Table of Contents
Introduction
Part One: Understanding perimenopause and menopause
1. Hormone revolution: why everything is different after second puberty
- Perimenopause is second puberty and is temporary
- Perimenopause is a sequence of events
- Perimenopause is a critical window for health
- How bad is it going to be?
2. Stigma, freedom, grief, and everything in between
- Stigma and shame
- Freedom and invisibility
- Grief
- The meaning of menopause through an evolutionary lens
3. Cycle while you can: the value of natural, ovulatory menstrual cycles
- Ovulation builds health
- Can you still cycle, or are you in menopause?
- Contraception for perimenopause
4. The hormonal and physiological changes of second puberty
- Losing progesterone
- High and fluctuating estrogen
- Losing estrogen
- Diagnosis of perimenopause
- The timing of perimenopause
- When menopause comes early
Part Two: Treatment
5. General maintenance for perimenopause and beyond
- Autonomic nervous system
- Hypothalamic-pituitary-adrenal (HPA) axis
- Circadian rhythm
- Insulin resistance
- Digestive health
- Environmental toxins
- Alcohol
- Nourish your body
- Movement
6. Menopausal hormone therapy (MHT)
- Types of hormone therapy
- Hormone therapy for perimenopause
- Hormone therapy for menopause
- Troubleshooting hormone therapy
7. Rewiring the brain: help for hot flashes, sleep, migraines, memory, and mood
- Basic action plan for brain reorganization
- Hot flashes
- Sleep
- Migraines
- Memory
- Mood symptoms
8. Bodily issues: weight gain, thyroid disease, allergies, and aches and pains
- Reversing insulin resistance and losing abdominal weight
- Autoimmune thyroid disease
- Allergies
- Aches and pains
9. Estrogen rollercoaster: crazy heavy periods and breast pain
- Normal period pain
- Endometriosis and adenomyosis
- Fibroids
- Anovulatory bleeding
- Breast pain
10. What comes after
- Genitourinary syndrome of menopause (GSM)
- Facial hair and hair loss
- Maintaining a healthy weight
- Risk reduction for osteoporosis
- Risk reduction for heart disease and stroke
- Risk reduction for dementia
Appendix A: Resources
Appendix B: Glossary
References
Index