{"id":27871,"date":"2025-06-30T10:31:41","date_gmt":"2025-06-30T08:31:41","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/?p=27871"},"modified":"2026-03-20T10:55:09","modified_gmt":"2026-03-20T08:55:09","slug":"menopauza-si-terapia-de-substitutie-hormonala","status":"publish","type":"post","link":"https:\/\/www.clinica-sante.com\/ro\/menopauza-si-terapia-de-substitutie-hormonala\/","title":{"rendered":"Menopauza \u0219i terapia de substitu\u021bie hormonal\u0103"},"content":{"rendered":"    <div class=\"block_cuprins_articol\">\r\n        <div class=\"block_cuprins_articol_title\">\r\n            <p>Cuprins<\/p>\r\n        <\/div>\r\n        <ol  class=\"block_cuprins_articol_list\" > \r\n                            <li>\r\n                    <span><a href=\"#titlu_1\">Care sunt simptomele cele mai frecvent \u00eent\u00e2lnite?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_2\">C\u00e2nd este recomandat\u0103 terapia de substitu\u021bie hormonal\u0103 ?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_3\">Ce beneficii aduce terapia?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_4\">Forme de administrare a terapiei hormonale<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_5\">Ce riscuri implic\u0103?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_6\">Investiga\u021bii necesare \u00eenainte de \u00eenceperea tratamentului<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_7\">  Terapia non-medicamentoas\u0103: un sprijin important<\/a><\/span>\r\n                <\/li>\r\n                    <\/ol>\r\n    <\/div>\r\n    \r\n\n\n\n<p><\/p>\n\n\n\n<div  class=\"bloc_description_section\"><p>Menopauza este o etap\u0103 natural\u0103 \u00een via\u021ba fiec\u0103rei femei, o tranzi\u021bie fireasc\u0103 ce marcheaz\u0103 sf\u00e2r\u0219itul perioadei fertile. De\u0219i nu este o boal\u0103, aceast\u0103 schimbare hormonal\u0103 profund\u0103 poate veni cu provoc\u0103ri semnificative. Pentru multe femei, simptomele care o \u00eenso\u021besc pot fi deranjante \u0219i pot dura ani de zile.<\/p>\n<p>Aceasta tranzi\u021bie \u00eencepe cu<span style=\"color: #008080\"> <strong>perimenopauza<\/strong><\/span>, o perioad\u0103 care poate dura \u00eentre 4 \u0219i 10 ani, \u00een care nivelurile de estrogen fluctueaz\u0103, iar ciclurile menstruale devin neregulate. Este etapa \u00een care apar primele semne: bufeuri, tulbur\u0103ri de somn, schimb\u0103ri de dispozi\u021bie, oboseal\u0103.<\/p>\n<p><span style=\"color: #008080\"><strong>Menopauza<\/strong><\/span> propriu-zis\u0103 se diagnosticheaz\u0103 retrospectiv, dup\u0103 12 luni consecutive f\u0103r\u0103 menstrua\u021bie. V\u00e2rsta medie la care se instaleaz\u0103 este de aproximativ 51 de ani, dar poate varia. Uneori, menopauza apare mai devreme \u2013 \u00eenainte de 40 de ani \u2013 din cauze genetice, medicale sau chirurgicale.<\/p>\n<p>Dup\u0103 instalarea menopauzei, simptomele acute tind s\u0103 se atenueze treptat. Totu\u0219i, sc\u0103derea nivelului de estrogen poate continua s\u0103 influen\u021beze negativ starea de s\u0103n\u0103tate, cresc\u00e2nd riscul de osteoporoz\u0103, boli cardiovasculare \u0219i alte probleme cronice.<\/p>\n<\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_1\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">1.<\/span>\n                <span style=\"color: #f58220\">Care sunt simptomele cele mai frecvent \u00eent\u00e2lnite?  <\/span>    <\/h2>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>bufeuri (valuri de c\u0103ldur\u0103 \u00eenso\u021bite de transpira\u021bii);<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>insomnii;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>iritabilitate, anxietate, depresie;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>usc\u0103ciune vaginal\u0103 \u0219i disconfort \u00een timpul actului sexual;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>dureri articulare;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>cre\u0219tere \u00een greutate, mai ales \u00een zona abdominal\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>dificult\u0103\u021bi de concentrare \u0219i memorie.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Durata acestor simptome poate varia semnificativ \u2013 la unele femei se men\u021bin doar c\u00e2\u021biva ani, iar la altele pot persista \u0219i peste un deceniu.<\/p>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p><strong style=\"color: #f58220\">Ce op\u021biuni de tratament exist\u0103?<\/strong><\/p>\n<p>Medicina ofer\u0103 ast\u0103zi multiple op\u021biuni pentru ameliorarea simptomelor menopauzei. Acestea includ:<\/p>\n<\/div>\n\n\n<div class=\"block_lista_detalii\">\n                    <div class=\"block_lista_detalii_item\">\n                    <div class=\"block_lista_detalii_item_counter\">\n                        <button>1<\/button>\n                    <\/div>\n                    <div class=\"block_lista_detalii_item_details\">\n                        <p><span style=\"color: #008080\"><strong>Terapia hormonal\u0103 de menopauz\u0103 (THM)<\/strong><\/span> \u2013 cea mai eficient\u0103 metod\u0103 pentru bufeuri, transpira\u021bii nocturne \u0219i atrofie vaginal\u0103, presupune administrarea de estrogeni, singuri sau \u00een combina\u021bie cu progestative, \u00een func\u021bie de istoricul ginecologic al pacientei.<\/p>\n                    <\/div>\n                <\/div>\n                            <div class=\"block_lista_detalii_item\">\n                    <div class=\"block_lista_detalii_item_counter\">\n                        <button>2<\/button>\n                    <\/div>\n                    <div class=\"block_lista_detalii_item_details\">\n                        <p><span style=\"color: #008080\"><strong>Estrogenii naturali \u0219i fitoestrogenii<\/strong> <\/span>\u2013 reprezint\u0103 o alternativ\u0103 sau un complement pentru femeile care prefer\u0103 terapii mai bl\u00e2nde. Fitoestrogenii, compu\u0219i de origine vegetal\u0103 (din soia, semin\u021be de in, trifoi ro\u0219u), sunt utiliza\u021bi mai ales \u00een cazurile cu simptome u\u0219oare sau \u00een situa\u021biile unde THM nu este indicat\u0103.<\/p>\n                    <\/div>\n                <\/div>\n            <\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Decizia privind alegerea terapiei trebuie f\u0103cut\u0103 individual, \u00een urma unei evalu\u0103ri atente realizate de medicul specialist.<\/p>\n<\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_2\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">2.<\/span>\n                <span style=\"color: #f58220\"> C\u00e2nd este recomandat\u0103 terapia de substitu\u021bie hormonal\u0103 ? <\/span>    <\/h2>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <g clip-path=\"url(#clip0_1902_1526)\">\n                            <path d=\"M14.2222 0.893555H1.77778C0.8 0.893555 0 1.69355 0 2.67133V15.1158C0 16.0936 0.8 16.8936 1.77778 16.8936H14.2222C15.2 16.8936 16 16.0936 16 15.1158V2.67133C16 1.69355 15.2 0.893555 14.2222 0.893555ZM9.77778 13.338H3.55556V11.5602H9.77778V13.338ZM12.4444 9.78244H3.55556V8.00467H12.4444V9.78244ZM12.4444 6.22689H3.55556V4.44911H12.4444V6.22689Z\" fill=\"#666666\"\/>\n                        <\/g>\n                        <defs>\n                            <clipPath id=\"clip0_1902_1526\">\n                                <rect width=\"16\" height=\"16\" fill=\"white\" transform=\"translate(0 0.893555)\"\/>\n                            <\/clipPath>\n                        <\/defs>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><\/h2>\n        <p><p>Aceast\u0103 terapie este de obicei indicat\u0103 femeilor aflate \u00een primii 5\u201310 ani dup\u0103 instalarea menopauzei, mai ales dac\u0103 prezint\u0103 simptome moderate sau severe, ce afecteaz\u0103 calitatea vie\u021bii. Femeile cu menopauz\u0103 precoce (spontan\u0103 sau indus\u0103 medical), pot beneficia semnificativ, nu doar prin ameliorarea simptomelor, ci \u0219i prin reducerea riscurilor pe termen lung, precum osteoporoza sau bolile cardiovasculare. De asemenea, terapia este util\u0103 pentru femeile cu tulbur\u0103ri de somn, modific\u0103ri de dispozi\u021bie sau cu simptome genito-urinare care nu r\u0103spund la tratamente locale. Este important ca aceast\u0103 terapie s\u0103 fie recomandat\u0103 \u0219i monitorizat\u0103 de un medic, \u00een func\u021bie de profilul individual de s\u0103n\u0103tate.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_3\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">3.<\/span>\n                <span style=\"color: #f58220\"> Ce beneficii aduce terapia? <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Pacientele care urmeaz\u0103 aceast\u0103 terapie pot observa:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>dispari\u021bia rapid\u0103 a bufeurilor;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>\u00eembun\u0103t\u0103\u021birea somnului \u0219i a st\u0103rii psihice;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>restabilirea confortului \u00een via\u021ba sexual\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>men\u021binerea densit\u0103\u021bii osoase \u0219i prevenirea fracturilor;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>\u00een unele cazuri, reducerea riscului de cancer endometrial (dac\u0103 terapia este combinat\u0103 \u0219i corect administrat\u0103).<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_4\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">4.<\/span>\n                <span style=\"color: #f58220\">Forme de administrare a terapiei hormonale <\/span>    <\/h2>\n<\/div>\n\n\n<p><\/p>\n\n\n\n<div  class=\"bloc_description_section\"><p>Terapia de substitu\u021bie hormonal\u0103 poate fi administrat\u0103 \u00een mai multe forme, adaptate preferin\u021belor \u0219i profilului de s\u0103n\u0103tate al pacientei:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>oral<\/strong><\/span> (comprimate);<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>transdermic<\/strong><\/span> (plasturi, gel sau spray aplicat pe piele);<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>implanturi<\/strong> <\/span>cu eliberare prelungit\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>vaginal<\/strong><\/span>, pentru simptome urogenitale (creme, ovule sau inele cu estrogen).<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <g clip-path=\"url(#clip0_1902_1526)\">\n                            <path d=\"M14.2222 0.893555H1.77778C0.8 0.893555 0 1.69355 0 2.67133V15.1158C0 16.0936 0.8 16.8936 1.77778 16.8936H14.2222C15.2 16.8936 16 16.0936 16 15.1158V2.67133C16 1.69355 15.2 0.893555 14.2222 0.893555ZM9.77778 13.338H3.55556V11.5602H9.77778V13.338ZM12.4444 9.78244H3.55556V8.00467H12.4444V9.78244ZM12.4444 6.22689H3.55556V4.44911H12.4444V6.22689Z\" fill=\"#666666\"\/>\n                        <\/g>\n                        <defs>\n                            <clipPath id=\"clip0_1902_1526\">\n                                <rect width=\"16\" height=\"16\" fill=\"white\" transform=\"translate(0 0.893555)\"\/>\n                            <\/clipPath>\n                        <\/defs>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><\/h2>\n        <p><p>Este esen\u021bial de \u0219tiut c\u0103<span style=\"color: #008080\"><strong> femeile care au uter trebuie s\u0103 asocieze un progestativ<\/strong><\/span> estrogenului, pentru a preveni \u00eengro\u0219area excesiv\u0103 a mucoasei uterine (hiperplazia endometrial\u0103) \u0219i riscul de cancer. Progestativul poate fi administrat:<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>oral;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>transdermic (\u00een plasturi combina\u021bi);<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <g clip-path=\"url(#clip0_1902_1526)\">\n                            <path d=\"M14.2222 0.893555H1.77778C0.8 0.893555 0 1.69355 0 2.67133V15.1158C0 16.0936 0.8 16.8936 1.77778 16.8936H14.2222C15.2 16.8936 16 16.0936 16 15.1158V2.67133C16 1.69355 15.2 0.893555 14.2222 0.893555ZM9.77778 13.338H3.55556V11.5602H9.77778V13.338ZM12.4444 9.78244H3.55556V8.00467H12.4444V9.78244ZM12.4444 6.22689H3.55556V4.44911H12.4444V6.22689Z\" fill=\"#666666\"\/>\n                        <\/g>\n                        <defs>\n                            <clipPath id=\"clip0_1902_1526\">\n                                <rect width=\"16\" height=\"16\" fill=\"white\" transform=\"translate(0 0.893555)\"\/>\n                            <\/clipPath>\n                        <\/defs>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><\/h2>\n        <p><p>Femeile care au suferit histerectomie pot primi doar <span style=\"color: #008080\"><strong>estrogen<\/strong><\/span>.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_5\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">5.<\/span>\n                <span style=\"color: #f58220\"> Ce riscuri implic\u0103? <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Ca orice tratament, THM implic\u0103 anumite riscuri, care trebuie atent evaluate de medicul specialist:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>un risc crescut de tromboz\u0103 venoas\u0103, mai ales \u00een primii ani de tratament;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>o u\u0219oar\u0103 cre\u0219tere a riscului de cancer mamar, mai ales dup\u0103 5 ani de utilizare;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>risc cardiovascular crescut dac\u0103 tratamentul este \u00eenceput dup\u0103 v\u00e2rsta de 60 de ani;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>agravarea migrenelor sau a unor boli hepatice.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-1024x683.jpg\" alt=\"\" class=\"wp-image-27904\" srcset=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-1024x683.jpg 1024w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-900x600.jpg 900w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-300x200.jpg 300w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-768x512.jpg 768w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-1536x1024.jpg 1536w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/06\/iStock-1264546274-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div  class=\"bloc_description_section\"><p><strong style=\"color: #f58220\">C\u00e2nd este contraindicat\u0103? <\/strong><br \/>\nTerapia hormonal\u0103 nu este recomandat\u0103 femeilor cu:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>istoric personal sau familial de cancer de s\u00e2n ori alte cancere hormonodependente;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>tromboembolism venos sau arterial;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>boli hepatice active;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>hipertensiune arterial\u0103 sever\u0103 netratat\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>dislipidemie sever\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>migren\u0103 cu aur\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>s\u00e2nger\u0103ri vaginale nediagnosticate;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>litiaz\u0103 biliar\u0103 activ\u0103.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div id=\"titlu_6\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">6.<\/span>\n                <span style=\"color: #f58220\"> Investiga\u021bii necesare \u00eenainte de \u00eenceperea tratamentului<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Pentru a stabili dac\u0103 THM este potrivit\u0103 \u0219i sigur\u0103, se recomand\u0103 o serie de evalu\u0103ri:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>anamnez\u0103 \u0219i examen clinic;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>test Babe\u0219-Papanicolau  \u0219i ecografie transvaginal\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>mamografie bilateral\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>analize de s\u00e2nge  (glicemie, profil lipidic, enzime hepatice);<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>densitometrie osoas\u0103 (DXA) pentru femeile cu risc de osteoporoz\u0103;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>teste de coagulare dac\u0103 exist\u0103 suspiciune de trombofilie;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>consult cardiologic cu EKG;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>evaluarea riscurilor oncologice, cardiovasculare \u0219i metabolice.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Pe tot parcursul tratamentului, este esen\u021bial\u0103 monitorizarea regulat\u0103: primul control la 3 luni, apoi la 6\u201312 luni. Se reevalueaz\u0103 simptomele, se repet\u0103 analizele de s\u00e2nge \u0219i examenele ginecologice, iar mamografia \u0219i DXA se efectueaz\u0103 conform recomand\u0103rilor.<\/p>\n<\/div>\n\n<section class=\"section_carusel_produse\">\n    <div class=\"container\">\n        <div class=\"splide splide-carousel-guttenberg\">\n            <div class=\"splide__track\">\n                <ul class=\"splide__list\">\n                                                        <li class=\"splide__slide\">\n                                        <div class=\"product prod\">\n                                                                                             <div class=\"loop-product-discount\">-12%<\/div>                                                                                        <a title=\"Examen BABES-PAPANICOLAU in mediu lichid\"\n                                                href=\"https:\/\/www.clinica-sante.com\/ro\/analize-anatomie-patologica\/examen-babes-papanicolau-in-mediu-lichid\/\"\n                                                class=\"woocommerce-LoopProduct-link woocommerce-loop-product__link\">\n                                                <h4 class=\"woocommerce-loop-product__title\">\n                                                    Examen BABES-PAPANICOLAU in mediu lichid                                                <\/h4>\n                                            <\/a>\n                                            <div class=\"loop-product-wrapper\">\n                                                <div class=\"loop-product-prices\">\n                                                    <del aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>125,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/del> <span class=\"screen-reader-text\">Pre\u021bul ini\u021bial a fost: 125,00&nbsp;lei.<\/span><ins aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>110,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/ins><span class=\"screen-reader-text\">Pre\u021bul curent este: 110,00&nbsp;lei.<\/span>                                                <\/div>\n                                            <\/div>\n                                                    <div class=\"loop-product-footer\" id=\"identificator_list_prod_27051\"\n            data-prod-title=\"Examen BABES-PAPANICOLAU in mediu lichid\"\n            data-prod-sku=\"6523\">\n\n            \n<div\n\tclass=\"yith-wcwl-add-to-wishlist add-to-wishlist-27051 yith-wcwl-add-to-wishlist--link-style wishlist-fragment on-first-load\"\n\tdata-fragment-ref=\"27051\"\n\tdata-fragment-options=\"{&quot;base_url&quot;:&quot;&quot;,&quot;product_id&quot;:27051,&quot;parent_product_id&quot;:0,&quot;product_type&quot;:&quot;simple&quot;,&quot;is_single&quot;:false,&quot;in_default_wishlist&quot;:false,&quot;show_view&quot;:false,&quot;browse_wishlist_text&quot;:&quot;&quot;,&quot;already_in_wishslist_text&quot;:&quot;Produsul este deja in lista de favorite&quot;,&quot;product_added_text&quot;:&quot;Produs ad\\u0103ugat \\u00een lista de favorite&quot;,&quot;available_multi_wishlist&quot;:false,&quot;disable_wishlist&quot;:false,&quot;show_count&quot;:false,&quot;ajax_loading&quot;:false,&quot;loop_position&quot;:&quot;shortcode&quot;,&quot;item&quot;:&quot;add_to_wishlist&quot;}\"\n>\n\t<\/div>\n<div class=\"add-to-cart-container mt-auto\"><a href=\"\/ro\/wp-json\/wp\/v2\/posts\/27871?add-to-cart=27051\" data-quantity=\"1\" class=\"button product_type_simple add_to_cart_button ajax_add_to_cart comandaButton\" product-title=\"Examen BABES-PAPANICOLAU in mediu lichid\" data-product_id=\"27051\" data-product_category=\"Analize\" data-product_subcategory=\"Anatomie patologic\u0103; Serviciu laborator\" data-product_sku=\"6523\" aria-label=\"Adaug\u0103 \u00een co\u0219: &amp;lbquo;Examen BABES-PAPANICOLAU in mediu lichid&rdquo;\" rel=\"nofollow\" regular_price=\"125\" sale_price=\"110\" discount_difference=\"15\"><div class=\"btn-loader\"><span class=\"spinner-border spinner-border-sm\"><\/span><\/div>Adaug\u0103 \u00een co\u0219 <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M12.8 12.8C11.912 12.8 11.2 13.512 11.2 14.4C11.2 14.8243 11.3686 15.2313 11.6686 15.5314C11.9687 15.8314 12.3757 16 12.8 16C13.2243 16 13.6313 15.8314 13.9314 15.5314C14.2314 15.2313 14.4 14.8243 14.4 14.4C14.4 13.9757 14.2314 13.5687 13.9314 13.2686C13.6313 12.9686 13.2243 12.8 12.8 12.8ZM0 0V1.6H1.6L4.48 7.672L3.392 9.632C3.272 9.856 3.2 10.12 3.2 10.4C3.2 10.8243 3.36857 11.2313 3.66863 11.5314C3.96869 11.8314 4.37565 12 4.8 12H14.4V10.4H5.136C5.08296 10.4 5.03209 10.3789 4.99458 10.3414C4.95707 10.3039 4.936 10.253 4.936 10.2C4.936 10.16 4.944 10.128 4.96 10.104L5.68 8.8H11.64C12.24 8.8 12.768 8.464 13.04 7.976L15.904 2.8C15.96 2.672 16 2.536 16 2.4C16 2.18783 15.9157 1.98434 15.7657 1.83431C15.6157 1.68429 15.4122 1.6 15.2 1.6H3.368L2.616 0M4.8 12.8C3.912 12.8 3.2 13.512 3.2 14.4C3.2 14.8243 3.36857 15.2313 3.66863 15.5314C3.96869 15.8314 4.37565 16 4.8 16C5.22435 16 5.63131 15.8314 5.93137 15.5314C6.23143 15.2313 6.4 14.8243 6.4 14.4C6.4 13.9757 6.23143 13.5687 5.93137 13.2686C5.63131 12.9686 5.22435 12.8 4.8 12.8Z\" fill=\"white\"><\/path>\n                        <\/svg><\/a><\/a><\/div>        <\/div>\n                                                <\/div>\n                                    <\/li>\n                                               <\/ul>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                                <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M7.99997 0.626465C3.98647 0.626465 0.732971 3.87996 0.732971 7.89347C0.732971 11.907 3.98647 15.1605 7.99997 15.1605C12.0135 15.1605 15.267 11.907 15.267 7.89347C15.267 3.87996 12.0135 0.626465 7.99997 0.626465ZM8.66397 12.079H7.30997V10.7815H8.66397V12.079ZM8.66397 9.39546V9.82446H7.30997V9.29646C7.30997 7.70146 9.12497 7.44847 9.12497 6.31497C9.12497 5.79847 8.66347 5.40246 8.05847 5.40246C7.43147 5.40246 6.88147 5.86447 6.88147 5.86447L6.11147 4.90647C6.11147 4.90647 6.86997 4.11346 8.17897 4.11346C9.42197 4.11346 10.5765 4.88347 10.5765 6.18147C10.5765 7.99747 8.66297 8.20647 8.66297 9.39497L8.66397 9.39546Z\" fill=\"#666666\"\/>\n                        <\/svg>\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><span style=\"color: #f58220\">C\u00e2nd se opre\u0219te tratamentul? <\/span><\/h2>\n        <p><p>De regul\u0103, THM se recomand\u0103 pentru maximum 5 ani. Se \u00eentrerupe mai devreme dac\u0103 apar efecte adverse semnificative, dac\u0103 pacienta are nevoie de o interven\u021bie chirurgical\u0103 major\u0103 (cu 4 s\u0103pt\u0103m\u00e2ni \u00eenainte) sau dac\u0103 nu respect\u0103 monitorizarea periodic\u0103.<span data-mce-type=\"bookmark\" style=\"width: 0px;overflow: hidden;line-height: 0\" class=\"mce_SELRES_start\">\ufeff<\/span><\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_7\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">7.<\/span>\n                <span style=\"color: #f58220\">Terapia non-medicamentoas\u0103: un sprijin important <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Nu toate femeile au nevoie sau \u00ee\u0219i doresc tratament hormonal. \u00cen unele cazuri, simptomele pot fi gestionate eficient \u0219i prin <span style=\"color: #008080\"><strong>schimb\u0103ri ale stilului de via\u021b\u0103<\/strong><\/span>. Acestea pot preveni sau \u00eent\u00e2rzia complica\u021biile pe termen lung ale menopauzei, cum ar fi osteoporoza \u0219i bolile cardiovasculare.<br \/>\nRecomand\u0103rile includ:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p>renun\u021barea la fumat;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>reducerea consumului de alcool;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>activitate fizic\u0103 moderat\u0103 (cel pu\u021bin 30 de minute, 5 zile pe s\u0103pt\u0103m\u00e2n\u0103);<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>alimenta\u021bie echilibrat\u0103, cu aport suficient de calciu \u0219i vitamina D;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>men\u021binerea unei greut\u0103\u021bi normale;<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p>gestionarea stresului;<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Aceste m\u0103suri contribuie nu doar la ameliorarea simptomelor, ci \u0219i la men\u021binerea unei st\u0103ri generale de s\u0103n\u0103tate.<\/p>\n<\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <g clip-path=\"url(#clip0_1902_1526)\">\n                            <path d=\"M14.2222 0.893555H1.77778C0.8 0.893555 0 1.69355 0 2.67133V15.1158C0 16.0936 0.8 16.8936 1.77778 16.8936H14.2222C15.2 16.8936 16 16.0936 16 15.1158V2.67133C16 1.69355 15.2 0.893555 14.2222 0.893555ZM9.77778 13.338H3.55556V11.5602H9.77778V13.338ZM12.4444 9.78244H3.55556V8.00467H12.4444V9.78244ZM12.4444 6.22689H3.55556V4.44911H12.4444V6.22689Z\" fill=\"#666666\"\/>\n                        <\/g>\n                        <defs>\n                            <clipPath id=\"clip0_1902_1526\">\n                                <rect width=\"16\" height=\"16\" fill=\"white\" transform=\"translate(0 0.893555)\"\/>\n                            <\/clipPath>\n                        <\/defs>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><span style=\"color: #f58220\"> Informeaz\u0103-te \u0219i ai grij\u0103 de s\u0103n\u0103tatea ta!<\/span><\/h2>\n        <p><p>Menopauza este o parte natural\u0103 a procesului de \u00eemb\u0103tr\u00e2nire, dar simptomele sale nu trebuie ignorate sau suportate \u00een t\u0103cere. Fiecare femeie tr\u0103ie\u0219te aceast\u0103 etap\u0103 diferit, iar solu\u021biile trebuie adaptate individual. De la terapii hormonale la op\u021biuni naturale \u0219i schimb\u0103ri \u00een stilul de via\u021b\u0103, exist\u0103 multiple modalit\u0103\u021bi prin care simptomele pot fi ameliorate, iar calitatea vie\u021bii men\u021binut\u0103. Informa\u021bia corect\u0103 \u0219i colaborarea str\u00e2ns\u0103 cu medicul sunt pa\u0219ii esen\u021biali pentru alegerea celei mai bune op\u021biuni terapeutice. Cu \u00eengrijirea potrivit\u0103, aceast\u0103 tranzi\u021bie poate deveni o etap\u0103 de echilibru \u0219i redescoperire a propriei st\u0103ri de bine.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                <span style=\"color: #f58220\">Programeaz\u0103-te acum!<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Ai aflat <span style=\"color: #008080\"><strong>c\u00e2t de importante sunt analizele<\/strong><\/span>\u00a0despre care am vorbit mai sus. Nu am\u00e2na grija pentru s\u0103n\u0103tatea ta!<\/p>\n<\/div>\n\n\n<div class=\"bgOrange bloc_title_section\">\n    <div class=\"m-3\">\n     <div class=\"row\">\n        <div class=\"col-md-3 col-lg-2 borderMap \">\n        <div class=\" leftBox\">\n                <div class=\"flexMob\">\n            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"61\" height=\"61\" viewBox=\"0 0 61 61\" fill=\"none\">\n            <g clip-path=\"url(#clip0_15501_13162)\">\n                <path d=\"M53.8333 0.260742H7.16667C3.5 0.260742 0.533333 3.26074 0.533333 6.92741L0.5 53.5941C0.5 57.2607 3.5 60.2607 7.16667 60.2607H53.8333C57.5 60.2607 60.5 57.2607 60.5 53.5941V6.92741C60.5 3.26074 57.5 0.260742 53.8333 0.260742ZM47.1667 36.9274H37.1667V46.9274C37.1667 48.7607 35.6667 50.2607 33.8333 50.2607H27.1667C25.3333 50.2607 23.8333 48.7607 23.8333 46.9274V36.9274H13.8333C12 36.9274 10.5 35.4274 10.5 33.5941V26.9274C10.5 25.0941 12 23.5941 13.8333 23.5941H23.8333V13.5941C23.8333 11.7607 25.3333 10.2607 27.1667 10.2607H33.8333C35.6667 10.2607 37.1667 11.7607 37.1667 13.5941V23.5941H47.1667C49 23.5941 50.5 25.0941 50.5 26.9274V33.5941C50.5 35.4274 49 36.9274 47.1667 36.9274Z\" fill=\"white\"\/>\n            <\/g>\n            <defs>\n                <clipPath id=\"clip0_15501_13162\">\n                <rect width=\"60\" height=\"60\" fill=\"white\" transform=\"translate(0.5 0.260742)\"\/>\n                <\/clipPath>\n            <\/defs>\n            <\/svg>\n        <\/div>\n        <p class=\"text-white textMap\">\n            Centre de <br> recoltare                            \n        <\/p>\n        <\/div>\n    <\/div>\n    <div class=\"col-md-8 col-lg-9\">\n        <div class=\"marginDekstop\">\n      <h2 class=\"text-white mb-4\">Sun\u0103 acum la num\u0103rul scurt *8787, alege centrul de recoltare cel mai apropiat \u0219i programeaz\u0103-te pentru efectuarea analizelor. Un gest simplu care poate face o mare diferen\u021b\u0103!<\/h2>\n\n     <p class=\"text-white mb-4\">Peste 300 de centre proprii de recoltare, \u00een toate jude\u021bele \u021b\u0103rii<\/p>\n          <a href=\"https:\/\/www.clinica-sante.com\/ro\/locatii\" class=\"buttonCentre\">\n                Vezi harta loca\u021biilor\n            <i class=\"fa-solid fa-caret-right\"><\/i>\n         <\/a>\n    <\/div>\n<\/div>\n  <\/div>\n    <\/div>\n<\/div>\n\n\n\n<div  class=\"bloc_description_section\"><p><strong><span style=\"color: #f58220\">Bibliografie : <\/span><\/strong><\/p>\n<p><a href=\"http:\/\/www.pubmed.ncbi.nlm.nih.gov\/26444994\/\">http:\/\/www.pubmed.ncbi.nlm.nih.gov\/26444994\/<\/a><\/p>\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10665088\/\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10665088\/<\/a><\/p>\n<p><a href=\"http:\/\/www.mayoclinic.org\/diseases-conditions\/menopause\/in-depth\/hormone-therapy\/art-20046372\">http:\/\/www.mayoclinic.org\/diseases-conditions\/menopause\/in-depth\/hormone-therapy\/art-20046372<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Menopauza este o etap\u0103 natural\u0103 \u00een via\u021ba fiec\u0103rei femei, o tranzi\u021bie fireasc\u0103 ce marcheaz\u0103 sf\u00e2r\u0219itul perioadei fertile. De\u0219i nu este o boal\u0103, aceast\u0103 schimbare hormonal\u0103 profund\u0103 poate veni cu provoc\u0103ri semnificative. Pentru multe femei, simptomele care o \u00eenso\u021besc pot fi deranjante \u0219i pot dura ani de zile.<\/p>\n","protected":false},"author":303,"featured_media":27878,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[396],"tags":[],"class_list":["post-27871","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-util-pentru-sanatatea-ta"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/27871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/users\/303"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/comments?post=27871"}],"version-history":[{"count":19,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/27871\/revisions"}],"predecessor-version":[{"id":30126,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/27871\/revisions\/30126"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media\/27878"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=27871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/categories?post=27871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/tags?post=27871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}