A review of both the potential hazards and benefits of hormone therapy after menopause.

In the first edition of this important bestselling book, praised by Newsday as “the bible for a whole generation of menopausal women,” renowned physician and pioneering women’s health advocate Dr. Susan Love warned about the potential dangers of the long-term prescription of hormone replacement therapy. Her insightful words of caution have been backed up by the stunning results of the recent studies on hormone replacement. In this revised edition, Dr. Love offers a remarkably clear set of guidelines as to what the studies have shown about the risks regarding heart disease, breast cancer, stroke, and other conditions, and what effect hormone therapy has on osteoporosis. She offers definitive expert advice about whether or not to go on hormone replacement therapy and, if so, for how long, as well as how to taper off hormones; and she introduces the alternative methods for treating the symptoms of menopause. Dr. Love stresses that menopause is not a disease that needs to be cured—it is a natural life stage, and every woman ought to choose her own mix of options for coping with symptoms. A questionnaire about your own health history and life preferences helps you develop a program that will best fit your unique needs. With clarity and compassion, she walks you through every option for both the short and the long term, including: • lifestyle changes (diet, exercise, and stress management) • alternative therapies (including herbs and homeopathic remedies) • available medications other than hormones

In 1950 men and women in the United States had a combined life expectancy of 68.9 years, the 12th highest life expectancy at birth in the world. Today, life expectancy is up to 79.2 years, yet the country is now 28th on the list, behind the United Kingdom, Korea, Canada, and France, among others. The United States does have higher rates of infant mortality and violent deaths than in other developed countries, but these factors do not fully account for the country's relatively poor ranking in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources examines patterns in international differences in life expectancy above age 50 and assesses the evidence and arguments that have been advanced to explain the poor position of the United States relative to other countries. The papers in this deeply researched volume identify gaps in measurement, data, theory, and research design and pinpoint areas for future high-priority research in this area. In addition to examining the differences in mortality around the world, the papers in International Differences in Mortality at Older Ages look at health factors and life-style choices commonly believed to contribute to the observed international differences in life expectancy. They also identify strategic opportunities for health-related interventions. This book offers a wide variety of disciplinary and scholarly perspectives to the study of mortality, and it offers in-depth analyses that can serve health professionals, policy makers, statisticians, and researchers.

An information guide to information on the subject of menopause.

Every woman, as she gets older, must face the onset of menopause-either naturally occurring or brought on surgically. As we learn more about menopause and the effects of hormone replacement therapy (HRT), a number of questions arise. The most hotly debated of them all: should women receive HRT? This book grew out of the need for a balanced examination of all the relevant issues-not for medical practitioners but for women of all ages-and is written in the context of how women experience the transition of menopause. Drawing on a number of population studies and their own research, contributors from different fields take on subjects ranging from HRT as a social issue and the psychosocial aspects of menopause to the role of diet and exercise in midlife health and what natural therapies may have to offer women. Other chapters thoroughly discuss the pros and cons of HRT and explain what hormones are and what they do. Readers will find the latest facts and medical opinions on how HRT can affect the likelihood of developing osteoporosis and bone fractures, breast and gynecological cancers, cardiovascular diseases, and menopausal symptoms such as hot flashes, night sweats, urinary problems, and vaginal thinning. For the millions of women who fall somewhere in the middle of the spectrum of menopausal symptoms-and those at either end of the continuum-this easy-to-understand guide blends thought-provoking opinion with facts into one clear, concise source.