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Dr. Kenley had a rather harrowing midlife passage, which ultimately resulted in a hysterectomy with a physician who finally did listen to her. However, as many of us have heard in our own offices, these occurrences are not as rare as we in the medical profession would like to believe. Using her own experience as an introduction, the first chapter in this guide is about alternative treatment choices. I believe that Dr. Kenley does a very good job in briefly summarizing several approaches that have now become utilized by a large segment of our population. She then goes into detail in the next several chapters on surgical alternatives and hormonal practices side by side with naturopathic homeopathy, nutritional, and acupuncture alternatives. In a very conversational style, she relates pertinent information on several of the controversies in HRT prescriptions and management. Her chapter on sensational sex is quite to the point and includes many important observations about hormonal effects on sexual desire, clues about achieving joyful communication with a partner, and a section on sexually transmitted diseases.
Next come several chapters on the more usual topics discussed in any menopausal text: heart disease. breast cancer, and osteoporosis. Once again, in a conversational and easy-to-read style, she conveys accurate and up-to-date information for the reader. Finally the book addresses symptoms of menopause, such as hot flashes, incontinence, and what Dr. Kenley calls image issues. Here. there are many practical sug- gestions that are not normally found in a menopausal text. Throughout the entire book. I found myself silently nodding. I agreed with many of her observations and even more with the obviously upbeat and positive attitude taken. There is a menopausal/midlife survey contributed to the book by Dr. Arpels, in addition to many of his suggestions throughout the text. The extensive nature of this survey is quite impressive. and I believe pertinent to all of us who are working with menopausal women.
This guide can provide a fresh, easily accessible, and practical approach to many of the questions midlife women are asking.
Finally, the book has an extensive table on symptoms or concerns and various treatment options. Although this could be one of the most useful sections, I found it to be slightly confusing. So many herbal remedies, food supplements, and behavioral suggestions were made for each symptom complex that it was difficult to understand what would be the most beneficial course of action. For example, the list of herbal remedies was often exhaustive but not directive as to which herbs to try first or which would be most likely to alleviate the symptom in question. That said, however, I did find the listing of all of these approaches toward any one symptom complex to be a valuable exercise. Women clearly see they may approach an issue, such as hot flashes, from many different perspectives. This book also has food sources for vitamins. recommendations regarding health maintenance testing, and resources for further information in books. journals, newsletters, and menopausal organizations. On the expanding shelves of books about menopause, I believe this guide can provide a fresh. easily accessible and practical approach to many of the questions midlife women are asking. Clearly, the efforts of Dr. Kenley, with the assistance of Dr. Arpels and the advisory council, have succeeded in her intention to provide choices for a vital, joyful life. -- Lana L. Holstein, M.D., Director, Womens Health, Canyon Ranch Associate Clinical Professor, Dept. of Family Medicine, University of Arizona Tucson, Arizona, U.S.A.
Joan Kenley has written Whose Body Is It Anyway? with such a straightforward style that I feel like I'm having a conversation with a friend, a very knowledgeable and caring friend. -- Jill Eikenberry
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