Menopause for the MRCOG and beyond / Margaret Rees.

Format:

Book

Author/Creator:

Rees, Margaret (Margaret C. P.), author.

Series:

MRCOG and beyond series.

MRCOG and beyond series

Language:

English

Subjects (All):

Menopause.

Physical Description:

1 online resource (ix, 118 pages) : digital, PDF file(s).

Edition:

Second edition.

Other Title:

Menopause for the MRCOG & Beyond

Place of Publication:

London : RCOG Press, 2008.

Summary:

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 certain clinical situations. Systemic HRT and non-HRT options for treatment are evaluated, together with diet and lifestyle, alternative and complementary therapies. Conditions associated with the menopause, such as vasomotor symptoms, urogenital and sexual problems, osteoporosis and autoimmune arthritis, breast disease and gynaecological benign and malignant conditions, are covered. The symptoms, diagnosis and treatment of premature menopause, or premature ovarian failure, are detailed, and a section on treating women with concomitant medical problems completes the text. Primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, it is also a valuable guide for all healthcare professionals.

Contents:

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

WOMEN'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 ESTROGEN-PROGESTOGEN COMBINED HRT

ORAL VERSUS TRANSDERMAL THERAPY

Timing of treatment

CORONARY HEART DISEASE

DEMENTIA

PREMATURE MENOPAUSE

Balancing risks

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 HRT

MANAGING 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

GENERAL

BISPHOSPHONATES

STRONTIUM RANELATE

SELECTIVE ESTROGEN RECEPTOR MODULATORS

PARATHYROID HORMONE PEPTIDES

CALCITONIN

FUTURE DEVELOPMENTS

5. 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

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

Herb-drug interactions

Phytoestrogens: soy and red clover

Soy

Red clover

Homoeopathy

Dehydroepiandrosterone

Progesterone transdermal creams

Physical therapies

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)

CATECHOLAMINES AND 5-HYDROXYINDOLACETIC ACID

Treatment

ESTROGEN

CLONIDINE

SELECTIVE SEROTONIN REUPTAKE INHIBITORS AND SEROTONIN AND NORADRENALINE REUPTAKE INHIBITORS

GABAPENTIN

PROGESTOGENS

OTHERS

Urogenital problems

ASSESSMENT

NONHORMONAL OPTIONS

HORMONAL OPTIONS

DURATION OF TREATMENT WITH TOPICAL ESTROGEN

Sexual problems

Management plans

NON-HORMONAL

HORMONAL

VASOMOTOR SYMPTOMS

UROGENITAL PROBLEMS

SEXUAL PROBLEMS

8. Osteoporosis and autoimmune arthritis

Osteoporosis

DEFINITION

OSTEOPOROTIC FRACTURES

DETERMINANTS OF BONE MASS

RISK FACTORS FOR THE DEVELOPMENT OF OSTEOPOROSIS

INVESTIGATIONS

TREATMENT OF OSTEOPOROSIS

Autoimmune disease

RHEUMATOID ARTHRITIS

SYSTEMIC LUPUS ERYTHMATOSUS

OSTEOPOROSIS

AUTOIMMUNE ARTHRITIS

9. Breast disease

Breast cancer

RISK FACTORS FOR BREAST CANCER

PREVIOUS BREAST CANCER AND HRT

Familial breast cancer

Screening for breast cancer

MAMMOGRAPHY

GENETIC TESTING.

SCREENING WOMEN AT RISK OF FAMILIAL BREAST CANCER

Benign breast disease

10. Benign and malignant gynaecological disease

Benign disease

FIBROIDS

ENDOMETRIOSIS

Gynaecological cancer

OVARIAN CANCER

ENDOMETRIAL CANCER

CERVICAL CANCER

BENIGN DISEASE

GYNAECOLOGICAL CANCER

11. Premature menopause

Symptoms and health consequences of premature ovarian failure

Aetiology

PRIMARY PREMATURE OVARIAN FAILURE

SECONDARY PREMATURE OVARIAN FAILURE

Premature ovarian failure, fertility and contraception

Hormone replacement therapy

Counselling

12. Women with concomitant medical problems

Cardiovascular disease

STROKE

HYPERTENSION

VALVULAR HEART DISEASE

HYPERLIPIDAEMIA

VENOUS THROMBOEMBOLISM

HRT after VTE

Endocrine disorders

DIABETES MELLITUS

THYROID DISEASE

Gastrointestinal disease

GALLBLADDER DISEASE

LIVER DISEASE

CROHN'S DISEASE

COELIAC DISEASE

Neurological disease

MIGRAINE

EPILEPSY

PARKINSON'S DISEASE

DEPRESSION

Other conditions

ASTHMA

RENAL DISEASE

AFTER TRANSPLANTATION

OTOSCLEROSIS

MALIGNANT MELANOMA

CARDIOVASCULAR DISEASE AND VENOUS THROMBOEMBOLISM

ENDOCRINE

GASTROINTESTINAL DISEASE

NEUROLOGICAL DISEASE

OTHER

Index.

Notes:

Title from publisher's bibliographic system (viewed on 05 Oct 2015).

Includes bibliographical references and index.

ISBN:

1-107-71093-6

1-107-71435-4

9786611828264

1-904752-74-8

1-281-82826-2

1-139-69693-9

OCLC:

923352915