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Sue:
You are the author of many books, including the highly successful When Parents Love Too Much
and Could It Be... Perimenopause? What attracted you the topics involved with your book
The Estrogen Alternative?
Laurie:
Sometimes I wonder myself! I wasn't a medical writer when I started writing with Dr. Goldstein two years ago, and it was all new
ground. But he convinced me that he didn't want a medical writer. He said my layman's (or
laywoman's!) questions were a big benefit. I worried at first, though. Would it be
depressing? How would I feel writing about such intimate subjects? I wasn't even talking
to my own doctor about this stuff. I was particularly interested in doing The Estrogen Alternative
because after writing Could It
Be...Perimenopause? I knew that when the time for perimenopause came I'd
be taking low dose birth control pills (which I am, today) and when menopause came I'd be
taking estrogen.
There are just too many benefits of estrogen
and while I appreciate women who can deal with their symptoms or maintain
excellent lipid levels through diet, exercise, or herbal remedies, I'm a
realist when it comes to myself. I know I'll never stick with tofu
or soybeans or any of that. But I worried, of course, about the negative
things I'd heard about estrogen. The whole idea that there are alternatives being
developed that can give a woman the benefits of estrogen while reducing the risks of long
term use really appealed to me. SERMs are a
real breakthrough for women. This is the beginning of a new, promising generation of drugs
aimed at treating the ills that plague so many of us after menopause. We might not have
the perfect SERM yet, but I think the perfect estrogen alternative is coming and it will
probably come in time for me! I'm finally lucky to be at the tail end of the baby boom! Sue:
As a very bright and well researched author, what did you find most surprising as you
wrote and researched the The Estrogen Alternative?
Laurie:
First, I couldn't believe how many women weren't taking
estrogen given the potential benefits. Huge numbers of women had tried it and
had real problems with it and couldn't continue. So many women were just plain
disenfranchised--they couldn't take estrogen and had no alternatives. I was apalled. I still find it
surprising that so many women are in the dark about something crucial to the maintenance
of their health. I've learned that HRT has
really changed over the last decade. So many alternatives exist to what was the standard
treatment was only a few years ago. I've told many of my friends who tried HRT five years
ago and went off of it because of problems, "Hey, it's time to take another
look." And they have. The fun of being a medical writer is free medical advice from
the experts in the field you couldn't even afford to see, unless you have the means to fly
across the country for your annual exam. I asked every question I had, my sister had, my
cousin had, my best friend had--we all got the benefit of great answers to questions that
were faxed sometimes every hour to Dr. Goldstein and that he spent a hours answering.
I was often surprised by little things,
like that the aerobic classes and jogging I
thought were the best things for my body really weren't anymore, and that I needed to
begin thinking more in terms of building muscle, maintaining
bone, and increasing flexibility. I was surprised at how well many of the
remedies suggested in this book for a wide variety of symptoms and problems really work,
since I'm the biggest cynic in the world. Dr. Goldstein's weight loss advice is definitely
on the mark--and it comes from a man who has been there and done that and knows exactly
what he's talking about. I learned of The Lotte Berke Method for strength training and
flexibility, and I still prefer it to yoga or Pilates or anything else I've tried. I also
interviewed a collegue of Dr. Goldstein's at NYU--Dr. Darrell Rigel, Clinical Professor of
Dermatology--to learn what women could do to help their aging skin (and turn back the
clock!). The regimen he suggested is in the book in Chapter Five. I've been following it
to the letter for a year now, and you would not believe the difference. I am not making
this up. My husband wants to try it. I have close friends who have read the book only for
that chapter! I no longer fear reaching age fifty or beyond. I don't see it as the end of
anything, but the beginning of a new phase in my life.
Sue:
Could you tell us a little bit about your next book?
Laurie:
The title is "Listen, Do You Want to Know A Secret?: Reviving Midlife
Sexuality" Or "There's An Elephant In the Bedroom: Reviving Midlife
Sexuality." Or maybe something else! I'm not the one holding up the news about the
title. Most people don't realize how little control authors have over what title will
appear on their books, or what the cover will look like.
The original title of Could It Be
Perimenopause was Storm Warnings.
The title of The Estrogen Alternative was still The SERMs Solution, one month before it
went to press. I can tell you the publisher--Contemporary Books. It will be on the shelves
some time in the year 2000. My co-author is Dr. Alan Altman, Assistant Clinical Professor
at Harvard Medical School (and he still maintains a full-time private GYN practice,
specializing in menopause--lucky you, if you live in Boston!!) He went to med school at
NYU with Dr. Goldstein--small world! I think of him as the savvy, scientifically thinking
woman's answer to John Gray.
In this book you'll get the medical possiblities for solving sexual problems first,
followed by the best psychology has to offer. It's all about our secrets: Why is it so
hard to get turned on these days? I thought these hormones were supposed to help me--why
don't they? I'm too tired for sex--what am I going to tell him again, tonight? Why am I
suddenly thinking about other men? What do I do after being single and celibate for ten
years when I've suddenly met a man I want to be with sexually, and it isn't working? What
if it's "working" but it's not exactly rocking the world? What can I do to
maintain sexual fitness? What can I do if menopause or perimenopause is draining the life
out of my libido? Can you really revive midlife sexuality, or is monogamy always
eventually monotony? How do you talk about this stuff to your partner? Dr. Altman gives
answers and exciting possibilities I've never heard before, and I consider myself pretty
well read. Do you have questions? We can't answer them personally, but if you write us via
my web site, sixkeys.com, you will probably find your answer somewhere in the book!
Sue:
Thank you again for taking the time to visit with us here on HotFlash
and I look forward to seeing your book when it comes out
See an excerpt
of "The Estrogen Alternative"
See the interview with Steven Goldstein, MD
|

click here to join HotFlash & ask a question
Meet the author
Steven R. Goldstein, MD
(also see Goldstein interview
1)
Introduction
SERM's: The Estrogen Alternative
Heart Protection & Evista
The Benefits of Estrogen
Estrogen & Alzheimer's
Disease
Excerpt from the book
Co-author Laurie Ashner interview
HotFlash News
(feature articles)
Glossary of Terms
HotFlash FAQ
(Frequently Asked Questions)
Women's Health Center
is our newest section with information on everything important to a woman. So
don't miss it.
newly revised
for 2000!
Could It
Be...Perimenopause?
by Steven R.
Goldstein, Laurie
Ashner
 
see the interview with Dr Goldstein
In clear, supportive prose, Goldstein offers no-baloney advice. "Today's
perimenopausal women has neither the time nor the patience to go through four to fifteen
years of symptoms without relief," he says. He fully delineates the roles of various
hormones, how to determine if you're in perimenopause or not, as well as how to treat the
various symptoms to gain control over your life.
The Estrogen Alternative:
What Every Woman Needs to Know About Hormone Replacement Therapy and Serms, the New
Estrogen Substitutes
click here to find out more
by Steven R. Goldstein, Laurie Ashner
Most women know the benefits of
estrogen replacement after menopause: It reduces the risk of osteoporosis, heart disease,
even Alzheimer's disease. Many are still reluctant to take it, because it increases the
incidence of breast and uterine cancer. Find out more.
When Parents Love Too Much:
Freeing Parents and Children to Live Their Own Lives
Click here to find out more
by Laurie Ashner, Mitch Meyerson
Read
an excerpt of this book
Meet
the Author - Laurie Ashner
When Parents Love Too Much
The authors of When Is Enough, Enough? now
explore the all-too-common problems of over-protection, guilt, low self-esteem, and family
conflict which spring from excessive parental attachment. Their insightful and practical
guide sheds new light on both parenting and the search for inner peace and personal
growth. |