{"id":130,"date":"2012-09-24T04:17:21","date_gmt":"2012-09-24T04:17:21","guid":{"rendered":"http:\/\/www.robertofrancodoamaral.com.br\/blog\/?p=130"},"modified":"2026-03-29T14:44:25","modified_gmt":"2026-03-29T17:44:25","slug":"menopausa","status":"publish","type":"post","link":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/menopausa\/","title":{"rendered":"Menopausa e Terapia Hormonal: Entenda os Riscos, Benef\u00edcios e Mitos"},"content":{"rendered":"<h2 data-start=\"178\" data-end=\"205\">_________________________________________<\/h2>\r\n<h2 data-start=\"178\" data-end=\"205\"><span style=\"color: #0000ff;\">Menopausa ontem e hoje:<\/span><\/h2>\r\n<p data-start=\"206\" data-end=\"391\">H\u00e1 cerca de <strong data-start=\"218\" data-end=\"236\">quatro d\u00e9cadas<\/strong>, quando a expectativa de vida m\u00e9dia era de apenas 60 anos, a menopausa era quase vista como um <strong data-start=\"332\" data-end=\"356\">pren\u00fancio da velhice<\/strong> e da proximidade do fim da vida.<\/p>\r\n<p data-start=\"393\" data-end=\"614\">Hoje, essa vis\u00e3o est\u00e1 ultrapassada. As mulheres vivem muito mais \u2014 muitas vezes mais de 80 anos \u2014 e passam <strong data-start=\"500\" data-end=\"547\">um ter\u00e7o ou at\u00e9 metade da vida em menopausa<\/strong>. Isso torna o tema um dos <strong data-start=\"574\" data-end=\"611\">maiores desafios de sa\u00fade p\u00fablica<\/strong>.<\/p>\r\n<p data-start=\"616\" data-end=\"903\">Se por um lado as mulheres modernas cuidam melhor da sa\u00fade, com <strong data-start=\"680\" data-end=\"768\">alimenta\u00e7\u00e3o equilibrada, exerc\u00edcios f\u00edsicos, acompanhamento m\u00e9dico e menos tabagismo<\/strong>, por outro, a queda hormonal da menopausa pode impactar <strong data-start=\"825\" data-end=\"900\">qualidade de vida, bem-estar e at\u00e9 aumentar o risco de doen\u00e7as cr\u00f4nicas<\/strong>.<\/p>\r\n<p data-start=\"616\" data-end=\"903\">\u00a0<\/p>\r\n<hr data-start=\"905\" data-end=\"908\" \/>\r\n<h2 data-start=\"910\" data-end=\"935\"><span style=\"color: #0000ff;\">O que \u00e9 a Menopausa?<\/span><\/h2>\r\n<p data-start=\"936\" data-end=\"1071\">O termo <strong data-start=\"944\" data-end=\"957\">menopausa<\/strong> surgiu em 1816 para designar a <strong data-start=\"989\" data-end=\"1030\">interrup\u00e7\u00e3o definitiva da menstrua\u00e7\u00e3o<\/strong> devido \u00e0 fal\u00eancia natural dos ov\u00e1rios.<\/p>\r\n<p data-start=\"1073\" data-end=\"1315\"><strong data-start=\"1076\" data-end=\"1097\">Defini\u00e7\u00e3o cl\u00ednica<\/strong>: aus\u00eancia de menstrua\u00e7\u00e3o por <strong data-start=\"1127\" data-end=\"1152\">12 meses consecutivos<\/strong>.<br data-start=\"1153\" data-end=\"1156\" \/><strong data-start=\"1159\" data-end=\"1173\">Climat\u00e9rio<\/strong>: per\u00edodo de transi\u00e7\u00e3o que inclui os anos <strong data-start=\"1215\" data-end=\"1246\">antes e depois da menopausa<\/strong>, considerado o \u201c<strong data-start=\"1263\" data-end=\"1288\">ponto cr\u00edtico da vida<\/strong>\u201d (do grego <em data-start=\"1300\" data-end=\"1311\">Klimakter<\/em>).<\/p>\r\n<hr data-start=\"1317\" data-end=\"1320\" \/>\r\n<h2 data-start=\"1322\" data-end=\"1355\"><span style=\"color: #0000ff;\">O que \u00e9 a Menopausa Precoce?<\/span><\/h2>\r\n<p data-start=\"1356\" data-end=\"1451\">A <strong data-start=\"1358\" data-end=\"1379\">menopausa precoce<\/strong> acontece quando os ov\u00e1rios deixam de funcionar <strong data-start=\"1427\" data-end=\"1448\">antes dos 40 anos<\/strong>.<\/p>\r\n<p data-start=\"1453\" data-end=\"1639\">Essa condi\u00e7\u00e3o afeta a fertilidade, pode antecipar sintomas como ondas de calor, ins\u00f4nia e altera\u00e7\u00f5es de humor, al\u00e9m de <strong data-start=\"1572\" data-end=\"1636\">aumentar os riscos de doen\u00e7as cardiovasculares e osteoporose<\/strong>.<\/p>\r\n<hr data-start=\"1641\" data-end=\"1644\" \/>\r\n<h2><span style=\"color: #0000ff;\">Realidade brasileira:<\/span><\/h2>\r\n<ul data-start=\"249\" data-end=\"658\">\r\n<li data-start=\"249\" data-end=\"496\">\r\n<p data-start=\"251\" data-end=\"496\">Estimativas oficiais do IBGE indicam que cerca de <strong data-start=\"301\" data-end=\"378\">30 milh\u00f5es de mulheres no Brasil est\u00e3o na faixa do climat\u00e9rio e menopausa<\/strong> (representando uma fatia importante da popula\u00e7\u00e3o feminina),<\/p>\r\n<\/li>\r\n<li data-start=\"497\" data-end=\"658\">\r\n<p data-start=\"499\" data-end=\"658\">Mulheres nessa etapa representam cerca de <strong data-start=\"582\" data-end=\"619\">28% da popula\u00e7\u00e3o feminina do pa\u00eds<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"859\" data-end=\"891\">\u00a0Uso de terapia hormonal<\/h3>\r\n<ul data-start=\"892\" data-end=\"1509\">\r\n<li data-start=\"892\" data-end=\"1279\">\r\n<p data-start=\"894\" data-end=\"1279\">Dados recentes sobre o uso de terapia de reposi\u00e7\u00e3o hormonal (TRH ou MHT) no Brasil variam conforme o estudo, mas <strong data-start=\"1007\" data-end=\"1093\">a maioria mostra que uma grande propor\u00e7\u00e3o das mulheres n\u00e3o faz tratamento hormonal<\/strong>. Em alguns levantamentos internacionais ou regionais, a propor\u00e7\u00e3o de mulheres em uso ativo \u00e9 relativamente baixa \u2014 abaixo de 30% em alguns casos.<\/p>\r\n<\/li>\r\n<li data-start=\"1280\" data-end=\"1509\">\r\n<p data-start=\"1282\" data-end=\"1509\">Al\u00e9m disso, em pesquisas com dados epidemiol\u00f3gicos brasileiros, a propor\u00e7\u00e3o de mulheres que <strong data-start=\"1374\" data-end=\"1468\">nunca usaram terapia hormonal chega a cerca de 70%, com uma fra\u00e7\u00e3o menor fazendo uso atual<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"2003\" data-end=\"2006\" \/>\r\n<h2 data-start=\"2008\" data-end=\"2069\"><span style=\"color: #0000ff;\">Terapia de Reposi\u00e7\u00e3o Hormonal: quem pode e quem n\u00e3o pode:<\/span><\/h2>\r\n<p data-start=\"2070\" data-end=\"2313\">A <strong data-start=\"2072\" data-end=\"2111\">terapia de reposi\u00e7\u00e3o hormonal (TRH)<\/strong> \u00e9 um dos tratamentos mais eficazes para os sintomas da menopausa e para a preven\u00e7\u00e3o de doen\u00e7as relacionadas \u00e0 queda de estrog\u00eanio, como <strong data-start=\"2248\" data-end=\"2310\">osteoporose, doen\u00e7as cardiovasculares e decl\u00ednio cognitivo<\/strong>.<\/p>\r\n<p data-start=\"2315\" data-end=\"2370\">No entanto, existem <strong data-start=\"2335\" data-end=\"2367\">contraindica\u00e7\u00f5es importantes<\/strong>:<\/p>\r\n<h3 data-start=\"2372\" data-end=\"2409\"><span style=\"color: #0000ff;\">Quando a TRH n\u00e3o deve ser usada?<\/span><\/h3>\r\n<ul data-start=\"2410\" data-end=\"2748\">\r\n<li data-start=\"2410\" data-end=\"2452\">\r\n<p data-start=\"2412\" data-end=\"2452\">C\u00e2ncer de mama ou de endom\u00e9trio ativo.<\/p>\r\n<\/li>\r\n<li data-start=\"2453\" data-end=\"2565\">\r\n<p data-start=\"2455\" data-end=\"2565\">C\u00e2ncer de mama tratado h\u00e1 menos de 5 anos (se curada h\u00e1 mais de 5 anos e sem met\u00e1stases, pode ser avaliada).<\/p>\r\n<\/li>\r\n<li data-start=\"2566\" data-end=\"2615\">\r\n<p data-start=\"2568\" data-end=\"2615\">Sangramento uterino sem diagn\u00f3stico definido.<\/p>\r\n<\/li>\r\n<li data-start=\"2616\" data-end=\"2650\">\r\n<p data-start=\"2618\" data-end=\"2650\">Doen\u00e7a hep\u00e1tica aguda e grave.<\/p>\r\n<\/li>\r\n<li data-start=\"2651\" data-end=\"2703\">\r\n<p data-start=\"2653\" data-end=\"2703\">Doen\u00e7a tromboemb\u00f3lica ativa (trombose, embolia).<\/p>\r\n<\/li>\r\n<li data-start=\"2704\" data-end=\"2748\">\r\n<p data-start=\"2706\" data-end=\"2748\">C\u00e2ncer horm\u00f4nio-dependente em atividade.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"2750\" data-end=\"2775\"><span style=\"color: #0000ff;\">Situa\u00e7\u00f5es especiais:<\/span><\/h3>\r\n<p data-start=\"2776\" data-end=\"2964\">Mulheres que tiveram <strong data-start=\"2797\" data-end=\"2831\">c\u00e2ncer de endom\u00e9trio est\u00e1gio 1<\/strong> e passaram por <strong data-start=\"2847\" data-end=\"2884\">histerectomia (retirada do \u00fatero)<\/strong> podem sim ser candidatas \u00e0 reposi\u00e7\u00e3o hormonal, sob avalia\u00e7\u00e3o m\u00e9dica rigorosa.<\/p>\r\n<p>____________________________________________________________________<\/p>\r\n<h3 data-start=\"159\" data-end=\"232\"><span style=\"color: #0000ff;\">Terapia de Reposi\u00e7\u00e3o Hormonal e C\u00e2ncer de Mama: O Que a Ci\u00eancia Mostra?<\/span><\/h3>\r\n<p data-start=\"234\" data-end=\"570\">A menopausa \u00e9 uma fase natural da vida da mulher, marcada pela queda na produ\u00e7\u00e3o de horm\u00f4nios como estrog\u00eanio e progesterona. Esse per\u00edodo, tamb\u00e9m chamado de climat\u00e9rio, pode trazer sintomas intensos que impactam a sa\u00fade e a qualidade de vida, como ondas de calor, ins\u00f4nia, altera\u00e7\u00f5es de humor, perda de massa \u00f3ssea e queda da libido.<\/p>\r\n<p data-start=\"572\" data-end=\"737\">Diante disso, surge a <strong data-start=\"594\" data-end=\"633\">terapia de reposi\u00e7\u00e3o hormonal (TRH)<\/strong> como op\u00e7\u00e3o de tratamento. Mas um tema que sempre gera d\u00favidas \u00e9 a rela\u00e7\u00e3o entre TRH e o c\u00e2ncer de mama.<\/p>\r\n<p data-start=\"572\" data-end=\"737\">_____________________________________________________________________<\/p>\r\n<h2 data-start=\"739\" data-end=\"793\"><span style=\"color: #0000ff;\">Estudo Norte-Americano: Resultados Surpreendentes<\/span><\/h2>\r\n<p data-start=\"794\" data-end=\"992\">Em um <strong data-start=\"800\" data-end=\"839\">estudo realizado nos Estados Unidos<\/strong>, foi observado que a <strong data-start=\"861\" data-end=\"989\">taxa de mortalidade foi menor em mulheres com hist\u00f3rico familiar de c\u00e2ncer de mama que fizeram terapia de reposi\u00e7\u00e3o hormonal<\/strong>.<\/p>\r\n<p data-start=\"994\" data-end=\"1304\">Esse dado quebra um tabu e abre espa\u00e7o para repensar o tratamento no climat\u00e9rio. Afinal, se milh\u00f5es de mulheres sofrem com sintomas da menopausa e apenas 10% recebem tratamento adequado, estamos deixando <strong data-start=\"1198\" data-end=\"1247\">quase 60 milh\u00f5es de mulheres sem acesso \u00e0 TRH<\/strong>, mesmo que a maioria n\u00e3o tenha contraindica\u00e7\u00f5es reais.<\/p>\r\n<p data-start=\"1306\" data-end=\"1352\">A pergunta que fica \u00e9: <strong data-start=\"1329\" data-end=\"1352\">por que n\u00e3o tratar?<\/strong><\/p>\r\n<p data-start=\"1306\" data-end=\"1352\">__________________________________________________________________________<\/p>\r\n<h2 data-start=\"1354\" data-end=\"1391\"><span style=\"color: #0000ff;\">Entendendo a Fisiologia Feminina<\/span><\/h2>\r\n<p data-start=\"1392\" data-end=\"1489\">Desde a puberdade, a produ\u00e7\u00e3o de horm\u00f4nios femininos \u00e9 regulada por dois horm\u00f4nios da hip\u00f3fise:<\/p>\r\n<ul data-start=\"1490\" data-end=\"1568\">\r\n<li data-start=\"1490\" data-end=\"1533\">\r\n<p data-start=\"1492\" data-end=\"1533\"><strong data-start=\"1492\" data-end=\"1531\">FSH (horm\u00f4nio fol\u00edculo estimulante)<\/strong><\/p>\r\n<\/li>\r\n<li data-start=\"1534\" data-end=\"1568\">\r\n<p data-start=\"1536\" data-end=\"1568\"><strong data-start=\"1536\" data-end=\"1566\">LH (horm\u00f4nio luteinizante)<\/strong><\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"1570\" data-end=\"1676\">Esses horm\u00f4nios atuam diretamente nos ov\u00e1rios, estimulando a produ\u00e7\u00e3o de <strong data-start=\"1643\" data-end=\"1673\">estrog\u00eanios e progesterona<\/strong>.<\/p>\r\n<p data-start=\"1678\" data-end=\"1787\"><strong data-start=\"1681\" data-end=\"1704\">Importante lembrar:<\/strong> estrog\u00eanio n\u00e3o \u00e9 um horm\u00f4nio \u00fanico, mas uma <strong data-start=\"1749\" data-end=\"1772\">classe de horm\u00f4nios<\/strong>, que inclui:<\/p>\r\n<ul data-start=\"1788\" data-end=\"1837\">\r\n<li data-start=\"1788\" data-end=\"1805\">\r\n<p data-start=\"1790\" data-end=\"1805\"><strong data-start=\"1790\" data-end=\"1803\">Estradiol<\/strong><\/p>\r\n<\/li>\r\n<li data-start=\"1806\" data-end=\"1821\">\r\n<p data-start=\"1808\" data-end=\"1821\"><strong data-start=\"1808\" data-end=\"1819\">Estrona<\/strong><\/p>\r\n<\/li>\r\n<li data-start=\"1822\" data-end=\"1837\">\r\n<p data-start=\"1824\" data-end=\"1837\"><strong data-start=\"1824\" data-end=\"1835\">Estriol<\/strong><\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"1839\" data-end=\"2081\">Durante a menopausa, essa produ\u00e7\u00e3o cai drasticamente, gerando os sintomas t\u00edpicos do climat\u00e9rio.<\/p>\r\n<p data-start=\"1839\" data-end=\"2081\">A reposi\u00e7\u00e3o hormonal, feita de maneira correta e individualizada, pode devolver qualidade de vida, prevenir doen\u00e7as e at\u00e9 reduzir riscos \u00e0 sa\u00fade.<\/p>\r\n<h2 data-start=\"2083\" data-end=\"2113\"><span style=\"color: #0000ff;\">Por Que Isso \u00c9 Relevante?<\/span><\/h2>\r\n<p data-start=\"2114\" data-end=\"2137\">Os dados mostram que:<\/p>\r\n<ul data-start=\"2138\" data-end=\"2490\">\r\n<li data-start=\"2138\" data-end=\"2251\">\r\n<p data-start=\"2140\" data-end=\"2251\">A TRH <strong data-start=\"2146\" data-end=\"2201\">n\u00e3o deve ser vista apenas como est\u00e9tica ou conforto<\/strong>, mas como tratamento m\u00e9dico baseado em ci\u00eancia.<\/p>\r\n<\/li>\r\n<li data-start=\"2252\" data-end=\"2369\">\r\n<p data-start=\"2254\" data-end=\"2369\">O medo exagerado do c\u00e2ncer de mama tem afastado muitas mulheres de um recurso que pode trazer grandes benef\u00edcios.<\/p>\r\n<\/li>\r\n<li data-start=\"2370\" data-end=\"2490\">\r\n<p data-start=\"2372\" data-end=\"2490\">O acompanhamento m\u00e9dico \u00e9 essencial para identificar indica\u00e7\u00f5es, contraindica\u00e7\u00f5es e a forma mais segura de tratamento.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"2492\" data-end=\"2495\" \/>\r\n<h2 data-start=\"2497\" data-end=\"2511\"><span style=\"color: #0000ff;\">Conclus\u00e3o:<\/span><\/h2>\r\n<p data-start=\"2512\" data-end=\"2704\">A <strong data-start=\"2514\" data-end=\"2560\">terapia de reposi\u00e7\u00e3o hormonal na menopausa<\/strong> continua sendo um tema pol\u00eamico, mas os estudos cient\u00edficos demonstram que seus benef\u00edcios podem superar os riscos em grande parte dos casos.<\/p>\r\n<p data-start=\"2706\" data-end=\"2852\">Com orienta\u00e7\u00e3o m\u00e9dica adequada, a TRH pode <strong data-start=\"2749\" data-end=\"2849\">melhorar sintomas, reduzir mortalidade e aumentar a qualidade de vida das mulheres no climat\u00e9rio<\/strong>.<\/p>\r\n<p data-start=\"2854\" data-end=\"2945\">O mais importante \u00e9 abandonar mitos e adotar uma vis\u00e3o baseada em evid\u00eancias cient\u00edficas.<\/p>\r\n<h2><span style=\"color: #0000ff;\"><strong>Entenda o que ocorre no ciclo menstrual antes do climat\u00e9rio\/menopausa:<\/strong><\/span><\/h2>\r\n<figure id=\"attachment_132\" aria-describedby=\"caption-attachment-132\" style=\"width: 581px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-132 \" title=\"ciclo\" src=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/ciclo.png\" alt=\"menopausa\" width=\"581\" height=\"388\" srcset=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/ciclo.png 320w, https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/ciclo-300x201.png 300w\" sizes=\"(max-width: 581px) 100vw, 581px\" \/><figcaption id=\"caption-attachment-132\" class=\"wp-caption-text\">Ciclos da mulher durante o per\u00edodo anterior a menopausa<\/figcaption><\/figure>\r\n<h2 data-start=\"152\" data-end=\"218\"><span style=\"color: #0000ff;\">Estrog\u00eanio: O Horm\u00f4nio Que Define as Caracter\u00edsticas Femininas<\/span><\/h2>\r\n<p data-start=\"220\" data-end=\"477\">O <strong data-start=\"222\" data-end=\"236\">estrog\u00eanio<\/strong> \u00e9 um dos principais horm\u00f4nios femininos e exerce papel fundamental em praticamente todas as fases da vida da mulher. Mais do que regular o ciclo menstrual, ele influencia a forma do corpo, a sa\u00fade dos ossos, do cora\u00e7\u00e3o e at\u00e9 mesmo a pele.<\/p>\r\n<hr data-start=\"479\" data-end=\"482\" \/>\r\n<h2 data-start=\"484\" data-end=\"539\"><span style=\"color: #0000ff;\">Principais fun\u00e7\u00f5es do estrog\u00eanio no corpo feminino<\/span><\/h2>\r\n<h3 data-start=\"541\" data-end=\"589\">1. Defini\u00e7\u00e3o das caracter\u00edsticas femininas<\/h3>\r\n<p data-start=\"590\" data-end=\"663\">O estrog\u00eanio \u00e9 respons\u00e1vel por tra\u00e7os t\u00edpicos do corpo da mulher, como:<\/p>\r\n<ul data-start=\"664\" data-end=\"829\">\r\n<li data-start=\"664\" data-end=\"740\">\r\n<p data-start=\"666\" data-end=\"740\"><strong data-start=\"666\" data-end=\"697\">Cintura menor que o quadril<\/strong> (o famoso corpo em formato de \u201cviol\u00e3o\u201d).<\/p>\r\n<\/li>\r\n<li data-start=\"741\" data-end=\"763\">\r\n<p data-start=\"743\" data-end=\"763\"><strong data-start=\"743\" data-end=\"760\">Voz mais fina<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"764\" data-end=\"792\">\r\n<p data-start=\"766\" data-end=\"792\"><strong data-start=\"766\" data-end=\"789\">Seios desenvolvidos<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"793\" data-end=\"829\">\r\n<p data-start=\"795\" data-end=\"829\"><strong data-start=\"795\" data-end=\"826\">Pele mais macia e aveludada<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"831\" data-end=\"941\">Esses detalhes, muitas vezes sutis, s\u00e3o o que diferenciam biologicamente os corpos femininos dos masculinos.<\/p>\r\n<hr data-start=\"943\" data-end=\"946\" \/>\r\n<h3 data-start=\"948\" data-end=\"991\">2. Desenvolvimento dos \u00f3rg\u00e3os sexuais<\/h3>\r\n<p data-start=\"992\" data-end=\"1138\">O horm\u00f4nio tamb\u00e9m garante a forma\u00e7\u00e3o e o funcionamento adequado dos <strong data-start=\"1060\" data-end=\"1098\">\u00f3rg\u00e3os sexuais internos e externos<\/strong>, como \u00fatero, trompas, vagina e vulva.<\/p>\r\n<hr data-start=\"1140\" data-end=\"1143\" \/>\r\n<h3 data-start=\"1145\" data-end=\"1180\">3. Ciclo menstrual e ovula\u00e7\u00e3o<\/h3>\r\n<p data-start=\"1181\" data-end=\"1321\">Gra\u00e7as ao estrog\u00eanio, ocorre a regula\u00e7\u00e3o dos <strong data-start=\"1226\" data-end=\"1261\">ciclos menstruais e da ovula\u00e7\u00e3o<\/strong>, permitindo a gesta\u00e7\u00e3o \u2014 uma das maiores d\u00e1divas da vida.<\/p>\r\n<hr data-start=\"1323\" data-end=\"1326\" \/>\r\n<h3 data-start=\"1328\" data-end=\"1352\">4. Sa\u00fade dos ossos<\/h3>\r\n<p data-start=\"1353\" data-end=\"1534\">O estrog\u00eanio participa ativamente da <strong data-start=\"1390\" data-end=\"1418\">forma\u00e7\u00e3o do tecido \u00f3sseo<\/strong>, prevenindo osteopenia e osteoporose, condi\u00e7\u00f5es muito comuns ap\u00f3s a menopausa, quando os n\u00edveis do horm\u00f4nio caem.<\/p>\r\n<hr data-start=\"1536\" data-end=\"1539\" \/>\r\n<h3 data-start=\"1541\" data-end=\"1583\">5. Metabolismo e composi\u00e7\u00e3o corporal<\/h3>\r\n<ul data-start=\"1584\" data-end=\"1832\">\r\n<li data-start=\"1584\" data-end=\"1614\">\r\n<p data-start=\"1586\" data-end=\"1614\"><strong data-start=\"1586\" data-end=\"1611\">Aumenta o metabolismo<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1615\" data-end=\"1693\">\r\n<p data-start=\"1617\" data-end=\"1693\"><strong data-start=\"1617\" data-end=\"1652\">Favorece o ganho de massa magra<\/strong> por estimular o dep\u00f3sito de prote\u00ednas.<\/p>\r\n<\/li>\r\n<li data-start=\"1694\" data-end=\"1832\">\r\n<p data-start=\"1696\" data-end=\"1832\">Promove o <strong data-start=\"1706\" data-end=\"1752\">dep\u00f3sito de gordura em regi\u00f5es espec\u00edficas<\/strong> como gl\u00fateos, coxas e mamas, o que muitas vezes caracteriza o corpo feminino.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"1834\" data-end=\"1837\" \/>\r\n<h3 data-start=\"1839\" data-end=\"1871\">6. Prote\u00e7\u00e3o cardiovascular<\/h3>\r\n<p data-start=\"1872\" data-end=\"2018\">Outra fun\u00e7\u00e3o essencial do estrog\u00eanio \u00e9 a <strong data-start=\"1913\" data-end=\"1959\">prote\u00e7\u00e3o do cora\u00e7\u00e3o e dos vasos sangu\u00edneos<\/strong>, ajudando a reduzir o risco de doen\u00e7as cardiovasculares.<\/p>\r\n<hr data-start=\"2020\" data-end=\"2023\" \/>\r\n<h2 data-start=\"2025\" data-end=\"2039\"><span style=\"color: #0000ff;\">Conclus\u00e3o:<\/span><\/h2>\r\n<p data-start=\"2040\" data-end=\"2248\">O estrog\u00eanio n\u00e3o \u00e9 apenas o horm\u00f4nio da fertilidade. Ele atua em v\u00e1rias \u00e1reas do organismo, influenciando desde a <strong data-start=\"2154\" data-end=\"2194\">apar\u00eancia f\u00edsica e o ciclo menstrual<\/strong> at\u00e9 a <strong data-start=\"2201\" data-end=\"2245\">sa\u00fade \u00f3ssea, metab\u00f3lica, cerebral e cardiovascular<\/strong>.<\/p>\r\n<p data-start=\"2250\" data-end=\"2501\">Com a chegada da menopausa e a queda desse horm\u00f4nio, muitas dessas fun\u00e7\u00f5es ficam comprometidas, o que explica sintomas e riscos dessa fase da vida. Por isso, entender a a\u00e7\u00e3o do estrog\u00eanio \u00e9 essencial para cuidar da sa\u00fade feminina em todas as idades.<\/p>\r\n<hr \/>\r\n<h2><span style=\"color: #0000ff;\"><strong>Sistema reprodutor feminino:<\/strong><\/span><\/h2>\r\n<figure id=\"attachment_131\" aria-describedby=\"caption-attachment-131\" style=\"width: 547px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-131 \" title=\"ovario\" src=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/ovario.jpg\" alt=\"menopausa\" width=\"547\" height=\"346\" srcset=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/ovario.jpg 500w, https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/ovario-300x190.jpg 300w\" sizes=\"(max-width: 547px) 100vw, 547px\" \/><figcaption id=\"caption-attachment-131\" class=\"wp-caption-text\">Sistema reprodutor feminino<\/figcaption><\/figure>\r\n<hr \/>\r\n<h2 data-start=\"136\" data-end=\"189\"><span style=\"color: #0000ff;\">Sintomas do Climat\u00e9rio e Menopausa: Guia Completo<\/span><\/h2>\r\n<p data-start=\"191\" data-end=\"455\">A menopausa \u00e9 uma fase natural da vida da mulher, geralmente ocorrendo entre os <strong data-start=\"271\" data-end=\"287\">45 e 55 anos<\/strong>. Ela marca o fim do ciclo menstrual e do per\u00edodo reprodutivo, sendo consequ\u00eancia da queda dos horm\u00f4nios femininos \u2014 principalmente o <strong data-start=\"421\" data-end=\"452\">estrog\u00eanio e a progesterona<\/strong>.<\/p>\r\n<p data-start=\"457\" data-end=\"686\">Essa transi\u00e7\u00e3o, chamada <strong data-start=\"481\" data-end=\"495\">climat\u00e9rio<\/strong>, pode trazer uma s\u00e9rie de sintomas que impactam diretamente a qualidade de vida. Entender essas mudan\u00e7as \u00e9 fundamental para buscar tratamento adequado e viver essa fase com mais bem-estar.<\/p>\r\n<hr data-start=\"688\" data-end=\"691\" \/>\r\n<h2 data-start=\"693\" data-end=\"744\"><span style=\"color: #0000ff;\">Quais s\u00e3o os principais sintomas da menopausa?<\/span><\/h2>\r\n<p data-start=\"746\" data-end=\"820\">Entre os sintomas mais comuns do climat\u00e9rio e da menopausa, destacam-se:<\/p>\r\n<ul data-start=\"822\" data-end=\"1349\">\r\n<li data-start=\"822\" data-end=\"886\">\r\n<p data-start=\"824\" data-end=\"886\"><strong data-start=\"824\" data-end=\"846\">Altera\u00e7\u00f5es no sono<\/strong> (dificuldade para dormir ou ins\u00f4nia).<\/p>\r\n<\/li>\r\n<li data-start=\"887\" data-end=\"956\">\r\n<p data-start=\"889\" data-end=\"956\"><strong data-start=\"889\" data-end=\"918\">Ondas de calor e fogachos<\/strong> (sensa\u00e7\u00e3o s\u00fabita de calor intenso).<\/p>\r\n<\/li>\r\n<li data-start=\"957\" data-end=\"982\">\r\n<p data-start=\"959\" data-end=\"982\"><strong data-start=\"959\" data-end=\"979\">Flacidez mam\u00e1ria<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"983\" data-end=\"1009\">\r\n<p data-start=\"985\" data-end=\"1009\"><strong data-start=\"985\" data-end=\"1006\">Cansa\u00e7o frequente<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1010\" data-end=\"1061\">\r\n<p data-start=\"1012\" data-end=\"1061\"><strong data-start=\"1012\" data-end=\"1058\">Dor durante a rela\u00e7\u00e3o sexual (dispareunia)<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1062\" data-end=\"1119\">\r\n<p data-start=\"1064\" data-end=\"1119\"><strong data-start=\"1064\" data-end=\"1082\">Secura vaginal<\/strong>, que pode dificultar o ato sexual.<\/p>\r\n<\/li>\r\n<li data-start=\"1120\" data-end=\"1193\">\r\n<p data-start=\"1122\" data-end=\"1193\"><strong data-start=\"1122\" data-end=\"1147\">Altera\u00e7\u00f5es emocionais<\/strong>, como tristeza, ansiedade e irritabilidade.<\/p>\r\n<\/li>\r\n<li data-start=\"1194\" data-end=\"1218\">\r\n<p data-start=\"1196\" data-end=\"1218\"><strong data-start=\"1196\" data-end=\"1215\">Aumento de peso<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1219\" data-end=\"1255\">\r\n<p data-start=\"1221\" data-end=\"1255\"><strong data-start=\"1221\" data-end=\"1252\">Diminui\u00e7\u00e3o do desejo sexual<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1298\" data-end=\"1349\">\r\n<p data-start=\"1300\" data-end=\"1349\"><strong data-start=\"1300\" data-end=\"1346\">Redu\u00e7\u00e3o significativa da qualidade de vida<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"1351\" data-end=\"1354\" \/>\r\n<h2 data-start=\"1356\" data-end=\"1391\"><span style=\"color: #0000ff;\">Sintomas iniciais da menopausa:<\/span><\/h2>\r\n<p data-start=\"1392\" data-end=\"1468\">Nos est\u00e1gios iniciais, algumas mulheres j\u00e1 come\u00e7am a perceber sinais como:<\/p>\r\n<ul data-start=\"1469\" data-end=\"1542\">\r\n<li data-start=\"1469\" data-end=\"1488\">\r\n<p data-start=\"1471\" data-end=\"1488\">Ondas de calor.<\/p>\r\n<\/li>\r\n<li data-start=\"1489\" data-end=\"1518\">\r\n<p data-start=\"1491\" data-end=\"1518\">Irregularidade menstrual.<\/p>\r\n<\/li>\r\n<li data-start=\"1519\" data-end=\"1542\">\r\n<p data-start=\"1521\" data-end=\"1542\">Altera\u00e7\u00f5es no sono.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"1544\" data-end=\"1626\">Esses sintomas podem surgir anos antes da menopausa se instalar definitivamente.<\/p>\r\n<hr data-start=\"1628\" data-end=\"1631\" \/>\r\n<h2 data-start=\"1633\" data-end=\"1656\"><span style=\"color: #0000ff;\">Menopausa engorda?<\/span><\/h2>\r\n<p data-start=\"1657\" data-end=\"1751\">Uma das maiores queixas das mulheres nessa fase \u00e9 o <strong data-start=\"1709\" data-end=\"1726\">ganho de peso<\/strong>. Isso acontece porque:<\/p>\r\n<p data-start=\"1753\" data-end=\"1920\">\u00a0O metabolismo pode cair at\u00e9 <strong data-start=\"1784\" data-end=\"1826\">60% durante a menopausa se n\u00e3o tratada<\/strong>.<br data-start=\"1827\" data-end=\"1830\" \/>\u00a0H\u00e1 uma <strong data-start=\"1840\" data-end=\"1881\">maior tend\u00eancia de ac\u00famulo de gordura<\/strong>, principalmente na regi\u00e3o abdominal.<\/p>\r\n<p data-start=\"1922\" data-end=\"2076\">Por isso, manter uma rotina de <strong data-start=\"1953\" data-end=\"2021\">alimenta\u00e7\u00e3o saud\u00e1vel, exerc\u00edcios f\u00edsicos e acompanhamento m\u00e9dico<\/strong> \u00e9 fundamental para evitar aumento de peso excessivo.<\/p>\r\n<hr data-start=\"2078\" data-end=\"2081\" \/>\r\n<h2 data-start=\"2083\" data-end=\"2121\"><span style=\"color: #0000ff;\">Quais exames avaliam a menopausa?<\/span><\/h2>\r\n<p data-start=\"2122\" data-end=\"2247\">O diagn\u00f3stico pode ser feito clinicamente, mas alguns exames ajudam a confirmar a menopausa e a descartar outras condi\u00e7\u00f5es:<\/p>\r\n<h3 data-start=\"2249\" data-end=\"2274\">-Exames de sangue<\/h3>\r\n<p data-start=\"2275\" data-end=\"2375\">(Recomendados preferencialmente nos primeiros 5 dias ap\u00f3s uma menstrua\u00e7\u00e3o, caso ela ainda ocorra):<\/p>\r\n<ul data-start=\"2376\" data-end=\"2587\">\r\n<li data-start=\"2376\" data-end=\"2420\">\r\n<p data-start=\"2378\" data-end=\"2420\"><strong data-start=\"2378\" data-end=\"2385\">FSH<\/strong> (horm\u00f4nio fol\u00edculo-estimulante).<\/p>\r\n<\/li>\r\n<li data-start=\"2421\" data-end=\"2456\">\r\n<p data-start=\"2423\" data-end=\"2456\"><strong data-start=\"2423\" data-end=\"2429\">LH<\/strong> (horm\u00f4nio luteinizante).<\/p>\r\n<\/li>\r\n<li data-start=\"2457\" data-end=\"2475\">\r\n<p data-start=\"2459\" data-end=\"2475\"><strong data-start=\"2459\" data-end=\"2472\">Estradiol<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2476\" data-end=\"2497\">\r\n<p data-start=\"2478\" data-end=\"2497\"><strong data-start=\"2478\" data-end=\"2494\">Progesterona<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2498\" data-end=\"2533\">\r\n<p data-start=\"2500\" data-end=\"2533\"><strong data-start=\"2500\" data-end=\"2530\">Testosterona total e livre<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2534\" data-end=\"2587\">\r\n<p data-start=\"2536\" data-end=\"2587\"><strong data-start=\"2536\" data-end=\"2549\">Inibina B<\/strong> (quando houver d\u00favida diagn\u00f3stica).<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"2589\" data-end=\"2615\">-Exames de imagem<\/h3>\r\n<ul data-start=\"2616\" data-end=\"2749\">\r\n<li data-start=\"2616\" data-end=\"2672\">\r\n<p data-start=\"2618\" data-end=\"2672\"><strong data-start=\"2618\" data-end=\"2644\">Ultrassom transvaginal<\/strong> (avalia \u00fatero e ov\u00e1rios).<\/p>\r\n<\/li>\r\n<li data-start=\"2673\" data-end=\"2749\">\r\n<p data-start=\"2675\" data-end=\"2749\"><strong data-start=\"2675\" data-end=\"2698\">Densitometria \u00f3ssea<\/strong> (avalia sa\u00fade dos ossos e risco de osteoporose).<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"2771\" data-end=\"2932\">A menopausa n\u00e3o deve ser encarada como um tabu ou o \u201cfim da juventude\u201d, mas sim como uma fase natural que precisa de <strong data-start=\"2888\" data-end=\"2929\">aten\u00e7\u00e3o m\u00e9dica e cuidados espec\u00edficos<\/strong><\/p>\r\n<p><img decoding=\"async\" class=\"alignnone wp-image-2182 \" src=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/menopausa.jpg\" alt=\"menopausa\" width=\"515\" height=\"641\" srcset=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/menopausa.jpg 635w, https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2012\/09\/menopausa-241x300.jpg 241w\" sizes=\"(max-width: 515px) 100vw, 515px\" \/><\/p>\r\n<hr \/>\r\n<h2 data-start=\"134\" data-end=\"197\"><span style=\"color: #0000ff;\">Doen\u00e7as da Menopausa: Riscos, Prote\u00e7\u00e3o Hormonal e Pol\u00eamicas<\/span><\/h2>\r\n<p data-start=\"199\" data-end=\"505\">A menopausa \u00e9 uma fase natural da vida da mulher, mas a queda dos n\u00edveis de <strong data-start=\"275\" data-end=\"303\">estradiol e progesterona<\/strong> aumenta o risco de diversas doen\u00e7as.<\/p>\r\n<p data-start=\"199\" data-end=\"505\">Por isso, compreender os impactos hormonais e os estudos que cercam a <strong data-start=\"411\" data-end=\"450\">terapia de reposi\u00e7\u00e3o hormonal (TRH)<\/strong> \u00e9 essencial para tomar decis\u00f5es de forma consciente.<\/p>\r\n<hr data-start=\"507\" data-end=\"510\" \/>\r\n<h2 data-start=\"512\" data-end=\"563\"><span style=\"color: #0000ff;\">Quais s\u00e3o as doen\u00e7as mais comuns da menopausa?<\/span><\/h2>\r\n<p data-start=\"565\" data-end=\"662\">Durante a menopausa, a defici\u00eancia hormonal pode favorecer o desenvolvimento de v\u00e1rias doen\u00e7as:<\/p>\r\n<ul data-start=\"664\" data-end=\"1282\">\r\n<li data-start=\"664\" data-end=\"730\">\r\n<p data-start=\"666\" data-end=\"730\"><strong data-start=\"666\" data-end=\"681\">Osteoporose<\/strong> \u2013 fragilidade \u00f3ssea e maior risco de fraturas.<\/p>\r\n<\/li>\r\n<li data-start=\"731\" data-end=\"791\">\r\n<p data-start=\"733\" data-end=\"791\"><strong data-start=\"733\" data-end=\"757\">Hipertens\u00e3o arterial<\/strong> \u2013 aumento da press\u00e3o sangu\u00ednea.<\/p>\r\n<\/li>\r\n<li data-start=\"792\" data-end=\"843\">\r\n<p data-start=\"794\" data-end=\"843\"><strong data-start=\"794\" data-end=\"840\">Resist\u00eancia \u00e0 insulina e Diabetes Mellitus<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"844\" data-end=\"908\">\r\n<p data-start=\"846\" data-end=\"908\"><strong data-start=\"846\" data-end=\"859\">Obesidade<\/strong> \u2013 ac\u00famulo de gordura, especialmente abdominal.<\/p>\r\n<\/li>\r\n<li data-start=\"909\" data-end=\"970\">\r\n<p data-start=\"911\" data-end=\"970\"><strong data-start=\"911\" data-end=\"927\">Cardiopatias<\/strong> \u2013 doen\u00e7as cardiovasculares como infarto.<\/p>\r\n<\/li>\r\n<li data-start=\"971\" data-end=\"1025\">\r\n<p data-start=\"973\" data-end=\"1025\"><strong data-start=\"973\" data-end=\"986\">Alzheimer<\/strong> \u2013 maior risco de decl\u00ednio cognitivo.<\/p>\r\n<\/li>\r\n<li data-start=\"1026\" data-end=\"1114\">\r\n<p data-start=\"1028\" data-end=\"1114\"><strong data-start=\"1028\" data-end=\"1044\">Dislipidemia<\/strong> \u2013 aumento do colesterol ruim (LDL) e queda do colesterol bom (HDL).<\/p>\r\n<\/li>\r\n<li data-start=\"1115\" data-end=\"1157\">\r\n<p data-start=\"1117\" data-end=\"1157\"><strong data-start=\"1117\" data-end=\"1154\">Depress\u00e3o e transtornos ps\u00edquicos<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1158\" data-end=\"1210\">\r\n<p data-start=\"1160\" data-end=\"1210\"><strong data-start=\"1160\" data-end=\"1173\">Tromboses<\/strong> \u2013 forma\u00e7\u00e3o de co\u00e1gulos sangu\u00edneos.<\/p>\r\n<\/li>\r\n<li data-start=\"1211\" data-end=\"1282\">\r\n<p data-start=\"1213\" data-end=\"1282\"><strong data-start=\"1213\" data-end=\"1223\">C\u00e2ncer<\/strong> \u2013 alguns tipos podem ter maior incid\u00eancia nesse per\u00edodo.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"1284\" data-end=\"1287\" \/>\r\n<h2 data-start=\"1289\" data-end=\"1329\"><span style=\"color: #0000ff;\">Como o estradiol protege o cora\u00e7\u00e3o?<\/span><\/h2>\r\n<p data-start=\"1331\" data-end=\"1436\">O estradiol tem papel fundamental na sa\u00fade cardiovascular. Ele atua em diversos mecanismos de prote\u00e7\u00e3o:<\/p>\r\n<ul data-start=\"1438\" data-end=\"1881\">\r\n<li data-start=\"1438\" data-end=\"1507\">\r\n<p data-start=\"1440\" data-end=\"1507\"><strong data-start=\"1440\" data-end=\"1467\">Aumenta o \u00f3xido n\u00edtrico<\/strong>, melhorando a oxigena\u00e7\u00e3o dos tecidos.<\/p>\r\n<\/li>\r\n<li data-start=\"1508\" data-end=\"1557\">\r\n<p data-start=\"1510\" data-end=\"1557\"><strong data-start=\"1510\" data-end=\"1526\">Eleva a PGI2<\/strong>, reduzindo risco de infarto.<\/p>\r\n<\/li>\r\n<li data-start=\"1558\" data-end=\"1657\">\r\n<p data-start=\"1560\" data-end=\"1657\"><strong data-start=\"1560\" data-end=\"1623\">Diminui endotelina, tromboxano A2 e a atividade plaquet\u00e1ria<\/strong>, reduzindo a chance de trombos.<\/p>\r\n<\/li>\r\n<li data-start=\"1658\" data-end=\"1737\">\r\n<p data-start=\"1660\" data-end=\"1737\"><strong data-start=\"1660\" data-end=\"1693\">Reduz citocinas inflamat\u00f3rias<\/strong>, protegendo contra processos tromb\u00f3ticos.<\/p>\r\n<\/li>\r\n<li data-start=\"1738\" data-end=\"1812\">\r\n<p data-start=\"1740\" data-end=\"1812\"><strong data-start=\"1740\" data-end=\"1778\">Melhora a sensibilidade \u00e0 insulina<\/strong>, reduzindo o risco de diabetes.<\/p>\r\n<\/li>\r\n<li data-start=\"1813\" data-end=\"1881\">\r\n<p data-start=\"1815\" data-end=\"1881\"><strong data-start=\"1815\" data-end=\"1849\">Pode baixar a press\u00e3o arterial<\/strong>, exercendo efeito hipotensor.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"1883\" data-end=\"1977\">Esses efeitos explicam porque a menopausa aumenta tanto o risco de doen\u00e7as cardiovasculares.<\/p>\r\n<hr data-start=\"1979\" data-end=\"1982\" \/>\r\n<h2 data-start=\"1984\" data-end=\"2039\"><span style=\"color: #0000ff;\">Terapia hormonal e c\u00e2ncer: de onde vem a pol\u00eamica?<\/span><\/h2>\r\n<p data-start=\"2041\" data-end=\"2186\">Grande parte da pol\u00eamica surgiu em 1994, quando o <strong data-start=\"2091\" data-end=\"2130\">National Institutes of Health (NIH)<\/strong> iniciou o estudo <strong data-start=\"2148\" data-end=\"2183\">Women\u2019s Health Initiative (WHI)<\/strong>.<\/p>\r\n<p data-start=\"2188\" data-end=\"2339\">O objetivo era avaliar se horm\u00f4nios poderiam <strong data-start=\"2233\" data-end=\"2299\">proteger contra doen\u00e7as cardiovasculares, osteoporose e c\u00e2ncer<\/strong>. Entretanto, os resultados mostraram:<\/p>\r\n<ul data-start=\"2341\" data-end=\"2473\">\r\n<li data-start=\"2341\" data-end=\"2396\">\r\n<p data-start=\"2343\" data-end=\"2396\"><strong data-start=\"2343\" data-end=\"2393\">Aumento de 26% na incid\u00eancia de c\u00e2ncer de mama<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2397\" data-end=\"2427\">\r\n<p data-start=\"2399\" data-end=\"2427\"><strong data-start=\"2399\" data-end=\"2424\">Aumento de 41% de AVC<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2428\" data-end=\"2473\">\r\n<p data-start=\"2430\" data-end=\"2473\"><strong data-start=\"2430\" data-end=\"2470\">Aumento de 22% de doen\u00e7as coron\u00e1rias<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"2475\" data-end=\"2510\">Por outro lado, houve benef\u00edcios:<\/p>\r\n<ul data-start=\"2511\" data-end=\"2621\">\r\n<li data-start=\"2511\" data-end=\"2545\">\r\n<p data-start=\"2513\" data-end=\"2545\"><strong data-start=\"2513\" data-end=\"2542\">37% menos c\u00e2ncer de c\u00f3lon<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2546\" data-end=\"2584\">\r\n<p data-start=\"2548\" data-end=\"2584\"><strong data-start=\"2548\" data-end=\"2581\">33% menos fraturas de quadril<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"2585\" data-end=\"2621\">\r\n<p data-start=\"2587\" data-end=\"2621\"><strong data-start=\"2587\" data-end=\"2618\">24% menos fraturas no geral<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"2623\" data-end=\"2626\" \/>\r\n<h2 data-start=\"2628\" data-end=\"2664\"><span style=\"color: #0000ff;\">O grande problema do estudo WHI<\/span><\/h2>\r\n<p data-start=\"2666\" data-end=\"2838\">O que poucos sabem \u00e9 que o estudo utilizou <strong data-start=\"2709\" data-end=\"2734\">horm\u00f4nios n\u00e3o humanos<\/strong>, derivados de urina de \u00e9gua prenha, ainda comercializados como <strong data-start=\"2798\" data-end=\"2811\">Premarin\u00ae<\/strong> (<em data-start=\"2813\" data-end=\"2834\">PREgnant MARe urINe<\/em>).<\/p>\r\n<p data-start=\"2840\" data-end=\"2947\">Esse produto cont\u00e9m <strong data-start=\"2863\" data-end=\"2901\">38 tipos de estrog\u00eanios conjugados<\/strong>, sendo que apenas cinco t\u00eam a\u00e7\u00e3o conhecida:<\/p>\r\n<ul data-start=\"2948\" data-end=\"3158\">\r\n<li data-start=\"2948\" data-end=\"2995\">\r\n<p data-start=\"2950\" data-end=\"2995\"><strong data-start=\"2950\" data-end=\"2961\">Estrona<\/strong> \u2013 associada a a\u00e7\u00e3o cancer\u00edgena.<\/p>\r\n<\/li>\r\n<li data-start=\"2996\" data-end=\"3158\">\r\n<p data-start=\"2998\" data-end=\"3158\"><strong data-start=\"2998\" data-end=\"3025\">17 alfa dihidroequilina<\/strong>, <strong data-start=\"3027\" data-end=\"3053\">17 beta alfa estradiol<\/strong>, <strong data-start=\"3055\" data-end=\"3082\">17 beta dihidroequilina<\/strong> e <strong data-start=\"3085\" data-end=\"3108\">sulfato de equilina<\/strong> \u2013 subst\u00e2ncias que n\u00e3o existem em seres humanos.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"3160\" data-end=\"3371\">Al\u00e9m disso, foi usada uma forma sint\u00e9tica de progesterona, o <strong data-start=\"3221\" data-end=\"3266\">acetato de medroxiprogesterona (Provera\u00ae)<\/strong>. Diferente da <strong data-start=\"3281\" data-end=\"3317\">progesterona natural\/bioid\u00eantica<\/strong>, esse progestog\u00eanio tem a\u00e7\u00e3o <strong data-start=\"3347\" data-end=\"3368\">anti-progesterona<\/strong>.<\/p>\r\n<p data-start=\"3373\" data-end=\"3396\">\u00a0Diferen\u00e7a pr\u00e1tica:<\/p>\r\n<ul data-start=\"3397\" data-end=\"3585\">\r\n<li data-start=\"3397\" data-end=\"3471\">\r\n<p data-start=\"3399\" data-end=\"3471\"><strong data-start=\"3399\" data-end=\"3423\">Progesterona natural<\/strong> \u2013 protege a gesta\u00e7\u00e3o (usada em fertiliza\u00e7\u00e3o).<\/p>\r\n<\/li>\r\n<li data-start=\"3472\" data-end=\"3585\">\r\n<p data-start=\"3474\" data-end=\"3585\"><strong data-start=\"3474\" data-end=\"3508\">Medroxiprogesterona (Provera\u00ae)<\/strong> \u2013 impede a gesta\u00e7\u00e3o (usada em anticoncepcionais e p\u00edlula do dia seguinte).<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"3587\" data-end=\"3732\">Portanto, <strong data-start=\"3597\" data-end=\"3679\">os horm\u00f4nios usados no WHI eram completamente diferentes dos horm\u00f4nios humanos<\/strong>, o que explica grande parte dos riscos observados.<\/p>\r\n<p data-start=\"1311\" data-end=\"1435\">Al\u00e9m da escolha de horm\u00f4nios sint\u00e9ticos n\u00e3o humanos, o estudo incluiu <strong data-start=\"1381\" data-end=\"1432\">mulheres que j\u00e1 tinham muitos anos de menopausa<\/strong>.<\/p>\r\n<p data-start=\"1437\" data-end=\"1677\">Nessa fase, o \u00fanico estrog\u00eanio predominante \u00e9 a <strong data-start=\"1485\" data-end=\"1496\">estrona<\/strong>, produzida pelas suprarrenais \u2014 e com <strong data-start=\"1535\" data-end=\"1555\">a\u00e7\u00e3o cancer\u00edgena<\/strong>. Antes da menopausa, a presen\u00e7a de <strong data-start=\"1591\" data-end=\"1628\">estradiol, estriol e progesterona<\/strong> protege as mamas contra os efeitos da estrona.<\/p>\r\n<p data-start=\"1679\" data-end=\"1726\">\u00a0Resultado previs\u00edvel: mais c\u00e2ncer de mama.<\/p>\r\n<h3 data-start=\"1728\" data-end=\"1765\"><span style=\"color: #0000ff;\">Principais erros metodol\u00f3gicos:<\/span><\/h3>\r\n<ul data-start=\"1766\" data-end=\"1883\">\r\n<li data-start=\"1766\" data-end=\"1791\">\r\n<p data-start=\"1768\" data-end=\"1791\"><strong data-start=\"1768\" data-end=\"1788\">Estr\u00f3geno errado<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1792\" data-end=\"1820\">\r\n<p data-start=\"1794\" data-end=\"1820\"><strong data-start=\"1794\" data-end=\"1817\">Progesterona errada<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1821\" data-end=\"1857\">\r\n<p data-start=\"1823\" data-end=\"1857\"><strong data-start=\"1823\" data-end=\"1854\">Via de administra\u00e7\u00e3o errada<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"1858\" data-end=\"1883\">\r\n<p data-start=\"1860\" data-end=\"1883\"><strong data-start=\"1860\" data-end=\"1880\">Mulheres erradas<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"1885\" data-end=\"1888\" \/>\r\n<h2 data-start=\"1890\" data-end=\"1922\"><span style=\"color: #0000ff;\">A rea\u00e7\u00e3o imediata ao estudo:<\/span><\/h2>\r\n<p data-start=\"1924\" data-end=\"2047\">Ap\u00f3s o WHI, m\u00e9dicos em todo o mundo <strong data-start=\"1960\" data-end=\"2044\">interromperam a reposi\u00e7\u00e3o hormonal de milh\u00f5es de mulheres de um dia para o outro<\/strong>.<\/p>\r\n<p data-start=\"2049\" data-end=\"2065\">Consequ\u00eancias:<\/p>\r\n<ul data-start=\"2066\" data-end=\"2206\">\r\n<li data-start=\"2066\" data-end=\"2118\">\r\n<p data-start=\"2068\" data-end=\"2118\">Sintomas da menopausa voltaram de forma intensa.<\/p>\r\n<\/li>\r\n<li data-start=\"2119\" data-end=\"2206\">\r\n<p data-start=\"2121\" data-end=\"2206\">Muitas passaram a receber <strong data-start=\"2147\" data-end=\"2187\">anticoncepcionais ou antidepressivos<\/strong> no lugar da TRH.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"2208\" data-end=\"2456\">Um ano depois, o <strong data-start=\"2225\" data-end=\"2274\">American College of Obstetrics and Gynecology<\/strong> publicou diretrizes sugerindo o uso das mesmas drogas, por\u00e9m em <strong data-start=\"2339\" data-end=\"2379\">doses menores e por tempo mais curto<\/strong> \u2014 mas essa \u201cop\u00e7\u00e3o de baixa dose\u201d <strong data-start=\"2413\" data-end=\"2453\">nunca foi comprovada cientificamente<\/strong>.<\/p>\r\n<hr data-start=\"3734\" data-end=\"3737\" \/>\r\n<h2 data-start=\"3739\" data-end=\"3753\"><span style=\"color: #0000ff;\">Conclus\u00e3o:<\/span><\/h2>\r\n<p data-start=\"3755\" data-end=\"3949\">A menopausa aumenta o risco de doen\u00e7as graves como <strong data-start=\"3806\" data-end=\"3863\">osteoporose, diabetes, obesidade, infarto e Alzheimer<\/strong>.<\/p>\r\n<p data-start=\"3755\" data-end=\"3949\">O estradiol exerce forte papel protetor, principalmente para o cora\u00e7\u00e3o e os ossos.<\/p>\r\n<p data-start=\"3951\" data-end=\"4230\">A pol\u00eamica em torno da terapia hormonal nasceu de um <strong data-start=\"4004\" data-end=\"4074\">estudo feito com horm\u00f4nios n\u00e3o humanos e progestog\u00eanios sint\u00e9ticos<\/strong>, diferentes da <strong data-start=\"4090\" data-end=\"4114\">progesterona natural<\/strong>.<\/p>\r\n<p data-start=\"3951\" data-end=\"4230\">Isso mostra que a discuss\u00e3o deve ser feita com cautela, base cient\u00edfica e acompanhamento m\u00e9dico individualizado.<\/p>\r\n<hr \/>\r\n<h2 data-start=\"167\" data-end=\"258\"><span style=\"color: #0000ff;\">Terapia de Reposi\u00e7\u00e3o Hormonal: Os Erros do Passado e o Papel dos Horm\u00f4nios Bioid\u00eanticos ou Isomoleculares<\/span><\/h2>\r\n<p data-start=\"260\" data-end=\"521\">A <strong data-start=\"262\" data-end=\"301\">terapia de reposi\u00e7\u00e3o hormonal (TRH)<\/strong> \u00e9 uma das maiores pol\u00eamicas da medicina moderna. Durante anos, milh\u00f5es de mulheres foram privadas de tratamento adequado por causa de erros metodol\u00f3gicos em grandes estudos, como o <strong data-start=\"483\" data-end=\"518\">Women\u2019s Health Initiative (WHI)<\/strong>.<\/p>\r\n<p data-start=\"523\" data-end=\"644\">Hoje, entendemos melhor o que deu errado e como os <strong data-start=\"574\" data-end=\"600\">horm\u00f4nios bioid\u00eanticos<\/strong> podem oferecer mais seguran\u00e7a e efic\u00e1cia.<\/p>\r\n<hr data-start=\"646\" data-end=\"649\" \/>\r\n<h2 data-start=\"651\" data-end=\"700\"><span style=\"color: #0000ff;\">O problema do acetato de medroxiprogesterona<\/span><\/h2>\r\n<p data-start=\"702\" data-end=\"879\">O <strong data-start=\"704\" data-end=\"738\">acetato de medroxiprogesterona<\/strong> (Provera\u00ae), progest\u00e1geno mais usado na TRH durante d\u00e9cadas, apresentou efeitos negativos que ajudaram a estigmatizar a reposi\u00e7\u00e3o hormonal:<\/p>\r\n<ul data-start=\"881\" data-end=\"1248\">\r\n<li data-start=\"881\" data-end=\"979\">\r\n<p data-start=\"883\" data-end=\"979\">Tem <strong data-start=\"887\" data-end=\"925\">a\u00e7\u00e3o semelhante ao glicocorticoide<\/strong>, causando <strong data-start=\"936\" data-end=\"976\">reten\u00e7\u00e3o de l\u00edquidos e ganho de peso<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"980\" data-end=\"1041\">\r\n<p data-start=\"982\" data-end=\"1041\"><strong data-start=\"982\" data-end=\"1022\">Anula os benef\u00edcios cardiovasculares<\/strong> dos estrog\u00eanios.<\/p>\r\n<\/li>\r\n<li data-start=\"1042\" data-end=\"1248\">\r\n<p data-start=\"1044\" data-end=\"1141\">Foi justamente o horm\u00f4nio utilizado nos grandes estudos prospectivos, que mostraram aumento de:<\/p>\r\n<ul data-start=\"1144\" data-end=\"1248\">\r\n<li data-start=\"1144\" data-end=\"1163\">\r\n<p data-start=\"1146\" data-end=\"1163\">Coronariopatia.<\/p>\r\n<\/li>\r\n<li data-start=\"1166\" data-end=\"1203\">\r\n<p data-start=\"1168\" data-end=\"1203\">AVC (acidente vascular cerebral).<\/p>\r\n<\/li>\r\n<li data-start=\"1206\" data-end=\"1226\">\r\n<p data-start=\"1208\" data-end=\"1226\">Trombose venosa.<\/p>\r\n<\/li>\r\n<li data-start=\"1229\" data-end=\"1248\">\r\n<p data-start=\"1231\" data-end=\"1248\">C\u00e2ncer de mama.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<p data-start=\"1311\" data-end=\"1435\">\u00a0<\/p>\r\n<hr data-start=\"2458\" data-end=\"2461\" \/>\r\n<h2 data-start=\"2463\" data-end=\"2517\"><span style=\"color: #0000ff;\">Horm\u00f4nios bioid\u00eanticos: a alternativa mais segura:<\/span><\/h2>\r\n<p data-start=\"2519\" data-end=\"2775\">Enquanto isso, pesquisas nos <strong data-start=\"2548\" data-end=\"2564\">EUA e Europa<\/strong> come\u00e7aram a mostrar que os <strong data-start=\"2592\" data-end=\"2618\">horm\u00f4nios bioid\u00eanticos<\/strong> \u2014 estradiol e progesterona micronizada, quimicamente id\u00eanticos aos produzidos pelo corpo humano \u2014 eram <strong data-start=\"2722\" data-end=\"2754\">mais eficazes e mais seguros<\/strong> que os sint\u00e9ticos.<\/p>\r\n<p data-start=\"2777\" data-end=\"2885\"><strong>&#8212;\u00a0 De acordo com o livro <em data-start=\"2802\" data-end=\"2875\">Endocrinologia \u2013 Guias de Medicina Ambulatorial e Hospitalar da UNIFESP<\/em> (2009):<\/strong><\/p>\r\n<blockquote data-start=\"2886\" data-end=\"3090\">\r\n<p data-start=\"2888\" data-end=\"3090\">\u201cTanto os estrog\u00eanios sint\u00e9ticos como os naturais t\u00eam se mostrado eficazes na preserva\u00e7\u00e3o da massa \u00f3ssea e na melhora dos sintomas. Entretanto, na terapia da menopausa os naturais s\u00e3o mais indicados.\u201d<\/p>\r\n<\/blockquote>\r\n<hr data-start=\"3092\" data-end=\"3095\" \/>\r\n<h2 data-start=\"3097\" data-end=\"3138\"><span style=\"color: #0000ff;\">Como usar os horm\u00f4nios bioid\u00eanticos?<\/span><\/h2>\r\n<h3 data-start=\"3140\" data-end=\"3163\"><span style=\"color: #ff6600;\">Vias recomendadas<\/span><\/h3>\r\n<ul data-start=\"3164\" data-end=\"3343\">\r\n<li data-start=\"3164\" data-end=\"3261\">\r\n<p data-start=\"3166\" data-end=\"3261\"><strong data-start=\"3166\" data-end=\"3189\">Transd\u00e9rmica (pele)<\/strong>: creme ou gel contendo <strong data-start=\"3213\" data-end=\"3236\">estradiol + estriol<\/strong>, al\u00e9m de progesterona.<\/p>\r\n<\/li>\r\n<li data-start=\"3262\" data-end=\"3343\">\r\n<p data-start=\"3264\" data-end=\"3343\"><strong data-start=\"3264\" data-end=\"3286\">Oral (em c\u00e1psulas)<\/strong>: pode ser utilizada para progesterona<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"3345\" data-end=\"3387\"><span style=\"color: #ff6600;\">Por que preferir a via transd\u00e9rmica em gel, adesivo, intravaginal ou chip no caso do estradiol?<\/span><\/h3>\r\n<ul data-start=\"3388\" data-end=\"3598\">\r\n<li data-start=\"3388\" data-end=\"3434\">\r\n<p data-start=\"3390\" data-end=\"3434\">Evita a <strong data-start=\"3398\" data-end=\"3431\">primeira passagem pelo f\u00edgado<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"3435\" data-end=\"3467\">\r\n<p data-start=\"3437\" data-end=\"3467\">Reduz risco de <strong data-start=\"3452\" data-end=\"3464\">trombose<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"3468\" data-end=\"3519\">\r\n<p data-start=\"3470\" data-end=\"3519\"><strong data-start=\"3470\" data-end=\"3493\">N\u00e3o aumenta estrona<\/strong> (horm\u00f4nio cancer\u00edgeno).<\/p>\r\n<\/li>\r\n<li data-start=\"3520\" data-end=\"3550\">\r\n<p data-start=\"3522\" data-end=\"3550\">N\u00e3o sobrecarrega o f\u00edgado.<\/p>\r\n<\/li>\r\n<li data-start=\"3551\" data-end=\"3598\">\r\n<p data-start=\"3553\" data-end=\"3598\">Mant\u00e9m n\u00edveis mais est\u00e1veis e fisiol\u00f3gicos.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"3869\" data-end=\"3872\" \/>\r\n<h2 data-start=\"3874\" data-end=\"3888\"><span style=\"color: #0000ff;\">Conclus\u00e3o:<\/span><\/h2>\r\n<p data-start=\"3890\" data-end=\"4036\">A <strong data-start=\"3892\" data-end=\"3957\">terapia de reposi\u00e7\u00e3o hormonal n\u00e3o deve ser encarada como vil\u00e3<\/strong>, mas sim como uma ferramenta que precisa ser aplicada com ci\u00eancia e cautela.<\/p>\r\n<p data-start=\"4038\" data-end=\"4308\">O estigma nasceu de <strong data-start=\"4058\" data-end=\"4126\">erros metodol\u00f3gicos e do uso de horm\u00f4nios sint\u00e9ticos inadequados<\/strong>. Hoje, os <strong data-start=\"4137\" data-end=\"4163\">horm\u00f4nios bioid\u00eanticos<\/strong> representam uma op\u00e7\u00e3o mais pr\u00f3xima da fisiologia feminina, com benef\u00edcios comprovados para os ossos, cora\u00e7\u00e3o, metabolismo e qualidade de vida.<\/p>\r\n<hr \/>\r\n<h2><span style=\"color: #0000ff;\">QUAIS S\u00c3O AS CAUSAS DO C\u00c2NCER DE MAMA?<\/span><\/h2>\r\n<ul>\r\n<li>Obesidade<\/li>\r\n<li>Resist\u00eancia a Insulina &#8211; Diabetes\u00a0<\/li>\r\n<li>Consumo de \u00e1lcool<\/li>\r\n<li>Envelhecimento<\/li>\r\n<li>Predisposi\u00e7\u00e3o gen\u00e9tica &#8211; MULHERES COM MAIS DE UMA PARENTE PR\u00d3XIMA COM C\u00c2NCER DE MAMA DEVEM FAZER O EXAME GEN\u00c9TICO(\u00a0 BRAC 1 \/ BRAC 2)<\/li>\r\n<li>Tabagismo<\/li>\r\n<li>Xenoestrog\u00eanios: grupo com mais de 50 substancias qu\u00edmicas , que imitam as a\u00e7\u00f5es de estr\u00f3genos com alto alto tempo de reten\u00e7\u00e3o no organismo. Se ligam de forma \u00e1vida aos receptores estrog\u00eanicos impedindo a liga\u00e7\u00e3o do horm\u00f4nio end\u00f3geno. Est\u00e3o presentes em pl\u00e1sticos, cosm\u00e9ticos de beleza, carnes, peixes, frangos e pesticidas<\/li>\r\n<\/ul>\r\n<hr \/>\r\n<h3 style=\"text-align: center;\"><span style=\"color: #0000ff;\"><em>&#8220;CONCLUINDO: <strong>HORM\u00d4NIO CERTO, NA DOSE CERTA, PELA VIA CERTA, N\u00c3O CAUSA C\u00c2NCER DE MAMA EM MULHERES, AO CONTR\u00c1RIO, PODE AT\u00c9 PREVINIR.&#8221;<\/strong><\/em><\/span><\/h3>\r\n<p>&nbsp;<\/p>\r\n<p>_______________________________________________________________________________________<\/p>\r\n<p><span style=\"color: #0000ff;\"><strong>PERGUNTAS E RESPOSTAS:<\/strong><\/span><\/p>\r\n<div class=\"related-question-pair\" data-ved=\"2ahUKEwing86P07nqAhW8K7kGHfcdAm8Qq7kBKAB6BAgPEAI\">\r\n<div id=\"_NqIDX6eQPLzX5OUP97uI-AY36\" class=\"mWyH1d hide-focus-ring UgLoB\" tabindex=\"0\" role=\"button\" aria-controls=\"_NqIDX6eQPLzX5OUP97uI-AY35\" aria-expanded=\"false\">\r\n<div class=\"match-mod-horizontal-padding hide-focus-ring cbphWd\" data-kt=\"Ki6I2ZmjnKSzuOsBqJepzKXt0vl__oeMmZ6ppb9koubmxefHlcsGgsDjr9fljrEc\" data-hveid=\"CA8QAw\" data-ved=\"2ahUKEwing86P07nqAhW8K7kGHfcdAm8Quk4oAHoECA8QAw\">\r\n<h2 data-start=\"704\" data-end=\"747\">Qual \u00e9 a idade que come\u00e7a a menopausa?<\/h2>\r\n<p data-start=\"748\" data-end=\"886\">A menopausa geralmente ocorre <strong data-start=\"778\" data-end=\"803\">entre os 48 e 52 anos<\/strong>, mas isso n\u00e3o \u00e9 uma regra. Algumas mulheres entram mais cedo, outras mais tarde.<\/p>\r\n<p data-start=\"888\" data-end=\"954\">-N\u00e3o est\u00e1 diretamente relacionada a h\u00e1bitos ou estilo de vida.<\/p>\r\n<hr data-start=\"956\" data-end=\"959\" \/>\r\n<h2 data-start=\"961\" data-end=\"1010\">A menopausa precoce tem rela\u00e7\u00e3o heredit\u00e1ria?<\/h2>\r\n<p data-start=\"1011\" data-end=\"1262\">A <strong data-start=\"1013\" data-end=\"1034\">menopausa precoce<\/strong> acontece antes dos <strong data-start=\"1054\" data-end=\"1065\">40 anos<\/strong>.<br data-start=\"1066\" data-end=\"1069\" \/>Na pr\u00e1tica cl\u00ednica, observa-se que a hereditariedade tem <strong data-start=\"1126\" data-end=\"1146\">pouca influ\u00eancia<\/strong>. Outras causas, como doen\u00e7as autoimunes, cirurgias ou tratamentos (ex.: quimioterapia), podem estar relacionadas.<\/p>\r\n<hr data-start=\"1264\" data-end=\"1267\" \/>\r\n<h2 data-start=\"1269\" data-end=\"1309\">Quais s\u00e3o os sintomas da menopausa?<\/h2>\r\n<p data-start=\"1310\" data-end=\"1425\">O sintoma mais caracter\u00edstico s\u00e3o os <strong data-start=\"1347\" data-end=\"1376\">fogachos (ondas de calor)<\/strong>, que impactam diretamente a qualidade de vida.<\/p>\r\n<p data-start=\"1427\" data-end=\"1464\">Outros sintomas frequentes incluem:<\/p>\r\n<ul data-start=\"1465\" data-end=\"1580\">\r\n<li data-start=\"1465\" data-end=\"1484\">\r\n<p data-start=\"1467\" data-end=\"1484\">Secura vaginal.<\/p>\r\n<\/li>\r\n<li data-start=\"1485\" data-end=\"1506\">\r\n<p data-start=\"1487\" data-end=\"1506\">Cansa\u00e7o e fadiga.<\/p>\r\n<\/li>\r\n<li data-start=\"1507\" data-end=\"1519\">\r\n<p data-start=\"1509\" data-end=\"1519\">Ins\u00f4nia.<\/p>\r\n<\/li>\r\n<li data-start=\"1520\" data-end=\"1561\">\r\n<p data-start=\"1522\" data-end=\"1561\">Irritabilidade e altera\u00e7\u00f5es de humor.<\/p>\r\n<\/li>\r\n<li data-start=\"1562\" data-end=\"1580\">\r\n<p data-start=\"1564\" data-end=\"1580\">Ganho de peso.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"1582\" data-end=\"1585\" \/>\r\n<h2 data-start=\"1587\" data-end=\"1641\">Quais s\u00e3o os primeiros sintomas da pr\u00e9-menopausa?<\/h2>\r\n<p data-start=\"1642\" data-end=\"1694\">Os principais sinais da <strong data-start=\"1666\" data-end=\"1683\">pr\u00e9-menopausa<\/strong> incluem:<\/p>\r\n<ul data-start=\"1695\" data-end=\"1789\">\r\n<li data-start=\"1695\" data-end=\"1725\">\r\n<p data-start=\"1697\" data-end=\"1725\">Ondas de calor (fogachos).<\/p>\r\n<\/li>\r\n<li data-start=\"1726\" data-end=\"1755\">\r\n<p data-start=\"1728\" data-end=\"1755\">Irregularidade menstrual.<\/p>\r\n<\/li>\r\n<li data-start=\"1756\" data-end=\"1789\">\r\n<p data-start=\"1758\" data-end=\"1789\">Altera\u00e7\u00e3o no fluxo menstrual.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"1791\" data-end=\"1794\" \/>\r\n<h2 data-start=\"1796\" data-end=\"1836\">\u00c9 poss\u00edvel engravidar na menopausa?<\/h2>\r\n<p data-start=\"1837\" data-end=\"1977\">N\u00e3o. A menopausa significa <strong data-start=\"1864\" data-end=\"1885\">fal\u00eancia ovariana<\/strong>, ou seja, os ov\u00e1rios deixam de produzir \u00f3vulos. Com isso, a gesta\u00e7\u00e3o se torna imposs\u00edvel.<\/p>\r\n<hr data-start=\"1979\" data-end=\"1982\" \/>\r\n<h2 data-start=\"1984\" data-end=\"2032\">\u00c9 poss\u00edvel entrar na menopausa aos 38 anos?<\/h2>\r\n<p data-start=\"2033\" data-end=\"2180\">Sim. Esse quadro \u00e9 chamado de <strong data-start=\"2063\" data-end=\"2084\">menopausa precoce<\/strong> e deve ser tratado com <strong data-start=\"2108\" data-end=\"2141\">terapia de reposi\u00e7\u00e3o hormonal<\/strong>, quando n\u00e3o houver contraindica\u00e7\u00f5es.<\/p>\r\n<hr data-start=\"2182\" data-end=\"2185\" \/>\r\n<h2 data-start=\"2187\" data-end=\"2227\">Tibolona \u00e9 um horm\u00f4nio bioid\u00eantico?<\/h2>\r\n<p data-start=\"2228\" data-end=\"2290\">N\u00e3o. A <strong data-start=\"2235\" data-end=\"2247\">tibolona<\/strong> n\u00e3o existe naturalmente no corpo humano.<\/p>\r\n<p data-start=\"2292\" data-end=\"2492\">Ela tem atividade <strong data-start=\"2310\" data-end=\"2355\">estrog\u00eanica, progestag\u00eanica e androg\u00eanica<\/strong>, mas n\u00e3o reproduz fielmente os efeitos dos horm\u00f4nios naturais.<br data-start=\"2418\" data-end=\"2421\" \/>\u00a0Horm\u00f4nios bioid\u00eanticos s\u00e3o: <strong data-start=\"2452\" data-end=\"2489\">estradiol, estriol e progesterona<\/strong>.<\/p>\r\n<hr data-start=\"2494\" data-end=\"2497\" \/>\r\n<h2 data-start=\"2499\" data-end=\"2542\">Qual a melhor forma de usar estradiol?<\/h2>\r\n<p data-start=\"2543\" data-end=\"2622\">O <strong data-start=\"2545\" data-end=\"2578\">estradiol em gel transd\u00e9rmico<\/strong> \u00e9 uma das formas mais seguras e eficazes.<\/p>\r\n<ul data-start=\"2624\" data-end=\"2785\">\r\n<li data-start=\"2624\" data-end=\"2677\">\r\n<p data-start=\"2626\" data-end=\"2677\">Pode ser manipulado, permitindo ajuste das doses.<\/p>\r\n<\/li>\r\n<li data-start=\"2678\" data-end=\"2785\">\r\n<p data-start=\"2680\" data-end=\"2785\">Permite combinar com outros horm\u00f4nios como <strong data-start=\"2723\" data-end=\"2749\">estriol e testosterona<\/strong>, conforme necessidade individual.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"2787\" data-end=\"2790\" \/>\r\n<h2 data-start=\"2792\" data-end=\"2824\">Existe menopausa masculina?<\/h2>\r\n<p data-start=\"2825\" data-end=\"2876\">No homem, o processo \u00e9 chamado de <strong data-start=\"2859\" data-end=\"2873\">andropausa<\/strong>.<\/p>\r\n<p data-start=\"2878\" data-end=\"3023\">Mas a queda da testosterona \u00e9 <strong data-start=\"2908\" data-end=\"2919\">gradual<\/strong>, diferente da queda brusca de estradiol nas mulheres. Por isso, os sintomas aparecem mais lentamente.<\/p>\r\n<p data-start=\"3025\" data-end=\"3145\">Leia mais sobre testosterona masculina <a class=\"decorated-link\" href=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/testosterona\/\" target=\"_new\" rel=\"noopener\" data-start=\"3067\" data-end=\"3142\">neste artigo<\/a>.<\/p>\r\n<hr data-start=\"3147\" data-end=\"3150\" \/>\r\n<h2 data-start=\"3152\" data-end=\"3187\">Para que serve o promestrieno?<\/h2>\r\n<p data-start=\"3188\" data-end=\"3284\">O <strong data-start=\"3190\" data-end=\"3206\">promestrieno<\/strong> \u00e9 um horm\u00f4nio semelhante ao estradiol, usado <strong data-start=\"3252\" data-end=\"3276\">localmente na vagina<\/strong> para:<\/p>\r\n<ul data-start=\"3285\" data-end=\"3414\">\r\n<li data-start=\"3285\" data-end=\"3315\">\r\n<p data-start=\"3287\" data-end=\"3315\">Tratar <strong data-start=\"3294\" data-end=\"3312\">secura vaginal<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"3316\" data-end=\"3361\">\r\n<p data-start=\"3318\" data-end=\"3361\">Reduzir <strong data-start=\"3326\" data-end=\"3358\">dor durante a rela\u00e7\u00e3o sexual<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"3362\" data-end=\"3414\">\r\n<p data-start=\"3364\" data-end=\"3414\">Auxiliar na <strong data-start=\"3376\" data-end=\"3411\">cicatriza\u00e7\u00e3o de les\u00f5es vaginais<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"3416\" data-end=\"3419\" \/>\r\n<h2 data-start=\"3421\" data-end=\"3451\">Como usar o promestrieno?<\/h2>\r\n<ul data-start=\"3452\" data-end=\"3558\">\r\n<li data-start=\"3452\" data-end=\"3509\">\r\n<p data-start=\"3454\" data-end=\"3509\">Cada frasco de <strong data-start=\"3469\" data-end=\"3506\">30 g rende cerca de 20 aplica\u00e7\u00f5es<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"3510\" data-end=\"3558\">\r\n<p data-start=\"3512\" data-end=\"3558\">Cada grama cont\u00e9m <strong data-start=\"3530\" data-end=\"3555\">10 mg de promestrieno<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"3560\" data-end=\"3583\">Nomes comerciais:<\/h3>\r\n<ul data-start=\"3584\" data-end=\"3622\">\r\n<li data-start=\"3584\" data-end=\"3600\">\r\n<p data-start=\"3586\" data-end=\"3600\"><strong data-start=\"3586\" data-end=\"3597\">Antrofi<\/strong>.<\/p>\r\n<\/li>\r\n<li data-start=\"3601\" data-end=\"3622\">\r\n<p data-start=\"3603\" data-end=\"3622\"><strong data-start=\"3603\" data-end=\"3619\">Colpotrofine<\/strong>.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<hr data-start=\"3624\" data-end=\"3627\" \/>\r\n<h2 data-start=\"3629\" data-end=\"3671\">O promestrieno serve para candid\u00edase?<\/h2>\r\n<p data-start=\"3672\" data-end=\"3769\">N\u00e3o. O promestrieno \u00e9 indicado para <strong data-start=\"3708\" data-end=\"3732\">atrofia vulvovaginal<\/strong>, causada pela falta de estrog\u00eanio.<\/p>\r\n<p data-start=\"3771\" data-end=\"3966\">Para casos de <strong data-start=\"3788\" data-end=\"3813\">candid\u00edase recorrente<\/strong>, especialmente resistentes a medicamentos como fluconazol e itraconazol, o uso de <strong data-start=\"3896\" data-end=\"3934\">lactobacilos orais e intravaginais<\/strong> tem mostrado bons resultados.<\/p>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div role=\"heading\" aria-level=\"3\">________________________________________________________________________<\/div>\r\n<div role=\"heading\" aria-level=\"3\">\r\n<h2 data-start=\"598\" data-end=\"641\">Como usar o promestrieno na menopausa?<\/h2>\r\n<p data-start=\"642\" data-end=\"703\">O <strong data-start=\"644\" data-end=\"660\">promestrieno<\/strong> \u00e9 de <strong data-start=\"666\" data-end=\"700\">uso exclusivo no canal vaginal<\/strong>.<\/p>\r\n<p data-start=\"705\" data-end=\"880\">Apenas <strong data-start=\"715\" data-end=\"757\">1% \u00e9 absorvido pela corrente sangu\u00ednea<\/strong>, o que significa que seus efeitos ficam <strong data-start=\"798\" data-end=\"828\">restritos \u00e0 regi\u00e3o genital<\/strong>, sem impacto relevante em outras partes do corpo.<\/p>\r\n<hr data-start=\"882\" data-end=\"885\" \/>\r\n<h2 data-start=\"887\" data-end=\"930\">Quanto tempo demora para fazer efeito?<\/h2>\r\n<p data-start=\"931\" data-end=\"1005\">O al\u00edvio dos sintomas come\u00e7a, em m\u00e9dia, ap\u00f3s <strong data-start=\"976\" data-end=\"1002\">7 dias de uso cont\u00ednuo<\/strong>.<\/p>\r\n<p data-start=\"1007\" data-end=\"1135\">As mulheres relatam melhora significativa da <strong data-start=\"1052\" data-end=\"1132\">lubrifica\u00e7\u00e3o, redu\u00e7\u00e3o da dor nas rela\u00e7\u00f5es sexuais e melhora da sa\u00fade vaginal<\/strong>.<\/p>\r\n<hr data-start=\"1137\" data-end=\"1140\" \/>\r\n<h2 data-start=\"1142\" data-end=\"1185\">O m\u00e9dico indica o uso de promestrieno?<\/h2>\r\n<p data-start=\"1186\" data-end=\"1256\">Sim, o <strong data-start=\"1193\" data-end=\"1218\">promestrieno \u00e9 eficaz<\/strong> e pode ser utilizado com seguran\u00e7a.<\/p>\r\n<p data-start=\"1258\" data-end=\"1430\">No entanto, muitos especialistas tamb\u00e9m recomendam a <strong data-start=\"1314\" data-end=\"1335\">prasterona (DHEA)<\/strong>, que em alguns casos traz resultados ainda melhores para a sa\u00fade \u00edntima durante a menopausa.<\/p>\r\n<hr data-start=\"1432\" data-end=\"1435\" \/>\r\n<h2 data-start=\"1437\" data-end=\"1493\">Onde comprar progesterona bioid\u00eantica transd\u00e9rmica?<\/h2>\r\n<p data-start=\"1494\" data-end=\"1675\">A <strong data-start=\"1496\" data-end=\"1537\">progesterona bioid\u00eantica transd\u00e9rmica<\/strong> deve ser <strong data-start=\"1547\" data-end=\"1587\">manipulada em farm\u00e1cias de confian\u00e7a<\/strong>, para que a dose seja individualizada de acordo com as necessidades de cada paciente.<\/p>\r\n<h3 data-start=\"1677\" data-end=\"1709\">Outras op\u00e7\u00f5es dispon\u00edveis:<\/h3>\r\n<ul data-start=\"1710\" data-end=\"1788\">\r\n<li data-start=\"1710\" data-end=\"1788\">\r\n<p data-start=\"1712\" data-end=\"1788\"><strong data-start=\"1712\" data-end=\"1740\">Progesterona oral pronta<\/strong> em farm\u00e1cias de rede, como o <strong data-start=\"1770\" data-end=\"1785\">Utrogestan\u00ae<\/strong><\/p>\r\n<\/li>\r\n<\/ul>\r\n<p>_________________________________________________________________________<\/p>\r\n<h2>Quais as dose de eqeruival\u00eancia do reposi\u00e7\u00e3o hormonal de estradiol?<\/h2>\r\n<\/div>\r\n<table style=\"height: 188px;\" width=\"1037\">\r\n<thead>\r\n<tr>\r\n<th>N\u00edvel cl\u00ednico<\/th>\r\n<th>Estradiol oral<\/th>\r\n<th>Valerato oral<\/th>\r\n<th>Estrog\u00eanios conjugados<\/th>\r\n<th>Adesivo transd\u00e9rmico<\/th>\r\n<th>Gel estradiol<\/th>\r\n<th>Spray estradiol<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td><strong>Ultrabaixa<\/strong><\/td>\r\n<td>0,5 mg<\/td>\r\n<td>\u2014<\/td>\r\n<td>\u2014<\/td>\r\n<td>\u2014<\/td>\r\n<td>~0,25\u20130,5 mg\/dia<\/td>\r\n<td>1 spray<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Baixa<\/strong><\/td>\r\n<td>1 mg<\/td>\r\n<td>1 mg<\/td>\r\n<td>\u2014<\/td>\r\n<td>25 mcg<\/td>\r\n<td>~0,5\u20131 mg\/dia<\/td>\r\n<td>1\u20132 sprays<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Convencional<\/strong><\/td>\r\n<td>2 mg<\/td>\r\n<td>2 mg<\/td>\r\n<td>0,625 mg<\/td>\r\n<td>50 mcg<\/td>\r\n<td>~1\u20131,5 mg\/dia<\/td>\r\n<td>2\u20133 sprays<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Alta<\/strong><\/td>\r\n<td>3\u20134 mg<\/td>\r\n<td>3\u20134 mg<\/td>\r\n<td>1,25 mg<\/td>\r\n<td>75\u2013100 mcg<\/td>\r\n<td>~2\u20133 mg\/dia<\/td>\r\n<td>3\u20134 sprays<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<div data-kt=\"KjC3t8ew8bPfltIBlffQ7oOdvqyUAdrz3ZKylaTHuQGi5ubF58eVywbr-5SMzvXv8mc\" data-hveid=\"CAEQCw\" data-ved=\"2ahUKEwjvtPOU07nqAhU9LLkGHbLiAsYQuk4oAHoECAEQCw\"><hr \/><\/div>\r\n<div data-kt=\"KjC3t8ew8bPfltIBlffQ7oOdvqyUAdrz3ZKylaTHuQGi5ubF58eVywbr-5SMzvXv8mc\" data-hveid=\"CAEQCw\" data-ved=\"2ahUKEwjvtPOU07nqAhU9LLkGHbLiAsYQuk4oAHoECAEQCw\">\u00a0<\/div>\r\n<div data-kt=\"KjC3t8ew8bPfltIBlffQ7oOdvqyUAdrz3ZKylaTHuQGi5ubF58eVywbr-5SMzvXv8mc\" data-hveid=\"CAEQCw\" data-ved=\"2ahUKEwjvtPOU07nqAhU9LLkGHbLiAsYQuk4oAHoECAEQCw\"><span style=\"color: #0000ff;\"><strong>ASSISTA AO V\u00cdDEO COMIGO SOBRE MENOPAUSA<\/strong><\/span><\/div>\r\n<div data-kt=\"KjC3t8ew8bPfltIBlffQ7oOdvqyUAdrz3ZKylaTHuQGi5ubF58eVywbr-5SMzvXv8mc\" data-hveid=\"CAEQCw\" data-ved=\"2ahUKEwjvtPOU07nqAhU9LLkGHbLiAsYQuk4oAHoECAEQCw\">\u00a0<\/div>\r\n\r\n<p><iframe src=\"https:\/\/www.youtube.com\/embed\/7Dg6S8m2UiI\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\r\n<p>&nbsp;<\/p>\r\n<hr \/>\r\n<p>&nbsp;<\/p>\r\n<h3 data-start=\"299\" data-end=\"355\">REFER\u00eaNCIAS:<\/h3>\r\n<p data-start=\"210\" data-end=\"427\">HOLTORF, K. The bioidentical hormone debate: are bioidentical hormones safer or more effective than conventional hormone therapies? <em data-start=\"342\" data-end=\"365\">Postgraduate Medicine<\/em>, v. 121, n. 1, p. 73\u201385, 2009. DOI: 10.3810\/pgm.2009.01.1949.<\/p>\r\n<p data-start=\"429\" data-end=\"532\">MOSKOWITZ, D. Bioidentical hormones for menopause: safety and efficacy review. <em data-start=\"508\" data-end=\"525\">Townsend Letter<\/em>, 2006.<\/p>\r\n<p data-start=\"534\" data-end=\"795\">FUGH-BERMAN, A.; BYTHROW, J. Bioidentical hormones for menopausal therapy: variation on a theme. <em data-start=\"631\" data-end=\"669\">Journal of General Internal Medicine<\/em>, v. 22, n. 7, p. 1030\u20131034, 2007. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-007-0152-7\" target=\"_new\" rel=\"noopener\" data-start=\"719\" data-end=\"778\">https:\/\/link.springer.com\/article\/10.1007\/s11606-007-0152-7<\/a>. Acesso em: ___.<\/p>\r\n<p data-start=\"797\" data-end=\"955\">CIRIGLIANO, M. Bioidentical hormone therapy: a review of the evidence. <em data-start=\"868\" data-end=\"895\">Journal of Women\u2019s Health<\/em>, v. 16, n. 5, p. 600\u2013631, 2007. DOI: 10.1089\/jwh.2006.0119.<\/p>\r\n<p data-start=\"957\" data-end=\"1094\">CHERVENAK, J. Bioidentical hormones for maturing women. <em data-start=\"1013\" data-end=\"1024\">Maturitas<\/em>, v. 64, n. 4, p. 227\u2013229, 2009. DOI: 10.1016\/j.maturitas.2009.10.009.<\/p>\r\n<p data-start=\"1096\" data-end=\"1281\">WRIGHT, J. V. Bio-identical steroid hormone replacement: 23 years of observations. <em data-start=\"1179\" data-end=\"1223\">Annals of the New York Academy of Sciences<\/em>, v. 1057, p. 506\u2013524, 2005. DOI: 10.1196\/annals.1322.091.<\/p>\r\n<p data-start=\"1283\" data-end=\"1577\">WATT, P. J. et al. A holistic programmatic approach to natural hormone replacement. <em data-start=\"1367\" data-end=\"1394\">Family &amp; Community Health<\/em>, v. 26, n. 1, p. 51\u201363, 2003. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/journals.lww.com\/familyandcommunityhealth\/Abstract\/2003\/01000\/A_Holistic_Programmatic_Approach_to_Natural.7.aspx\" target=\"_new\" rel=\"noopener\" data-start=\"1440\" data-end=\"1560\">https:\/\/journals.lww.com\/familyandcommunityhealth\/Abstract\/2003\/01000\/A_Holistic_Programmatic_Approach_to_Natural.7.aspx<\/a>. Acesso em: ___.<\/p>\r\n<p data-start=\"1579\" data-end=\"1837\">FRANCISCO, L. Is bio-identical hormone therapy fact or fairy tale? <em data-start=\"1646\" data-end=\"1670\">The Nurse Practitioner<\/em>, v. 28, n. 3, p. 44\u201349, 2003. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/journals.lww.com\/tnpj\/Abstract\/2003\/03000\/Is_Bio_identical_Hormone_Therapy_Fact_or_Fairy.14.aspx\" target=\"_new\" rel=\"noopener\" data-start=\"1716\" data-end=\"1820\">https:\/\/journals.lww.com\/tnpj\/Abstract\/2003\/03000\/Is_Bio_identical_Hormone_Therapy_Fact_or_Fairy.14.aspx<\/a>. Acesso em: ___.<\/p>\r\n<p data-start=\"1839\" data-end=\"2117\">TAYLOR, M. Unconventional estrogens: estriol, biest, and triest. <em data-start=\"1904\" data-end=\"1940\">Clinical Obstetrics and Gynecology<\/em>, v. 44, n. 4, p. 864\u2013879, 2001. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/journals.lww.com\/clinicalobgyn\/Abstract\/2001\/09000\/Unconventional_Estrogens__Estriol,_Biest,_and.23.aspx\" target=\"_new\" rel=\"noopener\" data-start=\"1988\" data-end=\"2100\">https:\/\/journals.lww.com\/clinicalobgyn\/Abstract\/2001\/09000\/Unconventional_Estrogens__Estriol,_Biest,_and.23.aspx<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"2119\" data-end=\"2122\" \/>\r\n<p data-start=\"2124\" data-end=\"2359\">GREISING, S. M. et al. Hormone therapy and skeletal muscle strength: a meta-analysis. <em data-start=\"2210\" data-end=\"2241\">Journal of Applied Physiology<\/em>, v. 115, n. 5, p. 569\u2013578, 2013. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"http:\/\/jap.physiology.org\/content\/115\/5\/569.abstract\" target=\"_new\" rel=\"noopener\" data-start=\"2290\" data-end=\"2342\">http:\/\/jap.physiology.org\/content\/115\/5\/569.abstract<\/a>. Acesso em: ___.<\/p>\r\n<p data-start=\"2361\" data-end=\"2596\">THE JOURNAL OF PHYSIOLOGY. Hormone therapy improves muscle function in postmenopausal women. <em data-start=\"2454\" data-end=\"2481\">The Journal of Physiology<\/em>, 2013. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"http:\/\/jp.physoc.org\/content\/early\/2013\/02\/28\/jphysiol.2012.250092.abstract\" target=\"_new\" rel=\"noopener\" data-start=\"2504\" data-end=\"2579\">http:\/\/jp.physoc.org\/content\/early\/2013\/02\/28\/jphysiol.2012.250092.abstract<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"2598\" data-end=\"2601\" \/>\r\n<p data-start=\"2603\" data-end=\"2834\">REIS, F. M. et al. Dehydroepiandrosterone improves sexual function in postmenopausal women. <em data-start=\"2695\" data-end=\"2727\">The Journal of Sexual Medicine<\/em>, v. 8, n. 6, p. 1645\u20131652, 2011. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21942655\/\" target=\"_new\" rel=\"noopener\" data-start=\"2776\" data-end=\"2817\">https:\/\/pubmed.ncbi.nlm.nih.gov\/21942655\/<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"2836\" data-end=\"2839\" \/>\r\n<p data-start=\"2841\" data-end=\"3017\">JONI, R. et al. Estradiol therapy and breast cancer risk. <em data-start=\"2899\" data-end=\"2923\">Breast Cancer Research<\/em>, v. 15, n. 5, 2013. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24002591\/\" target=\"_new\" rel=\"noopener\" data-start=\"2959\" data-end=\"3000\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24002591\/<\/a>. Acesso em: ___.<\/p>\r\n<p data-start=\"3019\" data-end=\"3244\">CAMPAGNOLI, C. Progestins and progesterone in hormone replacement therapy and the risk of breast cancer. <em data-start=\"3124\" data-end=\"3179\">Journal of Steroid Biochemistry and Molecular Biology<\/em>, v. 96, n. 2, p. 95\u2013108, 2005. DOI: 10.1016\/j.jsbmb.2005.08.010.<\/p>\r\n<hr data-start=\"3246\" data-end=\"3249\" \/>\r\n<p data-start=\"3251\" data-end=\"3500\">BAUMGARTNER, R. N. et al. Endogenous sex hormones and physical function in older adults. <em data-start=\"3340\" data-end=\"3392\">The Journal of Clinical Endocrinology &amp; Metabolism<\/em>, v. 99, n. 7, p. 2582\u20132590, 2014. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24465026\/\" target=\"_new\" rel=\"noopener\" data-start=\"3442\" data-end=\"3483\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24465026\/<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"3502\" data-end=\"3505\" \/>\r\n<p data-start=\"3507\" data-end=\"3705\">BRANN, D. W. et al. Neuroprotective role of 17\u03b2-estradiol. <em data-start=\"3566\" data-end=\"3599\">Frontiers in Neuroendocrinology<\/em>, v. 35, n. 3, p. 340\u2013351, 2014. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24462786\/\" target=\"_new\" rel=\"noopener\" data-start=\"3647\" data-end=\"3688\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24462786\/<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"3707\" data-end=\"3710\" \/>\r\n<p data-start=\"3712\" data-end=\"3881\">RANTANEN, T. et al. Hormone therapy and skin aging. <em data-start=\"3764\" data-end=\"3775\">Maturitas<\/em>, v. 79, n. 3, p. 310\u2013315, 2014. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24455744\/\" target=\"_new\" rel=\"noopener\" data-start=\"3823\" data-end=\"3864\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24455744\/<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"3883\" data-end=\"3886\" \/>\r\n<p data-start=\"3888\" data-end=\"4115\">VIGETA, S. M. G.; BR\u00caTAS, A. C. P. A experi\u00eancia da perimenopausa e menopausa. <em data-start=\"3967\" data-end=\"3994\">Cadernos de Sa\u00fade P\u00fablica<\/em>, v. 20, n. 6, p. 1602\u20131611, 2004. Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/www.scielo.br\/j\/csp\/a\/4t9gCL9x9bH5ajiJuMD7SYP\/\" target=\"_new\" rel=\"noopener\" data-start=\"4044\" data-end=\"4098\">https:\/\/www.scielo.br\/j\/csp\/a\/4t9gCL9x9bH5ajiJuMD7SYP\/<\/a>. Acesso em: ___.<\/p>\r\n<hr data-start=\"4117\" data-end=\"4120\" \/>\r\n<p data-start=\"4122\" data-end=\"4234\">AM\u00c2NCIO, R. M. et al. Terapia de reposi\u00e7\u00e3o hormonal em pacientes com doen\u00e7a de Alzheimer. 2005. Estudo impresso.<\/p>\r\n<hr data-start=\"4236\" data-end=\"4239\" \/>\r\n<p data-start=\"4241\" data-end=\"4384\">LEITE, M. O. R. Tratamento da osteoporose p\u00f3s-menopausa. S\u00e3o Paulo: Hospital das Cl\u00ednicas da Universidade de S\u00e3o Paulo, material institucional.<\/p>\r\n<hr data-start=\"4386\" data-end=\"4389\" \/>\r\n<p data-start=\"4391\" data-end=\"4483\">HARRISON, T. R.; FAUCI, A. S. <em data-start=\"4421\" data-end=\"4439\">Medicina interna<\/em>. 17. ed. Rio de Janeiro: McGraw-Hill, 2009.<\/p>\r\n<p data-start=\"4485\" data-end=\"4583\">GUYTON, A. C.; HALL, J. E. <em data-start=\"4512\" data-end=\"4544\">Textbook of medical physiology<\/em>. 11. ed. Philadelphia: Elsevier, 2006.<\/p>\r\n<p data-start=\"4585\" data-end=\"4702\">CECIL, R. L.; BENNETT, J. C.; PLUM, F. <em data-start=\"4624\" data-end=\"4653\">Tratado de medicina interna<\/em>. 20. ed. Rio de Janeiro: Guanabara Koogan, 1997.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>_________________________________________ Menopausa ontem e hoje: H\u00e1 cerca de quatro d\u00e9cadas, quando a expectativa de vida m\u00e9dia era de apenas 60 anos, a menopausa era quase vista como um pren\u00fancio da velhice e da proximidade do fim da vida. Hoje, essa vis\u00e3o est\u00e1 ultrapassada. As mulheres vivem muito mais \u2014 muitas vezes mais de 80 anos [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":6319,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[3,649,22,651],"tags":[96,77,69,97,98,99,100,80,101,102,103,104,23,105,81,106,107,64,33,42],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Menopausa e Terapia Hormonal: Entenda os Riscos, Benef\u00edcios e Mitos - Dr. Roberto Franco do Amaral Neto<\/title>\n<meta name=\"description\" content=\"Tratar a menopausa \u00e9 de fundamental import\u00e2ncia para a sa\u00fade da mulher tendo em vista as in\u00fameras a\u00e7\u00f5es do estradiol e da progesterona\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/menopausa\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Menopausa e Terapia Hormonal: Entenda os Riscos, Benef\u00edcios e Mitos - 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