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.
Table of Contents
1. Perimenopause: Preparing for the Change
What Is Perimenopause?
When Will Perimenopause Occur?
The Life Cycle of the Ovary
The Egg Count
Medically Induced Menopause
How Do You Know If You're in Perimenopause?
Diagnostic Tests for Perimenopause
An Overall Health Evaluation
Your Medical History
Why Should You Care?
2. Fertility and Infertility
How to Tell If You're Ovulating
How to Get Pregnant
An Infertility Consultation: What to Expect
How to Stay Pregnant
How Not to Get Pregnant
3. Symptoms and Solutions
How Bad Will the Symptoms Be?
HRT: The Umbrella Treatment
Symptoms of Perimenopause
Night Sweats and Insomnia
Poor Memory and Loss of Concentration
Joint Aches and Back Pain
Dry Skin, Wrinkling, and Itching
4. Hormone Replacement Therapy
Natural vs. Medicated Menopause
What Does HRT Do?
HRT: A Process of Trial and Error
How Much Is Enough?
What Are the Risks?
How Many Hormones Will I Have to Take?
Will I Still Have Periods?
Cyclic Estrogen Plus Cyclic Progestin
Continuous Estrogen Plus Cyclic Progestin
Continuous Estrogen Plus Continuous Progestin
Continuous Progestin Alone
Types of Estrogen
Tamoxifen and Other SERMs
Methods of Administration
On the Horizon: New Methods of Estrogen Administration
Types of Progestin
On the Horizon: Tibolone, the Combination Pill
Is HRT Forever?
5. Natural Remedies for Menopausal Symptoms
Omega-3 Fatty Acids
Black Cohosh (Cimicifuga Racemosa)
St. John's Wort (Hypericum)
A Symptom-by-Symptom Guide to Natural Remedies
Insomnia or Night Sweats
6. Risky Business: Heart Disease, Osteoporosis, Alzheimer's, and Breast Cancer
Building Better Bones Now
Advice for Women with Family Histories of Breast Cancer
Advice for Women with Personal Histories of Breast Cancer
The Bottom Line
7. Wellness: Weight Control, Diet, and Exercise
Do Hormones Affect Weight Gain?
How Fat Is Fat?
Muscle Mass: The Missing Component in Weight Loss
Types of Exercise
Exercising for Weight Loss
How Does Exercise Counteract Calorie Intake?
How Am I Supposed to Work This All In?
Some Commonsense Precautions
How Many Calories Should You Eat?
High Protein vs. High Carbohydrates: What to Believe?
Understanding the Dietary Pyramid
Make Changes Gradually . . . and Permanently
8. Nutrition, Detoxification, and Stress Relief
Step 1: Increase Your Antioxidants
Step 2: Cut Fat
Step 3: Eat More Fiber
Detoxifying the Body
Techniques for Managing Stress
9. Finding the Right Doctor
Schedule a Consultation
Is This the Right Doctor for You?
Top 10 List of Insensitive Physician Comments
What to Expect During an Office Visit
If You Opt for HRT
When Is It Necessary to See a Specialist?
10.Psychology, Sexuality, and Perimenopause
Does Perimenopause Cause Depression?
Are Mood Swings Worse When Menopause Is Abrupt?
Is It All Hormonal?
Talking to Your Partner
Frequency of Sexual Activity
Physical Changes in the Genitals
How to Combat These Changes
Will Your Sex Life Be the Same?
11. Talking with Other Women
Benefits of a Support Group
The Women's Stories
Rituals of Perimenopause
12. Perimenopause: Have It Your Way
About Kim Wright Wiley
Kim Wright Wiley---mother of two, Lowell Thomas Gold Award recipient, and novelist---wrote the first edition of Walt Disney World with Kids in 1989. More than 20 editions later she's exceeded 50 visits to the parks, a statistic that stuns even her. Her Disney favorites? The Rock 'n' Roller Coaster, the character Eeyore, and the California Grill. When she's not at the theme parks, she's at home in Charlotte, North Carolina.