Comprehensive Management of Menopause

I. The Menopause: Physiology, Diagnosis, and Epidemiology.- 1 Physiology of the Menopause.- 2 Skeletal Physiology: Growth and Aging.- 3 Orthopedic Complications of Menopause.- 4 The Epidemiology of Breast Cancer in Women.- 5 Where the Women Are.- 6A Menopause as a Normal Physiological Event or as a Disease.- 6B Epidemiology of Perimenopause in China.- II. Medical Aspects of the Menopause.- A. Understanding Osteoporosis.- 7 Pathogenesis of Osteoporosis.- 8 Amenorrhea and Anovulation: Risk Factors for Osteoporosis That Precede Menopause.- 9 Bone Mineral Measurement and Biochemical Markers of Bone Cell Function.- 10 Clinical Assessment for Osteopenia and Osteoporosis.- 11A Secondary Causes of Osteopenia.- 11B Corticosteroid-Induced Osteoporosis.- B. Treatment of Osteoporosis and Musculoskeletal Pain.- 12 Calcium and Vitamin D.- 13 Exercise and Its Relationship to Bone Mass and Cardiovascular Function.- 14 The Role of Hormone Replacement Therapy in the Prevention and Treatment of Osteoporosis.- 15 Calcitonin, Bisphosphonates, and Miscellaneous Agents for Treatment of Osteoporosis.- 16 Treatment of Vertebral Osteoporosis with Fluoride Salts.- 17 Selection of the Best Treatment for Osteoporosis.- 18 Musculoskeletal Pain and Menopause.- 19 Hormone Replacement Therapy and Cardiovascular Diseases.- 20 Lipid Metabolism and Menopause.- III. Gynecological Aspects of the Menopause.- 21 Peri-and Postmenopausal Abnormal Bleeding.- 22 Biology of Normal Aging Endometrium.- 23 Endometrial Carcinoma and Its Precursors in Relation to Hormone Replacement Therapy.- 24 Therapeutic and Preventive Aspects of Estrogen and Progesterone Therapy.- 25 New Progestogens: A Review of Clinical Data.- 26 The Role of Androgens in Menopausal Hormone Replacement Therapy.- 27 Compliance with Menopausal Hormone Replacement Therapy.- 28 Psychobiological Aspects of the Menopause.- 29 The Effect of Sex Steroids on Brain Mechanisms Relating to Mood and Sexuality.- IV. Other Problems.- 30 Breast Disease in the Menopausal Woman.- 31 Skin Care and Abnormal Lesions.- 32 Menopausal Aspects of Sleep Disturbance.- 33 Clinical Approaches to Dyslipidemia.- V. Management and Therapeutic Guidelines.- 34 Continuing Medical Care of the Menopausal Woman.- 35 Complicated and Controversial Considerations Regarding Estrogen Replacement Therapy.- 36 Special Issues Concerning Postmenopausal Hormone Replacement Therapy and Breast Cancer.- 37 Cancer of the Breast, Cervical Cancers, Ovarian Cancers, and Other Cancers.- 38 Nutritional Advice for the Menopausal Woman.- 39 Future Considerations in Hormonal Therapy of the Menopause.- 40 Future Therapies for Osteoporosis.