Table of Contents
Introduction: This Is Your Time To Be Healthy, Fit, and Fine! 1
1 The State of Black Women's Health 7
Societal Stress and the "Rejection Connection" 8
Medical Advances for Women 10
Ethnic Health Disparities 11
Leading Causes of Death 12
Facts and Stats of Living Black 16
Part 1 The Top Five Medical Conditions Affecting Black Women's Lives
2 Diseases of the Heart 21
The Expressway to Your Heart 21
Heart Disease: The Number One Killer 22
Myocardial Infarction 24
Hypertension, Coronary Artery Disease, and Stroke 24
Be "Heart Smart" in All You Do 29
3 Obesity and Diabetes 33
Metabolic Syndrome 34
Obesity 34
Diabetes Mellitus 39
4 Maternal Mortality and Perinatal Loss 43
Pregnancy-Related Deaths 43
Miscarriage and Stillbirths 46
To Be or Not to Be … a Mom 46
Pre-conception Counseling 47
Vaccinations and Pregnancy 49
Complications of Pregnancy 50
5 Cancer 55
The "Big C" 55
Catch It Early 56
Many Black Women Don't Have to Die 56
Breast, Lung, Colon, and Gynecologic Cancers 58
6 HIV and AIDS 67
Is He on the Down-Low? 71
Treatment and Prevention of HIV 72
Trust, but Verify 73
Part 2 Your Unique Womanly Form
7 Your Feminine form and the Conditions that Affect It 79
Pelvic Structure and Function 80
The Brain/Body Connection to Menstruation 83
The Menstrual Cycle 84
Gynecological Conditions 84
8 Menopause 107
What Is Menopause? 108
Menopause and Osteoporosis 112
Menopause and Heart Disease 116
Hormone Replacement Therapy 117
Ethnic Response to Menopause 119
Your "Secret Garden": Use It or Lose It! 120
Foxy and Fine after 49! 123
9 Conditions that Affect the Rest of You 125
Eye Conditions 125
Lung Conditions 128
Genitourinary System Conditions 131
Musculoskeletal System Conditions 131
Multiple Sclerosis and Sickle Cell Disease 133
Part 3 Sex, Sensuality, and Relationships
10 Let's Talk about Sex 141
Sexuality 101 142
Proven Benefits of Sex 143
Overcoming Hang-Ups to Get the Hook-Up 145
Sexually Transmitted Diseases 151
11 Sexual Healing, Reclaim the Feeling 165
When Pain Prevents Pleasure 165
You've Lost That Loving Feeling? 167
12 Black Women and Marriage 171
Still Waiting to Exhale? 171
Blacks and Marriage 174
Everybody Needs Love 175
Interracial Dating and Marriage 176
Multiracial Trends 178
"Manless" Does Not Mean Mindless 180
Support from Sister-Friends and Family 182
13 Pearls of Wisdom to Heal Your Relationships 185
First, Do No Harm 185
Ensure Adequate Nutrition 186
Never Underestimate How Much Someone Hurts 186
Remember That Men Feel Pain Too 187
Don't Leave the Tourniquet on for Longer Than Necessary 188
When You're in Over Your Head, Call for Help 188
The Earlier the Diagnosis, the Easier the Treatment 188
Sometimes Surgery Is the Only Option 189
You Are Part of a Team 189
Even the Best Can Make a Mistake 189
It's Easier to Repair a Straight Line Than a Jagged Edge 189
Your Words Can Have a Powerful Emotional Impact 189
It's Easier to Stay Out of Trouble Than to Get Out of Trouble 190
Check Vital Signs Regularly 190
Learn from Your Mistakes 190
Listen 190
If You Can't See the Problem, You Can't Help with the Solution 191
Don't Ignore the Signs and Symptoms 191
14 Domestic Violence and Divorce 193
Intimate Partner Violence 193
Signs of Intimate Partner Violence 198
To Divorce or Not to Divorce? 200
Part 4 Happiness
15 Dream It. Believe It. Achieve It. 207
Moving Beyond Stereotypes 207
Don't Let Others Define You 208
16 You Are Beautiful 213
The Key to Real Beauty 214
The Skin You're In 214
Nail Care 217
The Mane! The Mane! 217
Dental Care 224
Plastic Surgery 225
Make the Best of What You've Got 228
17 A State of Mind 231
Mental Health Disorders 231
Your Brain 232
Aging and Mentation 235
Dementia vs. Alzheimer's Disease 235
Diagnosis and Treatment of Dementia 242
18 Racism's Effect on Black Women's Health 245
The Lasting Impact of First Experiences 246
Emotional Pain and Depression in Black Women 246
The Effects of Social Rejection 248
19 Financial Health and Money Management 251
The Pain of Poverty 251
Envision a Path to Financial Success 253
Managing Your Money 253
20 How to Survive, Thrive, and Stay Alive 257
A Loving Prescription for Black America 257
Life Lessons for Your Daughters … and Theirs 259
Engage Your Phenomenal Spirit 260
Epilogue: Take Time to Take Stock 263
Afterword 265
Acknowledgments 267
Appendix: Health Questionnaire 271
Glossary 277
Notes 283
Resources 293
Index 297
About the Author 307