Hormonal Replacement: advantages and disdvantagens

Abstract

The deficiency of estrogens was considered by many people as a physiological condition and not pathological one probably because the ovarian inadequacy is genetically programmed. However with the increase of the expection of the women´s life, the negative impact of the deficiency of estrogens became more significant. Although this deficiency is easy to take care less than, 20% of the women post menopáusicas receive estrogens. The therapy of hormonal replacement (THR) in the menopause it appeared as the mainly treatment form, to alleviate the symptoms and act as prevention, reducing the emergence of diseases, as the cardiovascular and the osteoporosis, but THR is not totally unproved of risks. The hormonal therapeutical has past the last years for doubts and uncertainties, in consequence of several related publications of its use, this way it becomes important to analyze the advantages and disadvantages of this therapy. Analyse througha wide bibliographical revision, the advantages and disadvantages of the TRH replacement in women climatérias, as well as evaluate if the possible risks of this therapy overcomes s the benefits proportionate for the same . It was used as methodology bibliographical researches made in libraries and internet. The texts of books and scientific articles were studied and the contents of them were selected for the elaboration of this work. The THR is recommended to alleviate the vasomotores symptoms , treatment of vaginal atrophy and prevention of osteoporosis. In spite of the acquaintances advantages, approximately 70% of the women interrupt the treatment after the first year. One of the principal causes of the low adherence of THR is the bleed irregular , other reasons includes mastalgia, nausea, chronic headache, profit of weight and hidrica retention, besides the fear of cancer. The decision of a woman to use the TRH is a complex process and it is recommended by the doctor, who is taking care of her by the individual risk of diseases, by the attitudes toward the menopause and THR, values menopausais, symptoms and to the middle to which the woman belongs.