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Menopause.

This book examines some of the controversies in the management of the menopause and postmenopausal health following publication of the US Women's Health Initiative studies and the UK Million Women Study. It also focuses on how to explain risk to women coping with the menopause and the risks in...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Rees, Margaret
Formato: Electrónico eBook
Idioma:Inglés
Publicado: London : Royal College of Obstetricians and Gynaecologists, 2008.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Cover
  • Published titles in the MRCOG and Beyond series
  • Contents
  • Preface
  • Abbreviations
  • 1. Definitions and controversies
  • Introduction
  • Definitions
  • Stages of reproductive ageing
  • The ageing population: postmenopausal health as a public health issue
  • Controversies
  • WOMENâ€?S HEALTH INITIATIVE STUDIES
  • MILLION WOMEN STUDY
  • Further reading
  • 2. Explaining risk
  • Relative risk, absolute risk, attributable risk
  • Odds and hazard ratios
  • Differences between regimens
  • ESTROGEN ALONE VERSUS COMBINED ESTROGENâ€?PROGESTOGEN COMBINED HRT ORAL VERSUS TRANSDERMAL THERAPY
  • Timing of treatment
  • CORONARY HEART DISEASE
  • DEMENTIA
  • PREMATURE MENOPAUSE
  • Balancing risks
  • Further reading
  • 3. Systemic hormone replacement therapy
  • HRT regimens
  • ESTROGENS
  • ROUTES OF ADMINISTRATION
  • Adjusting regimens
  • ESTROGEN ALONE: WOMEN WHO HAVE HAD A HYSTERECTOMY
  • COMBINED ESTROGEN AND PROGESTOGEN: WOMEN WITH AN INTACT UTERUS
  • MENOPAUSAL STATUS
  • Troubleshooting
  • STARTING HRT
  • DURATION OF TREATMENT
  • STOPPING HRTMANAGING THE ADVERSE EFFECTS OF HRT
  • ABNORMAL BLEEDING
  • Further reading and sources of information
  • 4. Non-HRT options for osteoporosis
  • Bisphosphonates
  • Alendronate
  • Risedronate
  • Ibandronate
  • Etidronate
  • Strontium ranelate
  • Selective estrogen receptor modulators
  • Parathyroid hormone peptides
  • Calcitonin
  • Future developments
  • Further reading
  • GENERAL
  • BISPHOSPHONATES
  • STRONTIUM RANELATE
  • SELECTIVE ESTROGEN RECEPTOR MODULATORS
  • PARATHYROID HORMONE PEPTIDES
  • CALCITONIN
  • FUTURE DEVELOPMENTS5. Diet and lifestyle
  • Diet
  • MACRONUTRIENTS
  • MICRONUTRIENTS
  • FUNCTIONAL FOODS
  • THE MEDITERRANEAN DIET
  • FLAVONOIDS
  • Exercise
  • EXERCISE AND THE SKELETON
  • EXERCISE AND THE HEART
  • Smoking cessation
  • Weight reduction
  • Further reading
  • DIET
  • EXERCISE
  • SMOKING CESSATION AND WEIGHT REDUCTION
  • 6. Alternative and complementary therapies
  • Herbal products
  • ACTAEA RACEMOSA (BLACK COHOSH)
  • ANGELICA SINENSIS (DONG QUAI)
  • OENOTHERA BIENNIS (EVENING PRIMROSE)
  • PANAX GINSENG (GINSENG)
  • PIPER METHYSTICUM (KAVA KAVA)GINKGO BILOBA (GINGKO)
  • OTHER HERBS
  • Herbâ€?drug interactions
  • Phytoestrogens: soy and red clover
  • Soy
  • Red clover
  • Homoeopathy
  • Dehydroepiandrosterone
  • Progesterone transdermal creams
  • Physical therapies
  • Further reading
  • 7. Vasomotor symptoms, urogenital and sexual problems
  • Vasomotor symptoms
  • Investigations
  • FOLLICLE-STIMULATING HORMONE
  • LUTEINISING HORMONE, ESTRADIOL AND PROGESTERONE
  • THYROID FUNCTION TESTS (FREE T4 AND THYROID-STIMULATING HORMONE)