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hotflash.gif (1150 bytes) Meet the author
Step-by-Step Guide

Interview from "The Menopause Manager"
by Dr. Joseph Mayo, OB/GYN & Mary Ann Mayo, M.A. MFCC
hosted by Sue Spataro, RN, BSN
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eyescan.gif (247 bytes) Women's health Center | Health Byte-of-the-Week | Natural Healing | Ovarian Screening | Fit & Trim Support Group | Humor
Mayo Interview: Intro | How was the program created? | Which therapies are legitimate?  | Menopause & Relationships | Menopause & Society | A "mixture" of therapies | "Complementary and Botanical" therapies | Married People Working Together | Step-by-Step Guide | Estrogen Dominance | "A Woman's Place" Medical Center
Mayo Risk Quiz: osteoporosis | cardiovascular disease | colon cancer | Alzheimer's disease | diabetes | breast cancer
click here to buy bookI love the logical format of your book- guiding a woman from assessing her health risks and then providing her with the options pertinent to her needs.  It's tailored made. What made you decide to organize the book in this fashion?

The book follows the approach we used in our office.  Our first goal was to find out as much as we could about factors that affected a woman's health such as her personal habits and family history.  Her medical history included laboratory results that gave us a clear understanding of her health risks, particularly the ones that increase at menopause (heart disease, osteoporosis, Alzheimer's, Colon cancer, Diabetes).  Except for women who were very high risk for these concerns but not for breast cancer, we tried to focus on the most natural intervention first.  Women at high risk need to seriously consider hormone replacement.  However, they must understand there are different types of hormones, doses, and delivery systems.  Some women in the perimenopause benefit by the hormone balancing effect of low-dose birth control pills.  All women need to work on reducing stress and take good vitamins.  Herbs can be added or natural hormones compounded for symptom relief as needed.  We have a triangle in the book that illustrates this approach.  Doctors tend to start at the peak instead of the base.  Our concept was to move from very natural health affirming practices, to herbs, then natural hormones and only then to conventional hormones if necessary to control risks and/or symptoms.

The most frustrating thing we see happening is women (and many doctors) determining what they will or will not take (or prescribe) before evaluating their health.  Whatever choice is made, a woman should know the reason for it and that it is the best dose and delivery system for her. There is a tendency for women to self-treat by combining a lot of natural products.  No one knows the long-term effect.

Our purpose for writing the book was to give women a systematic plan to evaluate their health, empower themselves, and take to their health care provider for help in implementation. If a doctor won't consider a woman's concerns and reasonable choices, she should find someone else who will listen and discuss her particular needs.

gonext.gif (388 bytes)Estrogen Dominance

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Could It Be...Perimenopause?
The Estrogen Alternative
redchk.gif (175 bytes)Interview with the author
Dr. Steve Goldstein
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Menopause Books, Healthy Living Books & Diet & weight loss books
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