Menopausia: panorama actual de manejo

dc.creatorPérez A., Luis Ernesto
dc.creatorC. Rojas, Ingrid
dc.date2011-06-30
dc.identifierhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/1226
dc.identifier10.18359/rmed.1226
dc.descriptionAún existe, desde 2002, una marcada disminución en el uso de terapia hormonal clásica (TH), para el manejo de la menopausia, debido a los riesgos determinados en el estudio Iniciativa de salud para las mujeres (WHI: Women’s Health Initiative). No obstante, revisiones del WHI y evidencias actuales determinan que la TH: (a) es la terapia más efectiva de los síntomas vasomotores, de sus potenciales consecuencias (disminución en calidad del sueño, irritabilidad, reducción en calidad de vida), y para tratar la atrofia urogenital. (b) Previene la osteoporosis y en pacientes con endotelios sanos, reduce el riesgo de hipertensión arterial, diabetes II y enfermedad coronaria, siendo el cociente beneficio/ riesgo mayor cuando se inicia tempranamente al sucederse el hipoestrogenismo. (c) Existe la tendencia a utilizar dosis mínimas, estrógenos no orales y progestágenos puros, para disminuir sus riesgos. (d) Tibolona y paroxetina son las mejores alternativas para tratar los síntomas vasomotores. (e) Finalmente, los cambios a estilo de vida saludable son coadyuvantes excelentes de la TH en el manejo de los síntomas menopaúsicos y en la prevención de las enfermedades crónicas de la postmenopausia, las cuales ameritan tratamientos específicos.
dc.formatapplication/pdf
dc.languagespa
dc.publisherUniversidad Militar Nueva Granada
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/1226/956
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dc.rightsDerechos de autor 2015 Revista Med
dc.sourceRevista Med; Vol. 19 No. 1 (2011): january - june; 56-65
dc.sourceRevista Med; Vol. 19 Núm. 1 (2011): enero - junio; 56-65
dc.source1909-7700
dc.source0121-5256
dc.subjectmenopausia
dc.subjectterapia de reemplazo hormonal
dc.subjectalteraciones sexuales
dc.subjectenfermedades cardiovasculares
dc.subjectosteoporosis
dc.subjectcáncer de mama
dc.titleMenopausia: panorama actual de manejo
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion


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