Labels like perimenopause, menopause, and postmenopause are applied to a variety of clinical symptoms. Women in this midlife zone have a complex set of health issues. Helping you meet the challenges they present, Textbook of Perimenopausal Gynecology fills some serious gaps between the knowledge base and the practice of gynecology. The book explores a rapidly growing body of research dedicated to understanding the physiology and symptomatology of women transitioning from regular menstrual cycles to progressive irregularity and on to menopause. The endocrinologic staging of the menopausal transition, along with the key symptoms that accompany this process, form the framework for a discussion of common symptomatology. The authors address health maintenance and adaptations to the changing metabolism that occurs in women at midlife. When you treat perimenopausal women, you need to be prepared for tremendous variability. You must be able to help a woman separate change from disease and determine when symptoms or problems are caused by the menopausal transition, menopausal aging, or unhealthy long-term lifestyle habits. The first book to focus solely on the perimenopause, Textbook of Perimenopausal Gynecology is designed to help you make these distinctions.