Her Hormones: A Book For Men
By Shaughn O'Brien and Paula Briggs
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About this ebook
Shaughn O'Brien
Professor Shaughn O’Brien is Emeritus Professor of Obstetrics and Gynaecology of Keele University School of Medicine having been appointed Foundation Professor in 1989. His clinical post over that period of time was Consultant Obstetrician and Gynaecologist at Royal Stoke University Hospital. Prior to this he was Consultant at the Royal Free Hospital School of Medicine and Senior Lecturer at University of London. From 2004-7 he was Vice President of the Royal College of Obstetricians and Gynaecologists, chairman of the (now) British Society for Biopsychosocial Obstetrics and Gynaecology, chairman of the International Society for Premenstrual Disorders plus many more roles. For most of his career he undertook the whole spectrum of the specialty and developed clinical and research interests in disorders related to female hormones particularly PMS/PMDD, PCOS and the menopause.
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Her Hormones - Shaughn O'Brien
HerHormones
A Book for Men
Professor Shaughn O’Brien &
Dr Paula Briggs
To all of the women who have been treated successfully and whose lives and relationships have been regained. And for the men who have understood…
Health Warning – Women are advised not to read this book
This book is exclusively for men. It concerns the influence of hormones on women and, importantly, all the secondary influences on men. Hormones are rather abstract, and cannot themselves be acknowledged, but their effects can be seen and experienced often without the association being recognised. Moreover, they can lead to an enormous impact on women’s behavioural patterns, mood, physical appearance, self-worth, self-esteem, self-harm, relationships, aggressive acts and declining efficiency in work or at school environments. Significantly, hormones influence practically all aspects of women’s conduct and behaviour and crucially, their quality of life. Certainly, this can have secondary detrimental influences on male partners, other family members and work contemporaries generally. Negative effects from hormones may go unrecognised for many years.
Avoidance of jargon is considered important in the descriptions in our book and where a medical word is demanded, it is explained. It is very much a book for men about women and, whilst we would discourage women from reading it, we do not discourage them from bringing it to the attention of their husbands, partners and sons.
Preface
Professor Shaughn O’Brien is Emeritus Professor of Obstetrics and Gynaecology of Keele University School of Medicine having been appointed Foundation Professor in 1989. His clinical post over that period of time was Consultant Obstetrician and Gynaecologist at Royal Stoke University Hospital. Prior to this he was Consultant at the Royal Free Hospital School of Medicine and Senior Lecturer at University of London. From 2004-7 he was Vice President of the Royal College of Obstetricians and Gynaecologists, chairman of the (now) British Society for Biopsychosocial Obstetrics and Gynaecology, chairman of the International Society for Premenstrual Disorders plus many more roles. For most of his career he undertook the whole spectrum of the specialty and developed clinical and research interests in disorders related to female hormones particularly PMS/PMDD, PCOS and the menopause.
Research interest: He is currently involved in research into the misdiagnosis of hormonal disorders which are inappropriately labelled psychiatric and he is Chief Coordinating Investigator of possibly the first drug ever to be developed specifically for PMDD. He retired from active clinical practice at the age of 71 to pursue a career in fine art, mainly sculpture, but at the transition felt it an opportunity to construct this book. Whilst there are many books on the topic of female hormones for the medical profession and for women, none has been written specifically for men.
Dr Paula Briggs is an Honorary Senior Lecturer at the University of Liverpool and a Consultant in Sexual & Reproductive Health at Liverpool Women’s NHS Foundation Trust. Prior to this she was a General Practitioner. She is a member of the Medical Advisory Council of the British Menopause Society.
She specialises in medical gynaecology including menopause management and premenstrual syndrome and is involved in research in this area of women’s health. She is also currently involved in research into the misdiagnosis of hormonal disorders, which are inappropriately labelled as psychiatric conditions and follows Professor O’Brien as Chief Investigator of hopefully the first drug ever to be developed specifically for PMDD.
It was during the course of this clinical trial that they collaborated to share their expertise in relation to hormone disorders affecting women, but also men. This book is for men to help them understand and as a result will help men and women.
Contents
Title Page
Dedication
Health Warning – Women are advised not to read this book
Preface
CHAPTER 1: Setting the scene
CHAPTER 2: A basic guide to female anatomy
CHAPTER 3: What the ovaries do each month and throughout life
CHAPTER 4: What do the hormones produced by the ovaries do throughout the body?
CHAPTER 5: Treatments which affect hormone cycles and menstruation
CHAPTER 6: Menstrual Problems
CHAPTER 7: Premenstrual Syndrome
CHAPTER 8: Treatment of PMS
CHAPTER 9: Polycystic ovaries and polycystic ovary syndrome – what’s the difference?
CHAPTER 10: Endometriosis
CHAPTER 11: The Menopause Defined
CHAPTER 12: Treatment of the Menopause
CHAPTER 13: An anecdote!
CHAPTER 14: Evolutionary benefit?
List of Illustrations
Afterword
Copyright
CHAPTER 1
Setting the scene
In men, hormones can be responsible for wars, murder, aggression and rape – and they make them smell! Female hormones have both obvious effects (physical sexual characteristics such as breast and genital development) and can also result in subtler changes. The less obvious changes affect vast numbers of people worldwide and every day – this is not widely recognised. Understanding female hormones is really important – it can save relationships, marriages and even lives. To most men, understanding female hormones might seem an impossible and daunting task. We hope that this book will help to make some if not all things clear, with a mixture of facts, real-life stories and a little speculation.
Hormonal effects are complicated. One hormone often acts with another – or more often more than one other. The effects of hormones can be different at different times depending on which cell, tissue or body organ the hormone is affecting. The actions of hormones change throughout the month from puberty, during pregnancies and after the menopause – indeed throughout life. There are effects on the fetus in the womb, during childhood; before, during and after puberty; over the course of a month through the menstrual cycle; and throughout pregnancy. There are complex effects leading up to the menopause and beyond. This describes normal hormonal processes. On top of this, some women experience problems associated with abnormal responses to normal hormone cycles such as in premenstrual syndrome. Finally, we must also consider the reasons for benefits and side effects of hormones that women are prescribed, either for illnesses or for potential benefits, such as HRT (hormone replacement therapy), subfertility treatment or contraception.
A BIT ABOUT HORMONES GENERALLY
There are many different hormones. The first to be discovered was insulin, which is associated with diabetes. Diabetes is due to insulin deficiency/resistance and can be type 1 or type 2. Another well-known hormone is thyroid hormone.
Naturally produced hormones are made in the body and released from glands called endocrine glands. They make their way in the bloodstream to other parts of the body, where they then have specific actions, which, as we have said, can be different at different places in the body, different ages and times – and the effects of the same hormone can be different between the sexes.
We have all heard of steroid hormones in the controversial area of sport performance enhancement and bodybuilding. But