Index

Practical Approach to Menopause Management Nirmala Vaze, Rujuta Fuke, Kshama Kedar

SECTION 1: MENOPAUSE
CHAPTER 1:Introduction to Menopause
- INTRODUCTION
- DEFINITION
CHAPTER 2:Menopause Transition and Symptoms
- SYMPTOMS ASSOCIATED WITH MENOPAUSE TRANSITION
- HORMONAL THERAPY
- CONCLUSION
CHAPTER 3:Screening at Menopause
- INTRODUCTION
- CONCLUSION
CHAPTER 4:Abnormal Uterine Bleeding at Menopause
- INTRODUCTION
- CAUSES OF POSTMENOPAUSAL BLEEDING (TABLE 2)
- POSTMENOPAUSAL BLEEDING EVALUATION
  - History
  - Examination
- INVESTIGATIONS
- CONCLUSION
CHAPTER 5:Premature and Delayed Menopause
- INTRODUCTION
- DEFINITION
- INCIDENCE
- ETIOLOGY
- MECHANISMS3
  - Symptoms of POF4
- ASSOCIATED HEALTH CONDITIONS
- INVESTIGATIONS
- TREATMENT
  - Psychological Support
  - Fertility
- INTRODUCTION
- CAUSES OF DELAYED MENOPAUSE8,9
- ADVANTAGES OF DELAYED MENOPAUSE
- RISKS OF DELAYED MENOPAUSE
- INVESTIGATIONS
- MANAGEMENT
CHAPTER 6:Surgical Menopause
- CAUSES OF SURGICAL MENOPAUSE
- KEY POINTS
SECTION 2: MULTIDISCIPLINARY MANAGEMENT OF MENOPAUSE
CHAPTER 7:Heart and Menopause
- INTRODUCTION
- SUMMARY
CHAPTER 8:Neurological Problems at Menopause
- INTRODUCTION
- CONCLUSION
CHAPTER 9:Menopause Associated Psychiatric Problems
- INTRODUCTION
- EFFECT OF MENOPAUSE ON PSYCHE
- CAUSES OF DEPRESSION AT MENOPAUSE
- OTHER CAUSES OF DEPRESSION
- CONCLUSION
CHAPTER 10:Sleep Disorders and Menopause
- INTRODUCTION
  - Effects of Reproductive Hormones
  - Physiology of Sleep
- INSOMNIA
- OBSTRUCTIVE SLEEP APNEA
  - Physical Examination
  - Management
- RESTLESS LEG SYNDROME
  - Cause
  - Treatment
- KEY POINTS
CHAPTER 11:Metabolic Syndrome and Menopause
- INTRODUCTION
- CONCLUSION
CHAPTER 12:Bones and Menopause
- INTRODUCTION
- MANAGEMENT
  - Prevention
  - Dietary Measures
- PHARMACOTHERAPY
- EXERCISE15
- SURGICAL TREATMENT
- CONCLUSION
CHAPTER 13:Dental Health at Menopause
- INTRODUCTION
- ORAL MUCOSA AND FEMALE SEX HORMONES
- ORAL CHANGES AT MENOPAUSE AND PROSTHODONTIC IMPLICATIONS
- CONCLUSION
CHAPTER 14:Effects of Menopause on Ocular Tissues
- INTRODUCTION
- CRYSTALLINE LENS: CATARACT
- MEIBOMIAN AND LACRIMAL GLANDS: DRY EYE SYNDROME
- OPTIC NERVE AND INTRAOCULAR PRESSURE: PRIMARY OPEN ANGLE GLAUCOMA
- RETINA: AGE-RELATED MACULAR DEGENERATION (ARMD) AND MACULAR HOLE
CHAPTER 15:Cutaneous Changes at Menopause—Skin and Hair Care
- INTRODUCTION
- MANAGEMENT
  - Management of Specific Skin Changes Due to Menopause
- MANAGING SIGNS OF AGING8,9
SECTION 3: UROGYNECOLOGY AND MENOPAUSE
CHAPTER 16:Recurrent Urinary Tract Infections
CHAPTER 17:Urinary Incontinence and Menopause
- INTRODUCTION
- CAUSES OF INCONTINENCE
  - DeLancey’s Hammock Theory 1994
    - Causes of Detrusor Overactivity
    - Causes of Low Bladder Compliance
- DIAGNOSTIC EVALUATION
- SUMMARY
  - Approach of Primary Care Physician or Gynecologist in Patients of Urinary Leak
- CONCLUSION
CHAPTER 18:Sexual Health at Menopause
- INTRODUCTION
- THE INDIAN SCENARIO
- CHANGES AT MIDLIFE WHICH AFFECTS SEXUAL HEALTH
- SEXUAL PROBLEMS AT MIDLIFE
- MANAGEMENT OF SEXUAL PROBLEMS AT MENOPAUSE
  - Non-medical Management
  - Medical Treatment
- CONCLUSION
SECTION 4:
CHAPTER 19:Breast Conditions at Menopause
- INTRODUCTION
- CLINICAL MANIFESTATIONS
- PHYSICAL EXAMINATION
- DIAGNOSIS
- TREATMENT
- EPIDEMIOLOGY
- RISK FACTORS
- TYPES OF BREAST CANCER
- PROGNOSTIC AND PREDICTIVE FACTORS
- PHYSICAL EXAMINATION
- WORK UP
- TREATMENT
- PREVENTION AND SCREENING
CHAPTER 20:Menopause and Genital Malignancies
- CARCINOMA CERVIX
- CARCINOMA ENDOMETRIUM
- CONCLUSION
  - Follow-up
- CARCINOMA OVARY
- CONCLUSION
CHAPTER 20A:DO’S AND DONT’S IN THE MANAGEMENT OF GYNECOLOGICAL MALIGNANCIES
- CANCER OF CERVIX
  - Do’s
  - Don’ts
- CANCER OF ENDOMETRIUM
  - Do’s
  - Don’ts
- CANCER OF OVARY
  - Do’s
  - Dont’s
- BREAST CANCER
  - Do’s
  - Don’ts
SECTION 5: LIFESTYLE MODIFICATION OF MENOPAUSE
CHAPTER 21:Diet at Menopause
- KEY POINTS10
CHAPTER 22:Exercise Your Way through Menopause
- HEALTH BENEFITS OF EXERCISE3-5
- RECOMMENDATIONS10
- TYPES OF EXERCISES RECOMMENDED IN MENOPAUSE
- CONCLUSION
CHAPTER 23:Yoga and Menopause
- YOGA AND SPECIFIC PHYSICAL HEALTH CONDITIONS
CHAPTER 24:Management of Menopause with Ayurveda
- AYUSHAHA VEDAHA AYURVEDAHA
- METHODOLOGY
- CONCLUSION
- SUMMARY
SECTION 6: PERIMENOPAUSAL OBSTETRICS
CHAPTER 25:Contraception at Perimenopause
- INTRODUCTION
- METHODS OF CONTRACEPTION
- CONCLUSION
- SUMMARY
CHAPTER 26:Pregnancy at Forty
- HEALTH RISKS OF PREGNANCY AT 401-5
- PREPARATION OF WOMAN FOR PREGNANCY AT FORTY11-13
- CONCLUSION
CHAPTER 27:Assisted Reproductive Techniques at Perimenopause
- PROBLEMS IN ART/FERTILITY OUTCOME AT PERIMENOPAUSE
- ASSESSING REPRODUCTIVE STATUS
- ADVANCED REPRODUCTIVE AGE AND IVF IN PERIMENOPAUSAL WOMEN
- OVULATION INDUCTION IN PERIMENOPAUSAL WOMEN
- OOCYTE DONATION
- INDICATIONS OF DONOR OOCYTE10
- PERIMENOPAUSAL SURROGACY–A BOON FOR SUBFERTILE WOMEN
  - Indian Council of Medical Research (ICMR) Guidelines12
  - Legal Aspects13
- TAKE HOME MESSAGE
- KEY POINTS
SECTION 7: MANAGEMENT OF MENOPAUSE
CHAPTER 28:Imaging at Menopause
- ULTRASONOGRAPHY
- MAMMOGRAPHY8
- COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING9,10
  - MRI Pictorial Essay of Uterine and Ovarian Neoplasms
- CONCLUSION
CHAPTER 29:Hormone Therapy and Menopause
- INTRODUCTION
- WHY Hormone Therapy?: REVIEW
- MENOPAUSE
- INDICATIONS FOR Hormone Therapy
- FORMS OF HORMONE THERAPY
- Pretreatment Evaluation
- CONTRAINDICATIONS TO HORMONE THERAPY
  - Absolute Contraindications
  - Relative Contraindications
- SCHEDULES OF HORMONE THERAPY
- ADVERSE EFFECTS
- DURATION OF HORMONE therapy
- SUMMARY
CHAPTER 30:Management of Menopause by Pharmacotherapy
- INTRODUCTION
- SELECTIVE ESTROGEN RECEPTOR MODULATORS TABLE 1
- CENTRALLY ACTING AGENTS
- TIBOLONE
- PHYTOESTROGENS
- BISPHOSPHONATES
  - Dosage
- LIFESTYLE MODIFICATIONS
CHAPTER 31:Menopause Makeover by Cosmetic Surgery
- INTRODUCTION
- HAIR RESTORATION SURGERY
- BLEPHAROPLASTY
- FACE LIFT AND NECK LIFT
- MASTOPEXY
- BODY CONTOURING
- LIPOSUCTION
- ABDOMINOPLASTY
- PERINEAL REJUVENATION
- COMPLICATIONS

INDEX

TOC
Index

Chapter Notes