The Menopausal Transition: Interface between Gynecology and Psychiatry (Key Issues in Mental Health, Vol. 175)

The interplay of hormones, health and behavior across the female life cycle, especially during the menopausal transition, poses a special challenge to health care professionals. Written by experts, this book brings together the knowledge gained on the menopausal transition from clinical experience and medical research. Topics like 'what to expect' from the menopausal transition, sexuality, sociocultural changes, impact of life stressors, and emergence of depression are discussed. The physiology of thermoregulation and the occurrence of hot flashes are reviewed for a better understanding of vasomotor complaints. Another chapter offers an update on hormonal and nonhormonal treatment strategies by presenting an overview of the management of mood and anxiety during the menopausal transition. The emergence of psychotic symptoms associated with peri- and postmenopausal changes in sex hormone levels is also addressed. Lastly, the book includes an excellent review on the pros and cons of hormonal therapy in the post-Women's Health Initiative era. This book is a must for gynecologists, psychiatrists, endocrinologists, epidemiologists involved in the clinical care of mature women as well as researchers and students interested in obtaining an up-to-date overview of this topic. cover......Page 1 1 Title Page.pdf......Page 2 1 Title Page......Page 12 10 Managing Depression and Anxiety during the Menopausal Transition and Beyond The Window of Vulnerability......Page 22 2 Normal Aging and the Menopausal Transition What to Expect......Page 35 3 Sexuality during Menopause Deconstructing the Myths......Page 52 4 Cultural and Ethnic Influences on the Menopause Transition......Page 75 5 Nonhormonal Factors Associated with Psychiatric Morbidity during the Menopausal Transition and Midlife......Page 84 7 Depression during the Perimenopausal Transition What Have We Learned from Epidemiological Studies......Page 100 8 Thermoregulation and Menopause Understanding the Basic Pathophysiology of Vasomotor Symptoms......Page 111 9 Hormone Dynamics and Menopausal Symptoms The Clinical Role of Vasomotor Symptoms and Sleep Disturbances......Page 122 10 Managing Depression and Anxiety during the Menopausal Transition and Beyond The Window of Vulnerability......Page 136 11 Psychotic Disorders and Menopause The Untold Story......Page 149 12 Hormone Therapies and Menopause Where Do We Stand in the Post-WHI Era......Page 161 Author Index......Page 179 Subject Index......Page 180 Normal aging and the menopausal transition : what to expect / N. Santoro, G. Neal-Perry Sexuality during menopause : deconstructing the myths / A.H. Clayton, D.V. Hamilton Cultural and ethnic influences on the menopause transition /J. Bitzer, J. Alder Nonhormonal factors associated with psychiatric morbidity during the menopausal transition and midlife / J.T. Bromberger Depression during the perimenopausal transition : what have we learned from epidemiological studies? / S. Ferguson, C.N. Soares, B.L. Harlow Thermoregulation and menopause : understanding the basic pathophysiology of vasomotor symptoms / D.C. Deecher Hormone dynamics and menopausal symptoms : the clinical role of vasomotor symptoms and sleep disturbances / R.R. Freedman Managing depression and anxiety during the menopausal transition and beyond : the window of vulnerability / B.N. Frey, C.N. Soares Psychotic disorders and menopause : the untold story / A. Riecher-Ros̈sler Hormone therapies and menopause : where do we stand in the post-WHI era? / M.P. Warren, K.E. Titchen, M. Steiner. A comprehensive review on psychiatric and gynecologic aspects