Dr Steven Goldstein is Associate Professor of Obstetrics and Gynaecology at New York University's School of Medicine and Laurie Ashner, the author of When Parents Love too Much, Resonance and When is Enough, Enough? is an internationally published writer, teacher and psychotherapist.
This is aimed at women aged 35 to 50 and suggests that most emotional 'symptoms' of menopause, such as forgetfulness, sleep disturbances, mood swings, concentration lapses or unprovoked anxiety, occur in the decade before periods actually stop. Dr Goldstein, an obstetrician/gynaecologist at New York University, may well be right to ascribe them to erratic oestrogen levels (rather than minimal ones, as after the menopause). Perimenopause is an unfortunate term (pre-menopause would be better), yet whether this is a further medicalization of natural cycles or a welcome recognition (at least in the USA) of treatable problems seems likely to stir a new health debate. (Kirkus UK)