Going Menopostal : What You (and Your Doctor) Need to Know about the Real Science of Menopause and Perimenopause

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English

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This book started with a flash -- Alkon''s first hot flash. Drenching night sweats, insomnia, and brain fog soon followed -- along with shame at feeling bewilderingly enraged at everyone and everything. Alkon, an award-winning science columnist and author, wanted to turn to her doctor. But there was a problem: More than half of the medical care we get in the US may not be ''based on, or supported by, adequate evidence,'' according to the US National Academy of Medicine. Knowing this, Alkon began a deep dive into the research on menopause and perimenopause--the 3 to 10 years leading up to menopause when women''s symptoms are widely ignored, dismissed, and misdiagnosed (despite doctors having every intention of helping their patients). She was shocked by what she found: Most gynecology departments lack even one doctor with training and expertise in menopausal and perimenopausal medicine, and they expect their maternity and general reproductive health specialists to treat these conditions outside their scope of practice without informing patients--a violation of medical ethics; Perimenopause is wrongly viewed and treated as ''menopause lite''--a time of lowered estrogen levels--when estrogen levels actually soar, making many women miserably symptomatic; Few doctors know that symptomatic perimenopausal women actually tend to lack progesterone, and that replacing it with safe, FDA-approved progesterone would alleviate their insomnia, hot flashes, and other suffering and counteract cell overgrowth that can lead to breast and endometrial cancer; Many doctors deny estrogen to their menopausal patients, unaware of current research showing that estrogen not only alleviates symptoms but protects against cardiovascular disease (soon to kill 1 in 3 women), bone fractures, metabolic syndrome, and more; Findings from studies done largely on middle-class white women are wrongly applied to black women and other women of colour, ignoring crucial differences, such as generally lower t

Half of the population—the female half—is getting healthcare based on myth rather than evidence. Going Menopostal is Amy Alkon's mission to change that.

This book started with a flash—Alkon's first hot flash. Drenching night sweats and horrible insomnia soon followed, along with shame—at being inexplicably wired and enraged at everyone and everything. Alkon, an award-winning science columnist and author, wanted to turn to her doctor. But there was a problem: More than half of the medical care we get in the US may not be "based on, or supported by adequate evidence," according to the US National Academy of Medicine. Knowing this, Alkon began a deep dive into the research on menopause and perimenopause—the 3 to 10 years leading up to menopause in which women's symptoms are widely ignored, dismissed, and misdiagnosed. Alkon was shocked by what she found, and in Going Menopostal, she shares this crucial information with readers, including:  

Perimenopause is wrongly viewed and treated as "menopause lite"—a time of decreasing estrogen levels—when estrogen levels actually soar in perimenopause, making many women sick.
Women in perimenopause are prescribed estrogen, essentially overdosing them on the hormone causing their suffering.
Women who could be prescribed safe, symptom-alleviating FDA-approved progesterone are frequently given the cheaper synthetic knockoff that does not curb insomnia and increases their risk of breast cancer.

If scientific evidence actually drove medicine, the safe, effective treatment Alkon got for herself—after three research-armed battles with her HMO—would be made available to all women. But millions of midlife women are left to suffer needlessly, like Alkon's favorite bus driver, advised by her doctor to "just wait out" her insomnia and night sweats. In Going Menopostal, Alkon brings the science to all of these women. This meticulously researched book is written in clear, everyday language you don't need the slightest science background to understand (along with Alkon's trademark dark humor). Alkon's ultimate goal: empowering all women with the information they need to get the evidence-based care they expect and deserve.

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