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Meet the author
Laurie Ashner
hosted by Sue Spataro, RN, BSN
Goldstein Interview | Book Excerpt
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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?

click here to learn more about LaurieLaurie:
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?

click here to learn more about LaurieLaurie:
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.
click here to buy bookI 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,
click here to learn more about Laurielike 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?

click here to learn more about LaurieLaurie:
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.

click here to buy bookThe 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

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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
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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
click here to buy bookMost 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

click here to  see the bookThe 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.

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