniques for Managing Stressp. 162
Attitudep. 166
Finding the Right Doctorp. 169
Schedule a Consultationp. 171
Is This the Right Doctor for You?p. 172
Top 10 List of Insensitive Physician Commentsp. 174
What to Expect During an Office Visitp. 174
If You Opt for HRTp. 176
When Is It Necessary to See a Specialist?p. 177
Psychology, Sexuality, and Perimenopausep. 179
Does Perimenopause Cause Depression?p. 180
Are Mood Swings Worse When Menopause Is Abrupt?p. 182
Is It All Hormonal?p. 182
Plastic Surgeryp. 186
Talking to Your Partnerp. 187
Frequency of Sexual Activityp. 188
Physical Changes in the Genitalsp. 190
How to Combat These Changesp. 192
Will Your Sex Life Be the Same?p. 193
Talking with Other Womenp. 197
Benefits of a Support Groupp. 198
The Women's Storiesp. 199
Claudiap. 199
Anniep. 200
Amandap. 201
Lynnp. 203
Debbiep. 203
Peggyp. 205
Rituals of Perimenopausep. 207
Perimenopause: Have It Your Wayp. 209
p. 210
p. 210
p. 211
p. 212
p. 213
Sourcesp. 215
Glossaryp. 219
Indexp. 225
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780761519287
ISBN-10: 0761519289
Audience: General
Format: Paperback
Language: English
Number Of Pages: 236
Published: 1st August 1999
Country of Publication: US
Dimensions (cm): 21.4 x 14.0  x 1.6
Weight (kg): 0.3
Edition Number: 2
Edition Type: Revised