
A Modern Approach to the Perimenopausal Years
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Content
- Intro
- Contents
- Opening remarks
- Prologue
- 1. Physiology and pathophysiology of the perimenopausal years
- Some aspects of oogenesis, follicular growth, and endocrine involution
- The climacteric syndrome
- Skin and the menopause
- Osteoporosis: occurrence and diagnosis
- Lipids, hormonal status and the cardiovascular system in the postmenopause
- Psychosocial aspects in the perimenopause
- The bladder in the menopausal woman
- Discussion
- 2. Management of the climacteric patient
- 2.1. General aspects
- The influence of nutrition and exercise
- Non-hormonal medication
- Discussion
- 2.2. Hormonal treatment
- Selection of patients - kind and duration of treatment
- Routes of estrogen administration
- Sex steroids and lipoproteins
- Discussion
- 2.3. Risk-benefit evaluation of hormonal therapy
- Prospective study on long term risk of hormone replacement therapy
- Long-term metabolic effects of estrogen therapy
- Hormonal replacement therapy and breast cancer
- Prevention of endometrial abnormalities
- Estrogen/progestogen as a prophylactic treatment of postmenopausal osteoporosis
- Discussion
- 2.4. Special aspects in premenopausal women
- Management of the premenstrual syndrome
- Contraception in premenopausal age
- Discussion
- Closing remarks
- Epilogue
- List of contributors
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