• Ronald K. McCraw PhD, DO

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    • Ronald K. McCraw, PhD, DO, is both a licensed clinical psychologist and an osteopathic physician. He received his B.A. with special honors in psychology from the University of Texas at Austin, his M.A. in preventive medicine and community health from the University of Texas Medical Branch in Galveston, and his PhD. In clinical psychology from the University of South Florida. He recently completed a D.O. degree at Texas College of Osteopathic Medicine/University of North Texas. He is currently a specialty-tract intern in obstetrics and gynecology at Detroit Osteopathic and Bi-County (Warren, MI) Hospitals. He has published numerous articles and over 120 book and film reviews in professional medical, nursing, and psychological journals.

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The perimenopausal period is often a frustrating time for the woman who is experiencing it and for the health care professional who provides care for her. Although menopause is a universal experience for women, how it is experienced is not universal. Physiology, anatomy, social support systems, culture, expectations, and the woman's attitudes (especially her self-image) all have an influence on how easy or difficult the perimenopausal transition period is for an individual. This paper discusses psycho-sexual aspects of the perimenopausal period and suggests how nurse-midwives or other health professionals can make this often difficult period easier.