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Introduction: The Manifesto ix
Part 1 Reclaiming the Change: Understanding Your Body as an Act of Feminism 1. A Second Coming of Age: Why Menopause Matters 3 2. The History and Language of Menopause: From a Critical Age to the Change 13 3. The Biology of Menopause: The Brain-Ovary Connection 25 4. The Evolutionary Advantage of Menopause: A Sign of Strength, Not Weakness 38 5. The Timing of Menopause: Understanding the Clock 48 6. When Periods and Ovulation Stop Before Age Forty: Why it Happens and the Recommended Medical Care 62 Part 2 Understanding the Change: What to Expect When You're Expecting Menopause 7. Metamorphoses of Menopause: Changes in Strength, Size, and Shape 71 8. The Heart of the Matter: Cardiovascular Disease 86 9. Is It Hot in Here or Is It Just Me? Vasomotor Symptoms and How to Quench the Fire 95 10. Menstrual Mayhem: Abnormal Bleeding and What to Do About It 114 11. Bone Health: The Basics of Bone Biology, Osteoporosis, and Preventing Fractures 132 12. This Is Your Brain on Menopause: Brain Fog, Depression, and Dementia 148 13. The Vagina and Vulva: Genitourinary Syndrome of Menopause and the Therapies 160 14. Bladder Health: Breaking the Culture of Silence 179 15. Let's Talk About Sex: The Complicated Story of Desire 190 16. Will I Ever Feel Rested Again? Sleep Disturbances and How to Tackle Them 205 Part 3 Therapy for the Change: Hormones, Diets, and Supplements 17. Menopausal Hormone Therapy: The Messy History and Where We Are Today 213 18. The Cinematic Universe of Hormones: What MHT Is Right for You? 232 19. Phytoestrogens, Food, and Hormones: Facts and Fads 247 20. Bioidenticals, Naturals, and Compounding: Separating the Medicine from the Marketing 258 21. Meno-Diets: What Makes a Healthy Menopause and Beyond 270 22. Menoceuticals: Supplements and Menopause 284 23. Contraception and the Menopause Transition: Pregnancy Prevention and Menstrual Management 304 Part 4 Taking Charge of the Change 24. Welcome to My Menoparty: How an OB/GYN Tackles Menopause 323 25. Final Thoughts: Putting It All Together 329 Supplementary Material Supplemental Tables 337 Appendices 342 Selected References 344 Acknowledgments 355 Index 357 |
Jennifer Gunter
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