Managing the Menopause
21st Century Solutions

Since the Women's Health Initiative report of 2002, there has been reluctance to provide women with hormone replacement therapy due to a lack of clarity about the potential risks. This book reviews all aspects of the menopause and places the benefits and risks of hormone therapy into perspective. It fully informs the reader regarding the evidence base of all aspects of menopause medicine and can be used either as a reference book to solve specific problems, or as a book to be read cover-to-cover. It will provide the reader with the latest information and as a result encourage confidence in managing menopause related problems. This practical, evidence-based guide is suitable for all health professionals managing the menopause including gynaecologists, sexual and reproductive medicine specialists, general practitioners and trainees in any of the above specialties.

Foreword; Preface; 1. Physiology of the menstrual cycle and changes in the perimenopause Philip James Dutton and Janice Mary Rymer; 2. The ovarian reserve: predicting the menopause Richard A. Anderson; 3. The history and politics of menopause Barry G. Wren; 4. Clinical features of the menopause transition Paula Briggs and Gab Kovacs; 5. Hormone replacement therapy and cardiovascular disease Tommaso Simoncini, Elena Cecchi and Andrea R. Genazzani; 6. Pelvic organ prolapse and incontinence in association with the menopause Ajay Rane and Jay Iyer; 7. Vulvo-vaginal atrophy Rossella E. Nappi and Barbara Gardella; 8. Musculoskeletal system and the menopause Jean Calleja-Agius and Mark P. Brincat; 9. Osteoporosis recognition and assessment in the menopause Christopher J. Yates and John D. Wark; 10. Hormonal management of osteoporosis during the menopause Panagiotis G. Anagnostis and John C. Stevenson; 11. Psychological aspects of the menopause Myra S. Hunter; 12. Memory and mood in the menopause Michael C. Craig; 13. Libido and sexual function in the menopause Claudine Domoney; 14. Gynecological pathology in the menopause John Eden; 15. Estrogens used in current menopausal therapies David Crook; 16. Progestogens used in hormone replacement therapy David H. Barlow; 17. Androgen therapy for postmenopausal women Susan R. Davis; 18. Selective estrogen-receptor modulators used for postmenopausal women JoAnn V. Pinkerton; 19. Non-hormonal treatments for menopausal symptoms Jenifer Sassarini; 20. Alternative therapies for the management of menopausal symptoms Edzard Ernst and Paul Posadzki; 21. Contraception for the perimenopausal woman Lee P. Shulman and Jessica W. Kiley; 22. Hormone replacement therapy and cancer Franco Guidozzi; 23. Hormone replacement therapy and venous thrombosis Sven O. Skouby; 24. Fertility and premature menopause Anthony J. Rutherford; 25. The risk-benefit analysis of hormone replacement therapy in the menopause Tatiana Nikishina and Tim Hillard; 26. Premature ovarian insufficiency: hormonal aspects and long-term health Nick Panay; 27. Male menopause – similarities and differences with the female menopause Malcolm E. Carruthers; Index.

Nick Panay is Consultant Gynaecologist and Specialist in Reproductive Medicine, Queen Charlotte's and Chelsea, and Chelsea and Westminster Hospitals; Honorary Senior Lecturer, Imperial College London; and Director, International Centre for Hormone Health, London, UK.
Paula Briggs is a Consultant in Sexual and Reproductive Health for Southport and Ormskirk Hospital NHS Trust, Southport, UK.
Gab Kovacs is Professor of Obstetrics and Gynaecology, Monash University, Melbourne, Australia.