{"id":12778,"date":"2025-07-25T09:58:14","date_gmt":"2025-07-25T13:58:14","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/hormone-therapy\/"},"modified":"2025-07-25T09:58:14","modified_gmt":"2025-07-25T13:58:14","slug":"terapia-hormonal-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/terapia-hormonal-pt-br\/","title":{"rendered":"Terapia Hormonal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[137],"glossary-product":[],"class_list":["post-12778","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-hormone-therapy"],"acf":{"gt-definition":"<p>A terapia hormonal, tamb\u00e9m chamada de terapia de priva\u00e7\u00e3o de andr\u00f3genos (ADT), \u00e9 uma abordagem de tratamento que visa reduzir os n\u00edveis de horm\u00f4nios masculinos (andr\u00f3genos) no corpo ou impedir que eles alimentem o crescimento de c\u00e9lulas de c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">1<\/span> Essa estrat\u00e9gia terap\u00eautica funciona impedindo o corpo de produzir testosterona, bloqueando a a\u00e7\u00e3o de andr\u00f3genos em todo o corpo ou inibindo a produ\u00e7\u00e3o de andr\u00f3genos em v\u00e1rios tecidos, incluindo as pr\u00f3prias c\u00e9lulas de c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">2<\/span> Terapia hormonal foi estabelecido como um tratamento fundamental para o c\u00e2ncer de pr\u00f3stata depois que Huggins e Hodges demonstraram o efeito terap\u00eautico da priva\u00e7\u00e3o de testosterona gonadal na d\u00e9cada de 1940, estabelecendo firmemente o c\u00e2ncer de pr\u00f3stata como uma doen\u00e7a altamente dependente de andr\u00f3genos.<span class=\"citation\">3<\/span> Embora a terapia hormonal possa fazer com que o c\u00e2ncer de pr\u00f3stata diminua ou cres\u00e7a mais lentamente por um tempo, ela por si s\u00f3 n\u00e3o cura o c\u00e2ncer de pr\u00f3stata, e muitos tipos de c\u00e2ncer eventualmente se tornam resistentes \u00e0 terapia hormonal.<span class=\"citation\">1<\/span><\/p>\n<p>A terapia hormonal na urologia abrange o uso de horm\u00f4nios e seus moduladores no tratamento de diversas condi\u00e7\u00f5es. Inclui terapia de reposi\u00e7\u00e3o de testosterona (TRT) para hipogonadismo, terapia de depriva\u00e7\u00e3o androg\u00eanica (TDA) para c\u00e2ncer de pr\u00f3stata, gonadotrofinas para infertilidade masculina e estrog\u00eanio t\u00f3pico para atrofia urogenital. A sele\u00e7\u00e3o da terapia depende da condi\u00e7\u00e3o espec\u00edfica e dos objetivos do tratamento.<\/p>","gt-synonyms":"Terapia de priva\u00e7\u00e3o androg\u00eanica (ADT), terapia de supress\u00e3o androg\u00eanica, castra\u00e7\u00e3o m\u00e9dica, castra\u00e7\u00e3o qu\u00edmica, terapia hormonal, terapia de bloqueio androg\u00eanico, bloqueio androg\u00eanico combinado, bloqueio androg\u00eanico completo, bloqueio androg\u00eanico m\u00e1ximo, bloqueio androg\u00eanico total","gt-citation":"[1] American Cancer Society. Hormone Therapy for Prostate Cancer. https:\/\/www.cancer.org\/cancer\/types\/prostate-cancer\/treating\/hormone-therapy.html\n\n[2] National Cancer Institute. Hormone Therapy for Prostate Cancer Fact Sheet. https:\/\/www.cancer.gov\/types\/prostate\/prostate-hormone-therapy-fact-sheet. DOI: 10.1210\/endrev\/bnab002\n\n[3] Desai K, McManus JM, Sharifi N. Hormonal Therapy for Prostate Cancer. Endocr Rev. 2021 May 25;42(3):354-373. DOI: 10.1210\/endrev\/bnab002. PMID: 33480983\n\n[4] Schaeffer EM, Srinivas S, Adra N, et al. Prostate Cancer, Version 4.2023, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2023 Oct;21(10):1067-1096. DOI: 10.6004\/jnccn.2023.0050. PMID: 37856213","gt-clinical-context":"<p>A terapia hormonal \u00e9 clinicamente indicada em v\u00e1rios cen\u00e1rios para o tratamento do c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">1<\/span> Pode ser usada junto com a radioterapia como o primeiro tratamento para o c\u00e2ncer que ainda est\u00e1 dentro ou ao redor da pr\u00f3stata com maior risco de recorr\u00eancia.<span class=\"citation\">1,4<\/span> Tamb\u00e9m pode ser administrado antes da radia\u00e7\u00e3o para reduzir o c\u00e2ncer e tornar o tratamento mais eficaz.<span class=\"citation\">1<\/span> Para pacientes cujo c\u00e2ncer permanece ou retorna ap\u00f3s o tratamento com cirurgia ou radia\u00e7\u00e3o terapia hormonal, a terapia hormonal \u00e9 frequentemente recomendada, especialmente se o c\u00e2ncer se espalhar.<span class=\"citation\">1,3<\/span> Al\u00e9m disso, a terapia hormonal \u00e9 o tratamento padr\u00e3o quando o c\u00e2ncer de pr\u00f3stata apresenta met\u00e1stase demais para ser curado por cirurgia ou radia\u00e7\u00e3o.<span class=\"citation\">1,4<\/span><\/p>\n <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem aqueles com doen\u00e7a localizada de alto risco, recorr\u00eancia bioqu\u00edmica ap\u00f3s terapia prim\u00e1ria e doen\u00e7a metast\u00e1tica.<span class=\"citation\">3,4<\/span> A abordagem de tratamento varia de acordo com o est\u00e1gio da doen\u00e7a, com diferentes combina\u00e7\u00f5es de agentes de terapia hormonal usados para c\u00e2ncer de pr\u00f3stata sens\u00edvel a horm\u00f4nios versus resistente \u00e0 castra\u00e7\u00e3o.<span class=\"citation\">2,3<\/span> Os resultados esperados incluem controle da doen\u00e7a e sobrevida prolongada, embora os efeitos colaterais devam ser cuidadosamente gerenciados.<span class=\"citation\">1,3<\/span> Avan\u00e7os cl\u00ednicos recentes t\u00eam demonstraram que a combina\u00e7\u00e3o da terapia hormonal com outros tratamentos, como quimioterapia ou agentes hormonais de segunda gera\u00e7\u00e3o, pode melhorar significativamente a sobreviv\u00eancia no c\u00e2ncer de pr\u00f3stata metast\u00e1tico sens\u00edvel a horm\u00f4nios.<span class=\"citation\">3,4<\/span><\/p>\n<p>A EAU 2023 enfatiza a individualiza\u00e7\u00e3o da terapia hormonal. Para hipogonadismo: testosterona em gel, inje\u00e7\u00f5es ou implantes, com monitoramento de PSA, hemat\u00f3crito e sintomas. Para c\u00e2ncer de pr\u00f3stata: agonistas\/antagonistas GnRH com ou sem antiandrog\u00eanios. Para infertilidade: gonadotrofinas em hipogonadismo hipogonadotr\u00f3fico ou clomifeno em hipogonadismo funcional. A intera\u00e7\u00e3o entre diferentes terapias hormonais e a fun\u00e7\u00e3o reprodutiva deve ser cuidadosamente considerada.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":78},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Terapia Hormonal na Urologia: Indica\u00e7\u00f5es e Manejo | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre terapia hormonal na urologia: TRT para hipogonadismo, TDA para c\u00e2ncer de pr\u00f3stata e tratamento de infertilidade. 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