Perimenopause--Preparing for the Change: A Guide to the Early Stages of Menopause and Beyond


Every Woman's Guide to Taking Charge of the Change
Did you know that the symptoms associated with menopause can begin fifteen years prior to its onset? During this seldom-recognized stage—called perimenopause—many women may experience hot flashes, mood swings, irregular menstrual cycles, sleeping disorders, and what some describe as "PMS all month." It doesn't have to be that way. Authors Nancy Lee Teaff, M.D., and Kim Wright Wiley offer real solutions in a reader-friendly ...

See more details below
Paperback (REVISED)
$12.41 price
(Save 22%)$16.00 List Price
Other sellers (Paperback)
  • All (55) from $1.99   
  • New (5) from $8.82   
  • Used (50) from $1.99   


Every Woman's Guide to Taking Charge of the Change
Did you know that the symptoms associated with menopause can begin fifteen years prior to its onset? During this seldom-recognized stage—called perimenopause—many women may experience hot flashes, mood swings, irregular menstrual cycles, sleeping disorders, and what some describe as "PMS all month." It doesn't have to be that way. Authors Nancy Lee Teaff, M.D., and Kim Wright Wiley offer real solutions in a reader-friendly style. Inside you'll learn everything you need to know about this important stage of life, including:
·What perimenopause is, how to diagnose it, and what it means to you
·The effectiveness of different medical treatments and natural alternatives
·How to create a healthy lifestyle through stress management, weight control, exercise, diet, and nutrition
·How perimenopause affects sexuality, fertility, and pregnancy
This book gives you the tools you need to stay healthy and feel good about yourself—before, during, and after the change.

"...a completely revised and updated edition of the first authoritative book on perimenopause--the term it helped coin...remains every woman's best source for reliable facts on recognizing and relieving the symptoms of perimenopause."

Read More Show Less

Editorial Reviews

From the Publisher
Every Woman's Guide to Taking Charge of the Change
Read More Show Less

Product Details

  • ISBN-13: 9780761519287
  • Publisher: Potter/TenSpeed/Harmony
  • Publication date: 8/4/1999
  • Edition description: REVISED
  • Edition number: 2
  • Pages: 236
  • Sales rank: 1,383,571
  • Product dimensions: 5.53 (w) x 8.49 (h) x 0.55 (d)

Meet the Author

Nancy Lee Teaff, M.D., specializes in treating perimenopause, menopause, and infertility. She is a fellow of the American College of Obstetrics and Gynecology and a member of the American Society for Reproductive Medicine and the Society of Reproductive Endocrinologists.
Kim Wright Wiley has updated this popular guide for eleven consecutive years. A Walt Disney World lover who has visited the park more than 35 times with her children (and they keep going back for more!), she is the online Disney expert for and a contributing editor at Disney Magazine.

Read More Show Less

Table of Contents


1. Perimenopause: Preparing for the Change
What Is Perimenopause?
When Will Perimenopause Occur?
The Life Cycle of the Ovary
The Egg Count
Medically Induced Menopause
How Do You Know If You're in Perimenopause?
Reverse Puberty
Diagnostic Tests for Perimenopause
An Overall Health Evaluation
Your Medical History
Why Should You Care?
2. Fertility and Infertility
How to Tell If You're Ovulating
How to Get Pregnant
An Infertility Consultation: What to Expect
Infertility Treatments
High-Tech Pregnancies
How to Stay Pregnant
How Not to Get Pregnant
3. Symptoms and Solutions
How Bad Will the Symptoms Be?
HRT: The Umbrella Treatment
Symptoms of Perimenopause
Hot Flashes
Night Sweats and Insomnia
Poor Memory and Loss of Concentration
Menstrual Irregularity
Mood Swings
Declining Libido
Vaginal Dryness
Urinary Incontinence
Joint Aches and Back Pain
Dry Skin, Wrinkling, and Itching
4. Hormone Replacement Therapy
Natural vs. Medicated Menopause
What Does HRT Do?
HRT: A Process of Trial and Error
How Much Is Enough?
What Are the Risks?
How Many Hormones Will I Have to Take?
Will I Still Have Periods?
Dosing Regimens
Continuous Estrogen
Cyclic Estrogen Plus Cyclic Progestin
Continuous Estrogen Plus Cyclic Progestin
Continuous Estrogen Plus Continuous Progestin
Continuous Progestin Alone
Types of Estrogen
Estrone Conjugate
Tamoxifen and Other SERMs
Methods of Administration
Vaginal Creams
Vaginal Rings
On the Horizon: New Methods of Estrogen Administration
Types of Progestin
Testosterone Replacement
On the Horizon: Tibolone, the Combination Pill
The Pill
Is HRT Forever?
5. Natural Remedies for Menopausal Symptoms
Nutritional Supplements
Vitamin E
Omega-3 Fatty Acids
Herbal Supplements
Black Cohosh (Cimicifuga Racemosa)
Dong Quai
St. John's Wort (Hypericum)
Ginkgo Biloba
Mexican Yam
Hormonal Supplements
A Symptom-by-Symptom Guide to Natural Remedies
Hot Flashes
Vaginal Dryness
Insomnia or Night Sweats
Heart Disease
6. Risky Business: Heart Disease, Osteoporosis, Alzheimer's, and Breast Cancer
Heart Disease
Building Better Bones Now
Alzheimer's Disease
Breast Cancer
Advice for Women with Family Histories of Breast Cancer
Advice for Women with Personal Histories of Breast Cancer
Cancer Screening
The Bottom Line
7. Wellness: Weight Control, Diet, and Exercise
Weight Control
Do Hormones Affect Weight Gain?
How Fat Is Fat?
Muscle Mass: The Missing Component in Weight Loss
Types of Exercise
Exercising for Weight Loss
How Does Exercise Counteract Calorie Intake?
How Am I Supposed to Work This All In?
Some Commonsense Precautions
How Many Calories Should You Eat?
High Protein vs. High Carbohydrates: What to Believe?
Understanding the Dietary Pyramid
Portion Size
Restaurant Eating
Make Changes Gradually . . . and Permanently
8. Nutrition, Detoxification, and Stress Relief
Step 1: Increase Your Antioxidants
Vitamin A/Beta-Carotene
Vitamin C
Vitamin E
Vitamin B6
Step 2: Cut Fat
Step 3: Eat More Fiber
Detoxifying the Body
Eliminating Alcohol
Eliminating Caffeine
Eliminating Nicotine
Stress Relief
Techniques for Managing Stress
9. Finding the Right Doctor
Schedule a Consultation
Is This the Right Doctor for You?
Top 10 List of Insensitive Physician Comments
What to Expect During an Office Visit
If You Opt for HRT
When Is It Necessary to See a Specialist?
10.Psychology, Sexuality, and Perimenopause
Does Perimenopause Cause Depression?
Are Mood Swings Worse When Menopause Is Abrupt?
Is It All Hormonal?
Plastic Surgery
Talking to Your Partner
Frequency of Sexual Activity
Physical Changes in the Genitals
How to Combat These Changes
Will Your Sex Life Be the Same?
11. Talking with Other Women
Benefits of a Support Group
The Women's Stories
Rituals of Perimenopause
12. Perimenopause: Have It Your Way
Patient A
Patient B
Patient C
Patient D
Patient E

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Terms of Use.
  • - Barnes & reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously
Sort by: Showing all of 3 Customer Reviews
  • Anonymous

    Posted September 24, 2000


    I had been looking for a book like this. It is very well written and very informative. I highly recommend this to anyone. I am 47 years old and have had symptoms for a few years. This book has enlightend me so much. Thank you Nancy Teaff.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted March 3, 2009

    No text was provided for this review.

  • Anonymous

    Posted May 10, 2011

    No text was provided for this review.

Sort by: Showing all of 3 Customer Reviews

If you find inappropriate content, please report it to Barnes & Noble
Why is this product inappropriate?
Comments (optional)