By John Studd
There are few fields during which ways to remedy are altering so speedily and controversy is so rampant because the box of the menopause and its therapy. Like its predecessors, The administration of the Menopause, 3rd version is an authoritative source for the administration of the menopause in scientific perform. top specialists give a contribution unique stories and analyses of the main debatable and demanding matters within the box. The booklet offers physicians with a competent, lucid, and totally up to date significant other to day-by-day perform, deals a transparent viewpoint on smooth ways to treatment, and guarantees that the newest details is offered to practitioners in an simply obtainable structure.
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Additional resources for The Management of the Menopause, Third Edition
Port and red wine contain antioxidants and could hence be included in the diet, but not more than 1–2 glasses per day. Seafood is a rich source of PUFAs, particularly salmon and other fish with a high fat content. It is a long-standing observation that Inuits have lower risk of thromboembolism and longer bleeding time than, for example, Caucasians. This phenomenon is attributed to the high content of PUFAs in their diet. In addition, it is possible to reduce blood coagulability by intake of cod liver oil.
Estrogen deficiency occurring following the menopause is known to cause atrophic changes within the urogenital tract6 and is associated with urinary symptoms, such as frequency, urgency, nocturia, incontinence and recurrent infection. These may co-exist with symptoms of vaginal atrophy, such as dyspareunia, itching, burning and dryness. The role of estrogen replacement in the treatment of these symptoms of urogenital atrophy has still not been clearly defined despite several randomized trials and widespread clinical use.
In 1998 the Heart and Estrogen/progestogen Replacement Study (HERS) reported an increased risk of coronary events in women who already had heart disease when started on HRT9 but there remained an expectation that National osteoporosis society statement 17 HRT would have a protective effect in a ‘healthy’ group of women. The effect seen in the WHI trial is equivalent annually to four coronary events in 1000 HRT users across the age spectrum of the study (50–79) compared with three coronary events in 1000 women not using HRT.