{"id":32528,"date":"2026-09-07T18:35:00","date_gmt":"2026-09-07T22:35:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32528"},"modified":"2026-09-08T06:10:00","modified_gmt":"2026-09-08T10:10:00","slug":"reposicao-de-testosterona","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/reposicao-de-testosterona\/","title":{"rendered":"Reposi\u00e7\u00e3o de Testosterona"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[137],"glossary-product":[],"class_list":["post-32528","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-hormone-therapy"],"acf":{"gt-definition":"<p>A terapia de reposi\u00e7\u00e3o de testosterona (TRT) \u00e9 uma interven\u00e7\u00e3o m\u00e9dica concebida para restaurar e manter n\u00edveis fisiol\u00f3gicos de testosterona em indiv\u00edduos com hipogonadismo, uma s\u00edndrome cl\u00ednica caracterizada por n\u00edveis s\u00e9ricos de testosterona persistentemente baixos acompanhados de sintomas de defici\u00eancia de testosterona.<sup>1<\/sup> Esta terapia envolve a administra\u00e7\u00e3o de testosterona ex\u00f3gena por meio de v\u00e1rias formula\u00e7\u00f5es para compensar a produ\u00e7\u00e3o end\u00f3gena inadequada.<sup>2<\/sup> A TRT visa aliviar sintomas associados \u00e0 defici\u00eancia de testosterona, incluindo diminui\u00e7\u00e3o da libido, disfun\u00e7\u00e3o er\u00e9til, fadiga, humor deprimido e redu\u00e7\u00e3o da massa muscular, enquanto induz e mant\u00e9m as caracter\u00edsticas sexuais secund\u00e1rias.<sup>3<\/sup> A terapia n\u00e3o trata a causa subjacente do hipogonadismo, mas suplementa o horm\u00f4nio deficiente para atingir n\u00edveis fisiol\u00f3gicos normais, visando tipicamente uma faixa de 300-1000 ng\/dL, a depender dos padr\u00f5es laboratoriais e dos fatores individuais de cada paciente.<sup>4<\/sup><\/p>\n","gt-synonyms":"TRT, Terapia de Reposi\u00e7\u00e3o Androg\u00eanica, Terapia com Testosterona, Terapia de Reposi\u00e7\u00e3o Hormonal Masculina, Terapia com T, Suplementa\u00e7\u00e3o de Andr\u00f3genos","gt-citation":"[1] Heidelbaugh JJ, Belakovskiy A. Testosterone Replacement Therapy for Male Hypogonadism. Am Fam Physician. 2024 Jun;109(6):543-549. PMID: 38905552. DOI: https:\/\/doi.org\/10.3949\/ccjm.89.s1.06\n\n[2] Sizar O, Schwartz J. Androgen Replacement. [Updated 2023]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534853\/\n\n[3] Bhasin S, et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018;103(5):1715-1744. DOI: https:\/\/doi.org\/10.1210\/jc.2018-00229\n\n[4] Petering RC, Brooks NA. Testosterone Therapy: Review of Clinical Applications. Am Fam Physician. 2017 Oct 1;96(7):441-449. PMID: 29094914.","gt-clinical-context":"<p>A terapia de reposi\u00e7\u00e3o de testosterona \u00e9 indicada principalmente para homens com hipogonadismo confirmado, o qual ocorre em aproximadamente 19% dos homens na faixa dos 60 anos, 28% na dos 70 anos e 49% na dos 80 anos.<sup>1<\/sup> O diagn\u00f3stico requer pelo menos duas dosagens matinais documentadas de testosterona s\u00e9rica baixa (tipicamente abaixo de 300 ng\/dL) em conjunto com sintomas consistentes com a defici\u00eancia de testosterona.<sup>2<\/sup><\/p>\n<p>Antes de iniciar a terapia, os m\u00e9dicos devem distinguir entre hipogonadismo prim\u00e1rio (testicular) e secund\u00e1rio (hipofis\u00e1rio-hipotal\u00e2mico) por meio de uma avalia\u00e7\u00e3o abrangente, incluindo hist\u00f3rico m\u00e9dico, exame f\u00edsico e testes laboratoriais.<sup>3<\/sup> A avalia\u00e7\u00e3o laboratorial inicial deve incluir duas dosagens matinais de testosterona, horm\u00f4nio fol\u00edculo-estimulante (FSH), horm\u00f4nio luteinizante (LH), prolactina, horm\u00f4nio tireoestimulante (TSH), hemograma completo, ant\u00edgeno prost\u00e1tico espec\u00edfico (PSA) para homens acima de 40 anos e um painel metab\u00f3lico abrangente.<sup>2<\/sup><\/p>\n<p>M\u00faltiplos m\u00e9todos de administra\u00e7\u00e3o est\u00e3o dispon\u00edveis, cada um com vantagens e considera\u00e7\u00f5es distintas:<sup>4<\/sup><\/p>\n<ul>\n<li>G\u00e9is transd\u00e9rmicos (aplicados nos ombros, bra\u00e7os ou abd\u00f4men)<\/li>\n<li>Inje\u00e7\u00f5es intramusculares (enantato ou cipionato de testosterona)<\/li>\n<li>Inje\u00e7\u00f5es subcut\u00e2neas<\/li>\n<li>Adesivos de testosterona<\/li>\n<li>Pellets de testosterona (implantados por via subd\u00e9rmica)<\/li>\n<li>Comprimidos bucais de testosterona<\/li>\n<li>Gel nasal de testosterona<\/li>\n<li>Formula\u00e7\u00f5es orais de testosterona<\/li>\n<\/ul>\n<p>A escolha do tratamento deve considerar a prefer\u00eancia do paciente, a farmacocin\u00e9tica, potenciais intera\u00e7\u00f5es medicamentosas, efeitos adversos espec\u00edficos da formula\u00e7\u00e3o, a sobrecarga do tratamento e o custo.<sup>1<\/sup> Os m\u00e9dicos devem monitorar os pacientes em TRT quanto \u00e0 melhora dos sintomas, potenciais efeitos adversos e ades\u00e3o terap\u00eautica.<sup>3<\/sup> O monitoramento regular inclui a avalia\u00e7\u00e3o da testosterona s\u00e9rica, hemat\u00f3crito e n\u00edveis de PSA no in\u00edcio do tratamento e pelo menos anualmente em homens com 40 anos ou mais.<sup>1<\/sup><\/p>\n<p>Evid\u00eancias sugerem que a TRT pode melhorar a fun\u00e7\u00e3o sexual, sintomas depressivos, densidade \u00f3ssea e massa corporal magra.<sup>1<\/sup> Embora estudos anteriores tenham levantado preocupa\u00e7\u00f5es sobre riscos cardiovasculares, grandes ensaios cl\u00ednicos randomizados recentes indicam que a TRT n\u00e3o aumenta o risco de infarto do mioc\u00e1rdio ou acidente vascular cerebral, mesmo em pacientes de alto risco.<sup>1<\/sup> No entanto, a TRT \u00e9 contraindicada em homens que desejam preservar a fertilidade, pois reduz significativamente a produ\u00e7\u00e3o de espermatozoides.<sup>2<\/sup> Abordagens alternativas, como o citrato de clomifeno ou a gonadotrofina cori\u00f4nica humana, podem ser consideradas para homens hipogon\u00e1dicos que desejam manter a fertilidade.<sup>2<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Reposi\u00e7\u00e3o de Testosterona: Tratamento do Hipogonadismo<\/title>\n<meta name=\"description\" content=\"A reposi\u00e7\u00e3o de testosterona restaura os n\u00edveis hormonais no hipogonadismo masculino, melhorando a fun\u00e7\u00e3o sexual, a energia e o humor.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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