 This professional resource has been developed by the NAMS Professional Education Committee to meet the need for updated menopause information.
The field of "menopause management" is constantly changing. As with all reference resources, this textbook reflects the best understanding of the science of menopause management at the time of publication, but it should be used with the clear understanding that continued research may result in new knowledge.
This textbook is published solely by NAMS. Special thanks are owed to the Society members and other experts who contributed so much of their time, knowledge, and energy.
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Inside Front Cover
Preface
Contributors & Disclosures
A. Overview of menopause and aging
Terminology
Demographics
How to evaluate the medical literature
Suggested reading
B. Normal physiology
Age at menopause
Ovarian aging, hormone production, and regulation
Hypothalamic-pituitary-ovarian axis
Adrenal physiology and menopause
Receptor activity
Suggested reading
C. Common clinical issues during perimenopause and beyond
Decline in fertility
Uterine bleeding changes
Vasomotor symptoms
Sleep disturbances
Headache
Cognition
Psychological symptoms
Vulvovaginal symptoms
Sexual function effects
Urinary concerns
Pelvic pain
Weight gain
Cardiovascular effects
Skeletal system effects
Dental and oral cavity changes
Skin changes
Hair changes
Ocular changes
Hearing changes
Arthritis and arthralgia
Suggested reading
D. Management of premature menopause
Natural premature menopause
Induced menopause
Suggested reading
E. Disease risk
Osteoporosis
Cardiovascular disease
Diabetes mellitus
Cancers
Sexually transmitted infections
Thyroid disease
Epilepsy
Asthma
Gallbladder disease
Suggested reading
F. Clinical evaluation
History gathering
Physical examination
Diagnostic and screening tests
Suggested reading
G. Hormonal drugs
Contraceptives
ET and EPT
Androgen
Selective estrogen-receptor modulators
Over-the-counter (OTC) hormones
Suggested reading
H. Nonprescription therapies
Government regulations for dietary supplements
Vitamins and minerals
Other supplements
Vaginal lubricants and moisturizers
Topical agents for sexual pleasure
Suggested reading
I. Complementary and alternative medicine
Alternative medical systems
Mind-body medicine
Manipulative and body-based methods
Energy medicine
Biologically based treatment
Suggested reading
J. Counseling issues
Social and cultural aspects of care
Lesbian health
Lifestyle and behavior modification
Treatment counseling
Importance of listening and building trust
A time of new beginnings
Suggested reading
Index |