Managing Menopause, authored by Tarala D. Nandedkar, Medha S. Rajadhyaksha and Fatema M. Bhinderwala provides scientific understanding on an important milestone of women's lives i.e. when they stop getting menstrual periods. Written in a lucid style and palatable language, the book is robust in scientific information and analysis. It successfully busts all myths about menopause with evidence-based arguments. The authors explain all scientific terminologies such as Premenarche stage, Perimenopausal Stage, Post-menopausal stage, Progesterone, Oestrogen and other hormones and their functions in reproductive cycles of women in a simple narrative. They have clearly elucidated the process of how the hormonal profile alters. While describing menopausal markers, authors tell the readers, "Menopause is not a medical condition. It is a natural process. However, one must be aware of the signs and symptoms our body faces during this transition." They also show the significance of follicle stimulating hormone test, estrogen and progesterone tests, anti mullerian hormone, ELISA test, a vaginal swab test, lipid and cholesterol check, and PAP smear and colposcopy.
The authors also caution us about increase in liver and kidney functions in post-menopausal period increase the risks to liver and kidney damages and menopause and age affects a woman's bone density making women prone to fragile bones and osteoporosis leading to fractures.
The authors recommend that menopausal women need to reboot themselves and take care of their wellbeing with proper diet, exercise, yoga and positive thinking. For mental well-being the loved ones-family members and close friends, self-help groups and social life are very important. Recognising bodily changes as a result of reduced oestrogen level among menopausal women, the symptoms such osteoporosis, dryness, irritation, itching sensation, tenderness, lack of lubrication, bleeding or spotting during intercourse from vagina and dyspareunia, dysuria, urgency and increased frequency of urination, nocturia, urinary incontinence, and recurrent urinary tract infections. The authors make a realistic recommendation that acceptance of vulnerability due to Genitourinary syndrome of menopause, so that one can strive for the new normal with the support of medical intervention and healthy lifestyle. Good diet with fibre full of proteins, micro nutrients, Calcium, Vitamin D, E, B6, B12 is a must, if required can be supplemented with tablets. The authors also explain some of the less frequent physiological symptoms such as causes and consequences of Premature menopause, that affects 1% of all women. The last two chapters are significant as they deconstruct myths, misconceptions and baseless assumptions and answer the frequently asked questions concerning menopause. The boxes in this book are marked by crucial historical information, evolutionary considerations on menopause, simple facts about and symptoms of menopause, age related health problems, demystification of technical terminologies, healthy diet, and checklist of medical tests.
I congratulate the authors for their collective endeavour and making a path-breaking contribution for health and wellbeing of ageing women. The book serves as a ready reckoner for ageing women as it provides valuable guidance for coping with menopause. All women and men-young adults, middle aged and ageing citizens must read and discuss this book so that the mind-set about mispurpose changes. I strongly recommend this book to the school, college, and university libraries. This book is a MUST-READ for teachers, researchers, policy makers, media professional, scientific community, and medical fraternity.
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