This book highlights the needs and healthcare concerns of women in their midlife. Women, in their middle ages, are often overlooked by medical practitioners. From the end of childbearing to old age, approximately ages 40 to 65, their health needs are complex and changing. This is a time of challenge and opportunity when the physician and woman working collaboratively can change her health and future. Midlife healthcare is far more than hormones. Healthy behaviours such as good nutrition and exercise can be promoted that will result in lower risk and sometimes improved care of heart disease, hypertension and diabetes. Adequate screening and treatment can prevent diseases and complications. The burgeoning literature on allopathic and complementary medicine is critically evaluated and compared to established medical care. Written by 20 primary care physicians, this book will help family practitioners provide the best possible healthcare for these women.
List of contributors; 1. Introduction Jo Ann Rosenfeld; Part I. Health Promotion: 2. Physical activity and exercise Tanya A. Miszko; 3. Nutrition Victoria S. Kaprielian, Gwendolyn Murphy and Cathrine Hoyo; 4. Psychosocial health promotion of mid-life women Cathy Morrow; 5. Sexual health Margaret R. H. Nusbaum; 6. Alcoholism, nicotine dependence and drug abuse Mary-Anne Enoch; 7. Depression and anxiety Anne Walling; Part II. Hormonal Changes: 8. Physical changes in menopause and perimenopause Margaret Gradison; 9. Spiritual and psychological aspects of menopause. Melissa H. Hunter and Dana E. King; 10. Hormone therapy Kathy Andolsek; 11. Contraception and fertility Tracey D. Conti; Part III. Disease Prevention: 12. Prevention of coronary heart disease in women Valerie K. Ulstad; 13. Hypertension and stroke Jo Ann Rosenfeld; 14. Diagnosis and treatment of osteoporosis Jeannette E. South-Paul; 15. Diabetes in mid-life women Phillippa Miranda and Diana McNeill; Part IV. Cancer Prevention: 16. Breast cancer: screening and prevention Jo Ann Rosenfeld; 17. Cervical cancer: prevention, screening, and early detection Jo Ann Rosenfeld; 18. Endometrial cancer: prevention, screening, and early detection Ellen Sakornbut; 19. Ovarian cancer: prevention, screening, and early detection Jo Ann Rosenfeld; 20. Colon, lung, and skin cancer: screening and prevention Jo Ann Rosenfeld; 21. Common gastrointestinal and urinary problems Jo Ann Rosenfeld; Index.