Accessible for any woman, this guide offers practical, research-based advice on managing perimenopause, menopause, and postmenopause. Edelman, a Massachusetts-based gynecologist with more than 25 years of practice, answers questions as varied as those relating to hormones, general health, hot flashes, sleep, memory loss, mood changes, depression, diet, exercise, health, sex, and contraception; she also offers a balanced view on the pros and cons of hormone-replacement therapy. Edelman focuses on preventive health measures. Emphasizing the importance of establishing a relationship with one's doctor, she recounts helpful personal stories from her own practice. VERDICT This is both a guide through the often confusing stories in the media and a tool for taking control of one's health care.—Jodith Janes, Cleveland Clinic Fdn. Lib.

Massachusetts-based gynecologist and menopause specialist Edelman notes that since the lifespan of the average North American woman has risen to age 84, it's likely that females of the current generation will be spending more than one third of their lives in postmenopause. In order to remain "healthy, energetic, and productive" Edelman urges preventive care and an ongoing relationship with a trustworthy doctor. Although menopause is a "healthy state," it also holds potential risks, and according to Edelman, the best way to navigate the postmenopausal years is to be knowledgeable. Accordingly, her text resembles a sit-down talk with a trusted physician on a host of health issues associated with this phase of life. Edelman covers hot flashes, sex drive, hormone replacement therapy, heart disease, thyroid disease, cancer and sleep issues. She includes a chapter on bones and the "silent, invisible process of bone thinning," as well as a chapter on mood, memory and mental health. Edelman offers practical tips on taking calcium (in divided doses), advice about urinary tract or bladder infections and a frank discussion of sexual issues. The importance of lifestyle, including diet and exercise, and cancer prevention strategies, are covered as well. With clarity and confidence, Edelman addresses a wide range of essential and timely topics in this information-packed primer for women entering perimenopause and beyond. (Jan.)