Perimenopausal syndrome: monograph / I.M. Shcherbina

This monograph, "Perimenopausal Syndrome", authored by I.M. Shcherbina, offers an in-depth exploration of the physiological, hormonal, and clinical changes women experience during the perimenopausal period. Designed for healthcare professionals, gynecologists, endocrinologists, and researchers, the book focuses on the complex interactions between various bodily systems during this transitional phase, providing a comprehensive guide to the diagnosis, management, and treatment of perimenopausal symptoms.

Key topics covered in the monograph:

• Physiology of perimenopause: Detailed discussion of the hormonal fluctuations that occur as women transition from reproductive to post-reproductive age, focusing on the roles of estrogen, progesterone, and other key hormones.
• Symptoms and clinical manifestations: Overview of common perimenopausal symptoms, including hot flashes, mood swings, sleep disturbances, weight gain, and changes in menstrual patterns, with emphasis on understanding their underlying causes.
• Diagnosis of perimenopausal syndrome: Practical guidelines for diagnosing perimenopausal syndrome, including the use of clinical assessment tools, hormonal testing, and the evaluation of risk factors.
• Management and treatment strategies: Evidence-based approaches to managing perimenopausal symptoms, ranging from hormone replacement therapy (HRT) to non-hormonal options, such as lifestyle modifications, nutritional support, and alternative therapies.
• Psychosocial aspects: Examination of the psychological and emotional impact of perimenopause on women’s mental health and quality of life, with recommendations for psychological support and counseling.
• Long-term health considerations: Discussion of the long-term effects of perimenopause on women's health, including risks of osteoporosis, cardiovascular disease, and metabolic disorders, as well as preventative strategies.

The monograph is designed to combine scientific rigor with practical applicability, making it a valuable resource for healthcare providers who manage the care of women in this crucial stage of life. It offers clinical insights supported by recent research and provides treatment algorithms that can be applied in real-world practice.

Key features:

• A comprehensive overview of the pathophysiology of perimenopause and its associated syndromes.
• Practical diagnostic and treatment guidelines based on the latest scientific evidence.
• Consideration of both hormonal and non-hormonal therapies for individualized patient care.

This book is an essential guide for professionals seeking to understand and treat the wide range of symptoms and challenges women face during the perimenopausal transition.