The Climacteric in Perspective : Proceedings of the Fourth International Congress on the Menopause, Held at Lake Buena Vista, Florida, October 28–November 2, 1984

The Fourth International Congress on the Menopause was held in Lake Buena Vista, Florida, USA in October - November 1984. It was different from the previous meetings held under the auspices of the International Menopause Society in three respects: the duration of the Congress was extended to five days, plenary sessions were held on each day, and the scope of the subject matter was expanded to provide a total or holistic overview of the subject - hence the theme for the Congress 'Climacteric Medicine and Science: A Societal need. ' In recent years there has been an increased interest in the menopause and middle year aging by scientists and clinicians in fields as diverse as anthropology, urodynamics, nutrition and exercise physiology, while 'newer' issues in clinical medicine, such as osteoporosis prevention and management, attracted specialists in nuclear immaging techniques and internal medicine. Over 120 invited speakers plus numerous contributors to the free communication, special lectures and the poster sessions provided a virtual cornucopia of information on the menopause, that has indeed brought a newer perspective to a subject previously the domain of a single specialty, the gynecologist, and dominated by a single therapy, estrogen replacement. Front Matter....Pages i-xviii Keynote address: menopause and the developing world....Pages 1-15 Front Matter....Pages 17-17 Climacteric medicine and science: a societal need....Pages 19-21 Medicine and science: the role of the basic scientist....Pages 23-26 Nutritional needs of climacteric women....Pages 27-40 Exercise and the postmenopausal woman....Pages 41-48 Health needs of climacteric women....Pages 51-58 Health status and health care utilization by menopausal women....Pages 59-75 Front Matter....Pages 77-77 Pathogenesis of postmenopausal osteoporosis....Pages 79-85 Etiology of postmenopausal osteoporosis....Pages 87-93 Bone mineral assessment: a practical guide for primary care physicians....Pages 95-104 Prophylactic treatment for age-related bone loss in women....Pages 105-117 Front Matter....Pages 119-119 The climacteric syndrome: historical perspectives....Pages 121-129 The climacteric in different cultural contexts....Pages 131-137 Climacteric expressions in a crosscultural study....Pages 139-147 Climacteric in a Newfoundland fishing village....Pages 149-159 A survey of perimenopausal symptoms in Nigeria....Pages 161-175 The cultural climacteric in crosscultural perspective....Pages 177-190 Front Matter....Pages 191-191 Presentation of estrogens to target tissues....Pages 193-202 Recent progess in the study of the mechanism of action of progesterone....Pages 203-206 Ovarian hormone action in the brain: implications for the menopause....Pages 207-209 Front Matter....Pages 211-211 An animal model for pharmacologic evaluation of the menopausal hot flush....Pages 213-251 Vascular responses in menopausal flushers....Pages 253-258 Description of the hot flash: sensations, meaning and change in frequency across time....Pages 259-269 Therapy for hot flushes....Pages 271-281 Front Matter....Pages 283-283 The breast....Pages 285-294 The aging male....Pages 295-298 Lifestyles; coping with life events and stress at the climacteric....Pages 299-313 Genital tract and other target tissues....Pages 315-319 Hormones and metabolism....Pages 321-327 Technology and techniques....Pages 329-335 Sexuality in the climacteric....Pages 337-342 Nutrition....Pages 343-360 Self-help groups at middle age....Pages 361-365 Contraception in the premenopause....Pages 367-380 Progestins....Pages 381-391 Pharmacology of estrogens....Pages 393-410 Anthropology....Pages 411-417 Joint and musculoskeletal problems....Pages 419-427 Psychoneuroendocrinology....Pages 429-435 Back Matter....Pages 437-463