By means of birth control pills to hormone treatment for menopausal symptoms a little book gives women of all ages the benefits and risks of hormone preparations.

With an introduction to the female hormone system including a practical overview of the sex hormones of women such as estrogens, progestins, androgens, etc. Dr. Louise Mansel opened her small guide about the female hormonal system. The former pharmacist and editor of the magazine “Pharmaceutical Rundschau” and “geriatric training” says a writer and journalist specializing in pharmaceutical and medical publishers of self-medication, medicine and gynecology.

From puberty to menopause

The hormonally-related development phases in a woman’s life is puberty, menopause and fertile time. Thus one finds in the booklet “The most important hormones of” basic information about contraception – from prevention through to the man about the history of the pill or the thematic block “emancipation and scientific progress” to the actual difference between micro-and mini-pill. In this context, the author also clarifies an error that motivates more women to decide against the pill: The prevention of implantation of a fertilized egg by taking the pill is neither medical nor equal in legal terms for abortion.


Controversial questions are answered briefly and competently: What to do with estrogen intolerance? What’s up with thrombosis, heart attack , stroke, osteoporosis and cancer in combination with the pill to be? Many pages are the benefits and risks of different hormonal contraceptives, the pill through the vaginal ring to the “morning-after pill” dedicated. Education is also one of the myths about the pill. Weight gain, bad skin or even acne are not to be feared, and the “pill pause” is passe.

A life without menstruation?

With modern pills preparations is – if it takes them permanently even a life without menstruation conceivable. In the U.S., and to give input and allegedly without health risks, this type of application in other countries (still) not allowed. Whoever thought of life without a hormonally controlled artificial period “unnatural” is, is elucidated. After Louise Mansel is no medical justification for it that is a four-week cycle. A century before the introduction of the pill is it due to pregnancy and lactation periods “far from normal (or were) to have a monthly menstrual period.” Even with primitive tribes in existence today is the exception and not the norm. When expressed in Germany, 41 percent of the women’s desire for a life without menstruation, the author sees this not as a desire “against nature” to act, but perhaps even the awakening of a urine Stinktes?

Measures against the “wretched menopause”

35 pages of the book are devoted to the “third age” of menopause, which should now make up almost 30 years of a woman’s life and not necessarily dominated by complaints must change. A checklist with 24 symptoms to help determine if you are even going through menopause. That in less than five ticked “yes” answers, the result is: “the first signs of menopause problems,” but seems to strange. Who even one of the statements “I feel tired,” “I have often bad mood for no reason,” or “I have dry skin” box should already suffering from early signs of menopause problems?

Less helpful is the Osteoporosis Risk Test. Apart from the fact that the question is no question number 11 and no condition, but a pure information and therefore not “true” or “not applicable” can be checked, not a single reference is made to a test-evaluation. About possible cancer risks of estrogen therapy for menopausal problems, the author maintains that there was no clear statement, but am not sure breast cancer caused by hormone treatment in itself. What are we to think as a reader, however, by the following citation: “It may be that existing cancer cells grow faster and thus more likely the cancer is detected and treated more. That would be an advantage for the woman concerned. ”

Questionable studies?

Exciting to read about the findings of major studies hormone preparations, such as the American “Women’s Health Initiative ‘(WHI) and the English” Million Women Study “in 2002/2003. But far too short to be their weak points and plucked the latest findings for example, from running for more than 30 years, more sophisticated English “Nurses Study” are presented. A preliminary result is that for healthy, menopausal problems were among women under 60 years of suffering no reason to avoid hormone therapy. Furthermore, estrogens and progestins only complaints and always under medical supervision should be informed repeatedly reputable. The two plant preparations black cohosh and soy are explained briefly at the end of the Advisor.