| List of Figures | xiii |
| Acknowledgments | xv |
| Introduction: The Journey Begins | 1 |
| Midlife: Redefining Creativity and Home | 3 |
| Why I'm Writing a Menopause Book Now | 5 |
| Blazing a New Trail | 6 |
| Chapter 1 | Menopause Puts Your Life Under a Microscope | 9 |
| "Not Me, My Marriage Is Fine" | 10 |
| The Childbearing Years: Balancing Personal and Professional Lives | 12 |
| Why Marriages Must Change at Midlife | 16 |
| My Personal Fibroid Story: The Final Chapter | 20 |
| Feeling the Joy of Co-creative Partnership | 23 |
| The Forces That Change the Goose Also Change the Gander | 26 |
| Real Menopause Hits | 27 |
| My Marriage Goes Bankrupt | 28 |
| Armadillo Medicine: The Power of Vulnerability | 31 |
| Celebrating the Past While Creating a New Future | 33 |
| Chapter 2 | The Brain Catches Fire at Menopause | 36 |
| Our Cultural Inheritance | 36 |
| Our Brains Catch Fire at Menopause | 38 |
| Learning to Recognize and Heed Our Wake-up Calls | 39 |
| Is It Me or Is It My Hormones? Debunking the Myth of Raging Hormones | 42 |
| The Multiple Roles of Your "Reproductive" Hormones | 48 |
| Embracing the Message Behind Our Menopausal Anger | 53 |
| Emotions, Hormones, and Your Health | 57 |
| How Our Midlife Brains and Bodies Are Set Up to Heal Our Past | 66 |
| Finding a Larger Meaning | 71 |
| Chapter 3 | Coming Home to Yourself: From Dependence to Healthy Autonomy | 76 |
| The Empty-Nest Syndrome | 76 |
| Boomerang Babies | 80 |
| Powerful Feelings, Powerful Healing | 82 |
| Caring for Ourselves, Caring for Others: Finding the Balance | 84 |
| Hitting Pay Dirt: Getting Clear About Money at Midlife | 90 |
| Coming Home to Yourself | 97 |
| Vocational Awakening at Midlife | 99 |
| A Road Map for Navigating Unknown Territory | 102 |
| Chapter 4 | This Can't Be Menopause, Can It? The Physical Foundation of the Change | 105 |
| What Is Happening in Your Body: Hormonal Changes | 106 |
| Perimenopause Is a Normal Process, Not a Disease | 107 |
| The Three Types of Menopause | 110 |
| Perimenopause and Hormonal Levels | 112 |
| Is There a Test I Can Take? | 114 |
| Menopause and Thyroid Function | 118 |
| Menopause and Adrenal Function | 119 |
| What to Expect in Your Transition | 124 |
| Chapter 5 | Hormone Replacement: An Individual Choice | 134 |
| A Brief History of Hormone Replacement | 134 |
| Bioidentical Hormones: Nature's Ideal Design | 138 |
| A Hormone Primer: Essential Information Every Woman Should Know | 142 |
| How to Decide Whether or Not to Take Hormones | 154 |
| A Dusting of Hormones | 169 |
| How Long Should You Stay on Hormones? | 170 |
| Chapter 6 | Foods and Supplements to Support the Change | 172 |
| Basic Principles of Herbal Therapy at Menopause | 174 |
| Menopausal Healing Foods | 178 |
| Traditional Chinese Medicine and Acupuncture for Menopause | 187 |
| Start Somewhere | 190 |
| Chapter 7 | The Menopause Food Plan: A Program to Balance Your Hormones and Prevent Middle-Age Spread | 191 |
| Making Peace (Once Again) with My Weight | 192 |
| Five Steps to Midlife Weight Control | 194 |
| The Elements of Imbalance | 199 |
| The Hormone-Balancing Food Plan | 205 |
| Optimizing Midlife Digestion | 219 |
| The Final Frontier: Accepting Our Bodies | 225 |
| Chapter 8 | Creating Pelvic Health and Power | 227 |
| What Is Yours, What Is Mine, What Is Ours? Reclaiming Our Boundaries | 228 |
| Hormonal Imbalance: Fuel to the Fire | 231 |
| Menstrual Cramps and Pelvic Pain | 231 |
| Heavy Bleeding | 235 |
| Fibroids | 240 |
| An Empowered Approach to Surgery or Invasive Procedures | 247 |
| Strengthen Your Urinary Health and Pelvic Floor Muscles | 254 |
| Chapter 9 | Sex and Menopause: Myths and Reality | 264 |
| The Anatomy of Desire | 265 |
| Sexuality at Menopause: Our Cultural Inheritance | 267 |
| Menopause Is a Time to Redefine and Update Our Relationships | 274 |
| Hormone Levels Are Only One Part of Libido | 277 |
| Secondary Libidinal Support: Estrogen and Progesterone | 279 |
| Testosterone: The Hormone of Desire? | 281 |
| Aids to Lubrication | 283 |
| Telling the Truth | 287 |
| Nine Steps to Rekindling Libido | 289 |
| Chapter 10 | Nurturing Your Brain: Sleep, Depression, and Memory | 292 |
| Enhancing Midlife Sleep | 296 |
| Depression: An Opportunity for Growth | 304 |
| Memory Loss at Menopause: Is This Alzheimer's? | 314 |
| Estrogen and Alzheimer's | 316 |
| Non-hormonal Ways to Protect Your Brain | 319 |
| Maximizing Midlife Wisdom | 323 |
| Chapter 11 | From Rosebud to Rose Hip: Cultivating Midlife Beauty | 328 |
| Making Peace with Your Changing Skin | 330 |
| Preventing or Treating Wrinkles | 336 |
| Midlife Acne | 347 |
| Rosacea | 351 |
| Hair in the Wrong Places | 354 |
| When Good Skin Care Isn't Enough: Deciding on Cosmetic Procedures | 360 |
| Varicose Veins | 364 |
| Chapter 12 | Standing Tall for Life: Building Healthy Bones | 369 |
| Osteoporosis: The Scope of the Problem | 370 |
| We're Designed for Lifetime Sturdiness | 371 |
| How Healthy Bone Is Made | 372 |
| Are You at Risk for Osteoporosis? | 377 |
| Measuring Bone Density | 381 |
| Bone-Building Program | 385 |
| What About Bone-Building Drugs? | 393 |
| Get Strong | 394 |
| The Sunlight-Bone Health Connection | 403 |
| Shore Up Your Earth Connection with Plant Medicine | 408 |
| Chapter 13 | Creating Breast Health | 409 |
| Our Cultural Inheritance: Nurturing and Self-Sacrifice | 410 |
| The Emotional Anatomy of Breast Cancer | 412 |
| Lifestyle and Breast Health | 417 |
| Eating for Breast Health | 420 |
| Breast Cancer Screening | 423 |
| Putting Breast Cancer Risk in Perspective | 431 |
| The Breast Cancer Gene: Should You Be Tested? | 433 |
| The Effect of HRT on Breast Health | 434 |
| Bioidentical Hormones and Cancer Risk | 437 |
| The Tamoxifen Dilemma | 444 |
| Chapter 14 | Living with Heart, Passion, and Joy: How to Listen to and Love Your Midlife Heart | 449 |
| The Heart Has Its Say at Menopause: My Personal Story | 450 |
| Cardiovascular Disease: When the Flow of Life Is Blocked | 454 |
| Palpitations: Your Heart's Wake-up Call | 456 |
| Gender Bias and Heart Disease: Our Cultural Inheritance | 459 |
| Arteriosclerosis: Reducing Your Risk | 462 |
| Carbohydrates, Sugar, and Heart Health: What Every Woman Should Know | 472 |
| Cardioprotective Supplements | 475 |
| Foods for Heart Health | 480 |
| What About Aspirin? | 482 |
| Get Moving! | 483 |
| Is Estrogen Replacement Necessary to Prevent Heart Disease? | 487 |
| How to Love and Respect Your Midlife Heart | 492 |
| The Heart-Opening Effect of Pets | 493 |
| Epilogue: The Calm After the Storm | 495 |
| Notes | 499 |
| Resources | 538 |
| Index | 567 |
| About the Author | 591 |