E-Book Overview
The announcement of the ending of the Women's Health Initiative (WHI) study by the NIH in July 2002 astounded women and health care professionals throughout the world. Putting the WHI data into perspective and presenting guidelines for care of women in the post WHI era, this book focuses on peri- and post-menopausal women. The authors discuss symptom relief through hormonal and non-hormonal medical interventions and include coverage of complementary and alternative choices. The book serves as a guide on testing for post menopausal health problems such as osteoporosis and heart disease and the use of hormonal and nonhormonal medical approaches to maintaining optimum post menopausal health.
E-Book Content
Manual of Management Counseling for the Perimenopausal and Menopausal Patient
A Clinician’s Guide
Manual of Management Counseling for the Perimenopausal and Menopausal Patient A Clinician’s Guide Mary Jane Minkin, MD Yale University School of Medicine, New Haven, CT Karen L.Giblin President and Founder of Prime Plus Inc/ Red Hot Mamas, Ridgefield, CT
The Parthenon Publishing Group International Publishers in Medicine, Science & Technology A CRC PRESS COMPANY
BOCA RATON LONDON NEW YORK WASHINGTON, D.C.
Library of Congress Cataloging-inPublication Data Data available on request British Library Cataloguing in Publication Data Minkin, Mary Jane Manual of management counseling for the perimenopausal and menopausal patient: a clinician is guide 1. Menopause ñ Complications ñ Alternative treatment 2. Menopause ñ Hormone therapy 3. Perimenopause ñ Complications ñ Alternative treatment 4. Perimenopause ñ Hormone therapy 5. Middle aged women ñ health and hygiene I. Title II. Giblin, Karen L. 618.1′75 ISBN 0-203-50316-3 Master e-book ISBN
ISBN 0-203-59632-3 (Adobe eReader Format) ISBN 1842141813 (Print Edition) Published in the USA by The Parthenon Publishing Group 345 Park Avenue South, 10th Floor New York, NY 10010, USA This edition published in the Taylor & Francis e-Library, 2005. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.” Published in the UK and Europe by The Parthenon Publishing Group 23ñ25 Blades Court Deodar Road London SW15 2NU, UK Copyright © 2004 The Parthenon Publishing Group No part of this book may be reproduced in any form without permission of the publishers, except for the quotation of brief passages for the purposes of review.
Contents
Foreword
v
1.
Introduction
1
2.
Perimenopausal management
8
3.
Menopause: disease states
45
4.
Menopause: specific medications
66
5.
Case studies
89
Index
93
Foreword
This is a special book on women’s healthcare that was written for special reasons. Mary Jane Minkin, a widely recognized specialist in menopause medicine, normally writes for her patients but this book is addressed to her colleagues. The book’s tone reflects this change in purpose. Dr. Minkin is alarmed by the erosion of the intellectual approach to women’s healthcare and she aims to help reverse this trend. The cause of unease among Dr. Minkin and her like-minded colleague Karen L.Giblin, a well known menopause educator, is the recent publication of several trials (the Heart and Estrogen/Progestin Replacement Study, the Estrogen Replacement and Atherosclerosis Trial and the Women’s Health Initiative) that study the effects of initiating treatment with estrogen with or without progestin for reasons other than treatment of menopausal symptoms. For practical reasons the trials were performed on older and generally symptom-free menopausal women who had already been postmenopaus