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Gynecology & Obstetrics, Endocrinology & Metabolism, Biochemistry - Hormones, Osteology, Pharmacology
Menopause by Rebeckah Wang-Cheng — book cover

Menopause

by Rebeckah Wang-Cheng, Joan M. Neuner (Editor), Vanessa M. Barnabei
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Overview

Menopause is a comprehensive resource for the care and treatment of menopausal and postmenopausal women. Explores menopause from a number of different perspectives and familiarizes clinicians with the medical issues associated with menopause, including physiology, symptomatology, risk factors, the medical evaluation, and hormone therapy and other medical treatments.

•Addresses the major symptoms experienced by the menopausal woman like hot flashes, genitourinary difficulties, sexual concerns, mood and memory issues and their management.
•Focuses on disease prevention educating women on cardiovascular disease, preservation of bone density, meeting nutritional needs, and cancer screening.
•Discusses Hormone therapy-its risks and benefits as well as prescribing method.

Synopsis

Menopause is a comprehensive resource for the care and treatment of menopausal and postmenopausal women. Explores menopause from a number of different perspectives and familiarizes clinicians with the medical issues associated with menopause, including physiology, symptomatology, risk factors, the medical evaluation, and hormone therapy and other medical treatments.

•Addresses the major symptoms experienced by the menopausal woman like hot flashes, genitourinary difficulties, sexual concerns, mood and memory issues and their management.
•Focuses on disease prevention educating women on cardiovascular disease, preservation of bone density, meeting nutritional needs, and cancer screening.
•Discusses Hormone therapy-its risks and benefits as well as prescribing method.

Doody Review Services

Reviewer:Valerie A Omicioli, M.D.,M.S(Washington University School of Medicine)
Description:The authors present scientific evidence to assist healthcare providers and their patients in making decisions to optimize health and well being during the menopause and beyond. The book is divided into three main sections covering diagnosis, therapies, and disease prevention.
Purpose:As the number of menopausal and postmenopausal women in every healthcare provider's office increases, the need for a concise, clinically oriented text is highly relevant to insure that patients enjoy the best quality of life.
Audience:The target audience is primarily busy practitioners. The editors/authors, in addition to participating in several landmark trials including PEPI, HERS, and WHI, are involved in the day-to-day care of menopausal women.
Features:Many women seek care during this life transition to alleviate symptoms, and the authors provide descriptive data on common symptoms and current information on hormonal and alternative therapies. In addition, they review cardiovascular disease prevalence and the impact of lipids, hypertension, exercise, and smoking; diagnosis and treatment of osteoporosis; nutrition; and strategies for cancer prevention. Each chapter begins with several key points in a bulleted list that succinctly summarize the take home message of the chapter. Chapters 7 and 8 discuss hormone therapy and prescribing information. Several figures and tables provide helpful, at-a-glance summaries of risk/benefits, relative dose equivalents, and commercially available hormone formulations, as well as therapeutic regimens. Some of the recommendations are controversial. For example, the authors state that progestins alone can be used to treat vasomotor symptoms of women in whom estrogen is contraindicated, but the safety of progestins in women with a history of breast cancer or venous thrombosis is questionable. In addition, presentation of data is inconsistent: numerical values may be displayed with or without confidence intervals; statistical significance is inconsistently noted. Chapter 11, Table 11-2 lists risk factors for osteoporosis, but omits hyperthyroidism, hyperparathyroidism, and treatment with phenytoin.
Assessment:For obstetricians/gynecologists who seek greater depth of coverage, Menopause Practice: A Clinician's Guide (North American Menopause Society, 2004), may provide more detail. However, any practitioner in family medicine, internal medicine, and obstetrics and gynecology, or residents in these fields, will find this easy to read book informative and/or a good review of pertinent studies and recommendations about mature women's health.

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Editorials

From The Critics

Reviewer: Valerie A Omicioli, M.D.,M.S(Washington University School of Medicine)
Description: The authors present scientific evidence to assist healthcare providers and their patients in making decisions to optimize health and well being during the menopause and beyond. The book is divided into three main sections covering diagnosis, therapies, and disease prevention.
Purpose: "As the number of menopausal and postmenopausal women in every healthcare provider's office increases, the need for a concise, clinically oriented text is highly relevant to insure that patients enjoy the best quality of life. "
Audience: The target audience is primarily busy practitioners. The editors/authors, in addition to participating in several landmark trials including PEPI, HERS, and WHI, are involved in the day-to-day care of menopausal women.
Features: "Many women seek care during this life transition to alleviate symptoms, and the authors provide descriptive data on common symptoms and current information on hormonal and alternative therapies. In addition, they review cardiovascular disease prevalence and the impact of lipids, hypertension, exercise, and smoking; diagnosis and treatment of osteoporosis; nutrition; and strategies for cancer prevention. Each chapter begins with several key points in a bulleted list that succinctly summarize the take home message of the chapter. Chapters 7 and 8 discuss hormone therapy and prescribing information. Several figures and tables provide helpful, at-a-glance summaries of risk/benefits, relative dose equivalents, and commercially available hormone formulations, as well as therapeutic regimens. Some of the recommendations are controversial. For example, the authors state that progestins alone can be used to treat vasomotor symptoms of women in whom estrogen is contraindicated, but the safety of progestins in women with a history of breast cancer or venous thrombosis is questionable. In addition, presentation of data is inconsistent: numerical values may be displayed with or without confidence intervals; statistical significance is inconsistently noted. Chapter 11, Table 11-2 lists risk factors for osteoporosis, but omits hyperthyroidism, hyperparathyroidism, and treatment with phenytoin. "
Assessment: For obstetricians/gynecologists who seek greater depth of coverage, Menopause Practice: A Clinician's Guide (North American Menopause Society, 2004), may provide more detail. However, any practitioner in family medicine, internal medicine, and obstetrics and gynecology, or residents in these fields, will find this easy to read book informative and/or a good review of pertinent studies and recommendations about mature women's health.

Book Details

Published
April 1, 2007
Publisher
American College of Physicians
Pages
212
Format
Paperback
ISBN
9781930513839

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