{"id":3931,"date":"2026-02-26T16:54:08","date_gmt":"2026-02-26T13:54:08","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/terapia-reposicao-hormonal\/"},"modified":"2026-04-01T18:38:14","modified_gmt":"2026-04-01T15:38:14","slug":"terapia-reposicao-hormonal","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/pt\/glossary\/terapia-reposicao-hormonal\/","title":{"rendered":"Terapia de reposi\u00e7\u00e3o hormonal"},"content":{"rendered":"\n<p>A terapia de reposi\u00e7\u00e3o hormonal (TRH) \u00e9 uma estrat\u00e9gia de corre\u00e7\u00e3o farmacol\u00f3gica para condi\u00e7\u00f5es de defici\u00eancia de estrog\u00eanio em mulheres na peri e p\u00f3s-menopausa. <\/p>\n\n<p>O m\u00e9todo baseia-se no princ\u00edpio patogen\u00e9tico de substitui\u00e7\u00e3o da secre\u00e7\u00e3o end\u00f3gena de horm\u00f4nios sexuais (estrog\u00eanios e progestag\u00eanicos) diminu\u00edda ou interrompida por an\u00e1logos ex\u00f3genos.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x44D;&#x442;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;-&#x438;-&#x43F;&#x430;&#x442;&#x43E;&#x444;&#x438;&#x437;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;\"><strong>Etiologia e fisiopatologia<\/strong><\/h2>\n\n<p>Com a idade, ocorre o esgotamento do aparato folicular dos ov\u00e1rios, levando a uma queda cr\u00edtica nos n\u00edveis de estradiol e a um aumento compensat\u00f3rio de gonadotrofinas (FSH). Os receptores de estrog\u00eanio (ER-\u03b1 e ER-\u03b2) s\u00e3o expressos em muitos tecidos: parede vascular, ossos, c\u00e9rebro e trato urogenital. A defici\u00eancia hormonal causa perturba\u00e7\u00f5es vegetativas sist\u00eamicas (fogachos) e altera\u00e7\u00f5es atr\u00f3ficas locais. <\/p>\n\n<p>Na ginecologia, a <strong>terapia local (vaginal)<\/strong> com baixas doses de estriol possui especial import\u00e2ncia. A subst\u00e2ncia se liga seletivamente aos receptores nucleares na camada basal do epit\u00e9lio vaginal, uretra e tri\u00e2ngulo da bexiga urin\u00e1ria. Isso desencadeia a prolifera\u00e7\u00e3o celular, restaura a s\u00edntese de col\u00e1geno e elastina na camada submucosa, melhora a irriga\u00e7\u00e3o sangu\u00ednea (vasculariza\u00e7\u00e3o) e estimula a acumula\u00e7\u00e3o de glicog\u00eanio intracelular.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x43A;&#x43B;&#x438;&#x43D;&#x438;&#x447;&#x435;&#x441;&#x43A;&#x43E;&#x435;-&#x437;&#x43D;&#x430;&#x447;&#x435;&#x43D;&#x438;&#x435;\"><strong>Import\u00e2ncia cl\u00ednica<\/strong><\/h2>\n\n<p>A terapia local com estrog\u00eanios \u00e9 o \u00fanico padr\u00e3o ouro comprovado no tratamento da s\u00edndrome geniturin\u00e1ria da menopausa (<strong>vaginite atr\u00f3fica<\/strong>). Ela restaura a espessura e a elasticidade da mucosa, normaliza o pH e a popula\u00e7\u00e3o de lactobacilos, eliminando sintomas como secura, ardor, dispareunia e cistites p\u00f3s-coitais recorrentes. Ao contr\u00e1rio da TRH sist\u00eamica, as formas locais s\u00e3o seguras, praticamente n\u00e3o absorvem na circula\u00e7\u00e3o sist\u00eamica e n\u00e3o aumentam o risco de c\u00e2ncer de mama ou tromboembolismo venoso.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A terapia de reposi\u00e7\u00e3o hormonal (TRH) \u00e9 uma estrat\u00e9gia de corre\u00e7\u00e3o farmacol\u00f3gica para condi\u00e7\u00f5es de defici\u00eancia de estrog\u00eanio em mulheres na peri e p\u00f3s-menopausa. <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3931","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Terapia de reposi\u00e7\u00e3o hormonal: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki<\/title>\n<meta name=\"description\" content=\"A terapia de 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