The Menopausal Transition: Interface Between Gynecology and Psychiatry

Front Cover
Claudio N. Soares, Michelle P. Warren
Karger Medical and Scientific Publishers, Jan 1, 2009 - Medical - 149 pages
The interplay of hormones, health and behavior across the female life cycle, especially during the menopausal transition, poses a special challenge to health care professionals.Written by experts, this book brings together the knowledge gained on the menopausal transition from clinical experience and medical research. Topics like 'what to expect' from the menopausal transition, sexuality, sociocultural changes, impact of life stressors, and emergence of depression are discussed. The physiology of thermoregulation and the occurrence of hot flashes are reviewed for a better understanding of vasomotor complaints. Another chapter offers an update on hormonal and nonhormonal treatment strategies by presenting an overview of the management of mood and anxiety during the menopausal transition. The emergence of psychotic symptoms associated with peri- and postmenopausal changes in sex hormone levels is also addressed. Lastly, the book includes an excellent review on the pros and cons of hormonal therapy in the post-Women's Health Initiative era. This book is a must for gynecologists, psychiatrists, endocrinologists, epidemiologists involved in the clinical care of mature women as well as researchers and students interested in obtaining an up-to-date overview of this topic.
 

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Contents

What to Expect
1
Deconstructing the Myths
18
Cultural and Ethnic Influences on the Menopause Transition
41
Nonhormonal Factors Associated with Psychiatric Morbidity during the Menopausal Transition and Midlife
50
What Have We Learned from Epidemiological Studies?
66
Understanding the Basic Pathophysiology of Vasomotor Symptoms
77
The Clinical Role of Vasomotor Symptoms and Sleep Disturbances
88
The Window of Vulnerability
102
The Untold Story
115
Where Do We Stand in the PostWHI Era?
127
Author Index
145
Subject Index
146
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