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cdx-button--size-large cdx-button--icon-only cdx-button--weight-quiet skin-minerva-search-trigger"> <span class="minerva-icon minerva-icon--search"></span> <span>Procurar</span> </button> </form> <nav class="minerva-user-navigation" aria-label="Navegación de usuario"> </nav> </div> </header> <main id="content" class="mw-body"> <div class="banner-container"> <div id="siteNotice">  </div> </div> <div class="pre-content heading-holder"> <div class="page-heading"> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Terapia hormonal substitutiva</span></h1> <div class="tagline"> tratamento para mulleres menopáusicas </div> </div> <nav class="page-actions-menu"> <ul id="p-views" class="page-actions-menu__list"> <li id="language-selector" class="page-actions-menu__list-item"><a role="button" href="https://gl-m-wikipedia-org.translate.goog/wiki/Terapia_hormonal_substitutiva?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB#p-lang" data-mw="interface" data-event-name="menu.languages" title="Lingua" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet language-selector"> <span class="minerva-icon minerva-icon--language"></span> <span>Lingua</span> </a></li> <li id="page-actions-watch" class="page-actions-menu__list-item"><a role="button" id="ca-watch" href="https://gl-m-wikipedia-org.translate.goog/w/index.php?title=Especial:Iniciar_sesi%C3%B3n&returnto=Terapia+hormonal+substitutiva&_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" data-event-name="menu.watch" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet menu__item--page-actions-watch"> <span class="minerva-icon minerva-icon--star"></span> <span>Vixiar</span> </a></li> <li id="page-actions-edit" class="page-actions-menu__list-item"><a role="button" id="ca-edit" href="https://gl-m-wikipedia-org.translate.goog/w/index.php?title=Terapia_hormonal_substitutiva&action=edit&_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" data-event-name="menu.edit" data-mw="interface" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet edit-page menu__item--page-actions-edit"> <span class="minerva-icon minerva-icon--edit"></span> <span>Editar</span> </a></li> </ul> </nav> <div id="mw-content-subtitle"></div> </div> <div id="bodyContent" class="content"> <div id="mw-content-text" class="mw-body-content"> <script>function mfTempOpenSection(id){var block=document.getElementById("mf-section-"+id);block.className+=" open-block";block.previousSibling.className+=" open-block";}</script> <div class="mw-content-ltr mw-parser-output" lang="gl" dir="ltr"> <section class="mf-section-0" id="mf-section-0"> <p>A <b>terapia de substitución hormonal</b> (TSH) ou <b>terapia hormonal substitutiva</b> é un sistema de tratamento médico para a menopausa cirúrxica, a <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Perimenopausa?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" class="mw-redirect" title="Perimenopausa">perimenopausa</a> e, en menor medida, para mulleres na <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Menopausa?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Menopausa">menopausa</a>. Baséase na idea de que o tratamento pode previr as molestias causadas pola menor cantidade de <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Hormona?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Hormona">hormonas</a> (<a href="https://gl-m-wikipedia-org.translate.goog/wiki/Estr%C3%B3xeno?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Estróxeno">estróxenos</a> e <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Proxesterona?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Proxesterona">proxesterona</a>) presentes no sangue. Supón o emprego dun ou máis fármacos pertencentes a un grupo deseñado para elevar artificialmente os niveis hormonais. Os principais tipos de hormonas que se usan neste tratamento son: <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Estr%C3%B3xeno?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Estróxeno">estróxenos</a>, <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Proxesterona?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Proxesterona">proxesterona</a> ou proxestinas, e ás veces <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Testosterona?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Testosterona">testosterona</a>. A miúdo tamén se lle chama <i>tratamento</i> no canto de <i>terapia</i>.</p> <figure class="mw-halign-right" typeof="mw:File/Thumb"> <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Ficheiro:Estrogen_patch.jpg?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/2/20/Estrogen_patch.jpg/200px-Estrogen_patch.jpg" decoding="async" width="200" height="200" class="mw-file-element" srcset="https://translate.google.com/website?sl=auto&tl=en&hl=en-GB&u=https://upload.wikimedia.org/wikipedia/commons/thumb/2/20/Estrogen_patch.jpg/300px-Estrogen_patch.jpg 1.5x,https://translate.google.com/website?sl=auto&tl=en&hl=en-GB&u=https://upload.wikimedia.org/wikipedia/commons/thumb/2/20/Estrogen_patch.jpg/400px-Estrogen_patch.jpg 2x" data-file-width="1408" data-file-height="1409"></a> <figcaption> Parche transdérmico de estradiol, para terapia con estróxenos. </figcaption> </figure> </section> <div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(1)"> <span class="indicator mf-icon mf-icon-expand mf-icon--small"></span> <h2 id="Visión_xeral"><span id="Visi.C3.B3n_xeral"></span>Visión xeral</h2><span class="mw-editsection"> <a role="button" href="https://gl-m-wikipedia-org.translate.goog/w/index.php?title=Terapia_hormonal_substitutiva&action=edit&section=1&_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Editar a sección: «Visión xeral»" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>editar</span> </a> </span> </div> <section class="mf-section-1 collapsible-block" id="mf-section-1"> <p>A terapia de substitución hormonal está dispoñible de varias formas. Xeralmente fornécense doses baixas dun ou máis <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Estr%C3%B3xeno?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Estróxeno">estróxenos</a>, e a miúdo tamén se fornece <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Proxesterona?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Proxesterona">proxesterona</a> ou un análogo químico chamado proxestina. Tamén se pode incluír testosterona. Ás mulleres que sufriron unha histerectomía, fornéceselles habitualmente un composto estroxénico que contén algunha clase de proxesterona, unha terapia chamada "terapia de estróxenos sen oposición". As terapias de substitución hormonal adminístranse mediante parches transdérmicos, comprimidos, cremas, pílulas, dispositivos intrauterinos (DIU), aneis vaxinais e, máis raramente, mediante inxeccións. As doses adoitan ser variadas ciclicamente, con tomas diarias de estróxenos, e proxesterona (ou proxestina) durante dúas semanas cada mes ou dous meses; un método chamado "TRH combinada secuencial".<sup id="cite_ref-1" class="reference"><a href="https://gl-m-wikipedia-org.translate.goog/wiki/Terapia_hormonal_substitutiva?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB#cite_note-1"><span>[</span>1<span>]</span></a></sup> Un método alternativo de máis recente aparición é chamado "TRH combinado continuo" e consiste nunha dose constante de ambos os tipos de hormonas tomadas diariamente. Ás veces, engádese un <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Andr%C3%B3xeno?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Andróxeno">andróxeno</a>, xeralmente testosterona, para tratar a <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Libido?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Libido">libido</a> diminuída. Tamén pode tratarse a diminución de enerxía e axudar a diminuír a <a href="https://gl-m-wikipedia-org.translate.goog/wiki/Osteoporose?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Osteoporose">osteoporose</a> que adoita aparecer trala menopausa.</p> </section> <div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(2)"> <span class="indicator mf-icon mf-icon-expand mf-icon--small"></span> <h2 id="Notas">Notas</h2><span class="mw-editsection"> <a role="button" href="https://gl-m-wikipedia-org.translate.goog/w/index.php?title=Terapia_hormonal_substitutiva&action=edit&section=2&_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-GB" title="Editar a sección: «Notas»" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>editar</span> </a> </span> </div> <section class="mf-section-2 collapsible-block" id="mf-section-2"> <div 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