Women's health is increasingly recognized as a global health priority. With the expanding elderly female population, the long-term complications of ageing and estrogen deficiency present an enormous problem in terms of morbidity, mortality and economic burden. Thus, managing postreproductive health is becoming a key issue for all health professionals, not just gynecologists. The book provides a practical, unbiased and non-promotional international guide on menopausal and postmenopausal health. It is essential reading for all health professionals dealing with women's health around the world and is a vital resource for consultations. This is the 5th edition of this successful Handbook, published on behalf of the British Menopause Society, and it is now considered to be the international template for menopause management, and will be a useful resource for gynaecologists, GPs, physicians, nurses and allied health professionals.

Unlike other areas of medicine where statistics are meticulously kept by governments and global organizations, there are no accurate data to describe the number of the world's inhabitants who are overweight, obese, or morbidly obese. Despite this knowledge deficit, it should come as no surprise to readers that the medical community is facing an epidemic. Obesity is present in many of the developed countries and can also be observed in some urban areas of developing nations. The cause of this epidemic, simply stated, is overeating, but the overriding concern is more complex. Social factors, such as growing affluence since the 1950s, increasing reliance on pre-prepared meals, and the popularity of fast foods and sweetened drinks, have all contributed to the problem. Without doubt, the obesity epidemic has had adverse effects on both men and women, but in the case of women, some of its worse complications occur with those who are severely obese and pregnant. Obviously, this combination has been seen in the past, but it has increased so dramatically in its frequency that research has yet to catch up. Studies may discuss one or another aspect of caring for the obese pregnant patient, but until now, there has been no attempt to draw all such material together to try and present a comprehensive appraisal of the problem. Written by international experts, this practical guide draws on evidence-based material and is an invaluable resource for healthcare professionals dealing with obese pregnant women on a day-to-day basis.

This book provides a practical, unbiased and non-promotional international guide for all health professionals dealing with menopausal and postmenopausal women. With regard to management strategies, it discusses both oestrogen and non-oestrogen-based treatments and their relative merits.

Care of the older patient is characterized by increasing incidence of chronic and acute diseases, with many patients suffering from several conditions simultaneously. The susceptibility to disease increases not only because of physiological factors relating to the aging process, but also due to changes in lifestyle, such as decreased mobility. Issues relating to polypharmacy are exacerbated by concerns about compliance, for example in patients experiencing cognitive decline. Decisions about appropriate medical care are complicated by the fact that many of the normal values that can be relied upon as a guide in younger individuals, do not apply in the older patient. These factors are particularly true for women, who tend to live longer and who undergo more dramatic physiologic changes, such as those associated with the menopause. This book is designed to educate gynecologists about these issues. It draws upon the experience of specialists in a variety of clinical and non-clinical specialties, reviews current knowledge of the problems encountered in caring for the elderly female patient, and suggests guidelines for best practice.

Published on behalf of the British Menopause Society, this is a practical and sensitive collection of articles on common sexual health issues which concern menopausal women and their partners. Many older women have an increased sexual response owing to a reduced fear of pregnancy, the end of menstrual distress and no longer needing contraception; however, with increased age comes associated sexual problems for both men and women. Edited and written by leading specialists, each chapter is a minimum of 1500 words plus 10-15 up-to-date references for further reading. This book is recommended to GPs, nurses, and all professionals working in family planning and genitourinary medicine.

The modern gynaecological patient is much more knowledgeable about the menopause and the therapeutic options, with information that is obtained from a variety of sources. Some of this information is unscientific, and many of the so-called remedies are unproven. The modern gynaecologist therefore needs to have confidence in being able to discuss, evaluate and manage women with menopausal problems. This review provides the MRCOG trainee with an excellent insight and with more than enough current facts and figures, but it will also be extremely useful for anyone else wishing to be up-to-date in this increasingly important area.

Disorders of menstruation are among the most common problems encountered in womens' health and include early, delayed and irregular menstrual cycles, painful menses and excessive menstrual bleeding, and early menopause. Their treatment presents a variety of complex challenges, especially since some of the treatments used can themselves result in further menstrual and hormonal complications. This text provides a comprehensive review of our current knowledge of the causes of these conditions, their investigation, and the treatment options available. It has been designed as a practical reference for the doctors' office or clinic, presenting the physician with a detailed account of how to assess the patient and then determine the most appropriate course of treatment, which may extend beyond pharmacologic interventions to surgery. Practice points conclude each section and summarize the most important clinical and management issues.

Disorders of menstruation are among the most common problems encountered in womens' health and include early, delayed and irregular menstrual cycles, painful menses and excessive menstrual bleeding, and early menopause. Their treatment presents a variety of complex challenges, especially since some of the treatments used can themselves result in further menstrual and hormonal complications.
This text provides a comprehensive review of our current knowledge of the causes of these conditions, their investigation, and the treatment options available. It has been designed as a practical reference for the doctors' office or clinic, presenting the physician with a detailed account of how to assess the patient and then determine the most appropriate course of treatment, which may extend beyond pharmacologic interventions to surgery. Practice points conclude each section and summarize the most important clinical and management issues.

Menstrual problems are among the most common reasons for primary care and specialist referral. Therefore, it is important for all gynaecologists and primary care practitioners to have a basic understanding of menstrual reproductive physiology to enable them to counsel women safely and accurately. This second edition has been comprehensively updated to reflect current clinical practice and new research. The contents cover the diagnosis, management and treatment - both medical and surgical - of a wide range of menstrual disorders, including excessive menstrual loss; fibroids; dysmenorrhoea; endometriosis; chronic pelvic pain; delayed menarche; premature ovarian failure; polycystic ovary syndrome; and premenstrual syndrome. This is a perfect introduction for any gynaecologist who needs an accessible and concise introduction to modern management of menstrual problems. It also acts as an ideal revision guide for candidates preparing for the Part 2 MRCOG examination, fully covering the RCOG curriculum for menstrual problems.

Primrose Scarlet is now eighteen and decides it is time to leave behind the holidays with the family at Frangipani Bay and travel on her own. And where else would a mature young Australian woman with a love of Mother England go for a holiday but London? Little does she know but that decision will have a bearing on the rest of her life. She meets TJ, a young man temporarily working in London, and embarks on a long distance relationship which at times conflicts with her ambition to carve out a career for herself, and be an independent person, whilst at the same time finding her feelings for this young man continuing to grow and deepen. Although feeling herself to be very independent she continues living at home, very much caught up in the lives and activities of her family, especially those of her wayward sister, Rosebud. Her career within floristry develops and she becomes very much a part of the community. But her heart is continually drawn towards that young man in England. Which way will Fate take her?

Primrose Scarlet is now eighteen and decides it is time to leave behind the holidays with the family at Frangipani Bay and travel on her own. And where else would a mature young Australian woman with a love of Mother England go for a holiday but London? Little does she know but that decision will have a bearing on the rest of her life. She meets TJ, a young man temporarily working in London, and embarks on a long distance relationship which at times conflicts with her ambition to carve out a career for herself, and be an independent person, whilst at the same time finding her feelings for this young man continuing to grow and deepen. Although feeling herself to be very independent she continues living at home, very much caught up in the lives and activities of her family, especially those of her wayward sister, Rosebud. Her career within floristry develops and she becomes very much a part of the community. But her heart is continually drawn towards that young man in England. Which way will Fate take her?

Women live longer than men and one-third of the female population in Western societies is aged over 50. Postmenopausal health problems arising not only from ageing, but also from oestrogen deficiency, are therefore 'hot topics' for medical professionals. The third in a series published on behalf of the British Menopause Society, this book is authored by an international team of specialists who work in women's health during and postmenopause, and discusses how specific postmenopausal health problems are thought to arise and what are today's most promising treatment options. The book is split into three sections: Section 1: Determinants of disease Covers osteoporosis, cardiovascular disease, diabetes, dementia, breast, gynaecological and bowel cancers. Section 2: Common conditions Covers the pathology, effects of ageing and oestrogen levels, symptoms, impact on women's lives, who and how to investigate, drug and non-drug therapies in the following conditions: dementia, myocardial infarction, stroke, osteoporosis, arthritis, incontinence. Section 3: Care of an ageing population Caring at home, providing residential care. Menopause, postemenopause and Ageing provides a concise, easy-to-read guide for the multidisciplinary team involved in the management of health problems after the menopause. This book will be a valued resource for gynaecologists, general physicians, geriatricians, oncologists, cardiologists and orthopaedic surgeons, general practitioners, nurse specialists, medical students and all of those involved in providing healthcare to the menopausal woman.