A Unique Decision-Making Tool for Daily Practice This evidence-based resource provides easy-to-use, expert guidance on the assessment and treatment of common perimenopausal problems seen in daily office practice. After a brief overview of physiologic and endocrinologic changes, and the staging of the perimenopause (by STRAW definition), you'll find practical, easy-to-access coverage of: Management of specific symptoms and problems, such as hot flashes, cognitive changes, breast masses, and osteoporosis Preventive clinical practice, featuring in-depth coverage of hormone replacement therapies Alternative therapies, including vitamins, herbs, and phytoestrogens Separate sections cover screening tests and all major alternative therapies. About the Practical Pathways Series: Practical Pathways in Obstetrics & Gynecology is a unique series specially designed to tackle the challenging clinical topics encountered in daily practice. Each title in the series features a standardized, user-friendly approach that guides you systematically through evaluation, diagnosis, and management: A high-yield, algorithmic Pathway at the start of most chapters provides an "at-a-glance" summary of recommended management What's the Evidence? questions summarize major clinical trials and their application to daily practice Guiding Questions review what strategic questions clinicians should ask themselves when first evaluating a patient Key Points are highlighted in the margins Case Studies demonstrate the clinical application of concepts, and further hone diagnostic skills References facilitate further research or study