Final Front Cover
This year nearly 30 million women between 39 and 53 will experience clinical depression and anxiety disorders associated with the onset of perimenopause.
The Fifth Decade offers women and their families an accessible guide to the turbulent years of perimenopause, as well as seasoned insight to navigate the intense, unpredictable emotional swings that define these years.
Dr. Wagner discusses, with clear and factual explanations: changing sexuality, depleted energy, lack of focus, and even women’s changing capacity to empathize with the people around them…peppering her narrative with sanity-affirming stories of keys lost in the fridge and women discovering they’ve poured orange juice into their coffee.
Dismissing the one-size-fits-all approach, Dr. Wagner provides information on treatment approaches, including the most current medical insights into hormonal changes and hormone therapy options. She also explains how every woman’s own personality, history, hormonal mix, health (including thyroid health) and her current social situation will shape her experience and her approaches for managing her wellbeing.
Perhaps most inspiring is Dr. Wagner’s reminder that the volatile years of perimenopause do, ultimately, resolve into Quietude, and women are able to look forward to the calm after the storm.
With warm and conversational chapters dedicated to spouses and children, as well as an intuitive real-world discussion of the added stressors that define daily life for women in the new millennium, The Fifth Decade is a welcome and indispensable guide for 40-something to 50-something women coping with the poignant growth, and the most intense life, body and identity shifts they will experience since their teen years.

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