{"id":809,"date":"2026-09-01T20:00:00","date_gmt":"2026-09-01T23:00:00","guid":{"rendered":"https:\/\/www.menopauseptmy.com\/?p=809"},"modified":"2026-09-01T20:03:33","modified_gmt":"2026-09-01T23:03:33","slug":"hrt-and-menopause-dr-mache-seibel","status":"publish","type":"post","link":"https:\/\/www.menopauseptmy.com\/pt\/hrt-and-menopause-dr-mache-seibel\/","title":{"rendered":"Terapia de Substitui\u00e7\u00e3o Hormonal (TSH) e Menopausa: O que as mulheres precisam saber"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"809\" class=\"elementor elementor-809\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-418729c4 e-con-full e-flex e-con e-parent\" data-id=\"418729c4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2eede62d elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-gum_post_image\" data-id=\"2eede62d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"gum_post_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"blog-featureimage\" style=\"background-image: url(https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/09\/mache_post.png)\"><img decoding=\"async\" src=\"https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/09\/mache_post.png\" title=\"\" alt=\"\" \/><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-669a91de e-flex e-con-boxed e-con e-parent\" data-id=\"669a91de\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3ee1f686 e-con-full e-flex e-con e-child\" data-id=\"3ee1f686\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-4b74084b e-con-full e-flex e-con e-child\" data-id=\"4b74084b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c70dbd2 elementor-widget elementor-widget-heading\" data-id=\"7c70dbd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Data e hora da publica\u00e7\u00e3o<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfaa4d5 elementor-widget elementor-widget-gum_post_meta\" data-id=\"cfaa4d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"gum_post_meta.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"posts-meta\"><li class=\"list-meta\"><a href=\"https:\/\/www.menopauseptmy.com\/pt\/2026\/09\/01\/\"><i aria-hidden=\"true\" class=\"\"><\/i><span class=\"meta-text\">1\u00ba de setembro de 2026<\/span><\/a><\/li><\/ul>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-683efedc e-con-full e-flex e-con e-child\" data-id=\"683efedc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-13fefcd4 e-con-full e-flex e-con e-child\" data-id=\"13fefcd4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-65cd76a7 elementor-widget elementor-widget-heading\" data-id=\"65cd76a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">A verdade sobre a terapia de reposi\u00e7\u00e3o hormonal: m\u00e9dico de Harvard explica os benef\u00edcios, os riscos e o erro do estudo de 2002<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c28fa14 elementor-widget elementor-widget-text-editor\" data-id=\"5c28fa14\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A Terapia de Reposi\u00e7\u00e3o Hormonal (TRH) e a menopausa continuam sendo dois dos assuntos mais mal compreendidos na \u00e1rea da sa\u00fade da mulher.<\/p><p>O estrog\u00eanio \u00e9 realmente seguro? Quando se deve iniciar a terapia de reposi\u00e7\u00e3o hormonal? A idade da mulher realmente importa? Qual \u00e9 o impacto real dos horm\u00f4nios na sa\u00fade card\u00edaca, nos ossos, na fun\u00e7\u00e3o cerebral e na qualidade de vida em geral? E, acima de tudo: <strong>Por que a terapia de reposi\u00e7\u00e3o hormonal se tornou um tema t\u00e3o temido e pol\u00eamico?<\/strong><\/p><p>Nesta entrevista exclusiva com Izadora Guimar\u00e3es, <strong>Dr. Mache Seibel<\/strong> \u2014 um m\u00e9dico que integrou o corpo docente da <strong>Faculdade de Medicina de Harvard<\/strong> h\u00e1 quase 20 anos, autora de mais de 18 livros, especialista internacional em menopausa e fundadora da revista digital <em>Os Anos Quentes<\/em> \u2014 esclarece as coisas sobre a Terapia de Reposi\u00e7\u00e3o Hormonal.<\/p><p>Ele revela como uma falha hist\u00f3rica no estudo de 2002 privou milh\u00f5es de mulheres de tratamento, explica o conceito cient\u00edfico da \u201cJanela de Oportunidade do Estrog\u00eanio\u201d e apresenta solu\u00e7\u00f5es modernas para que nenhuma mulher tenha que sofrer em sil\u00eancio.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abba4eb elementor-widget elementor-widget-video\" data-id=\"abba4eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/4ug5GBAS4TI&quot;,&quot;cc_load_policy&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5366105 elementor-widget elementor-widget-spacer\" data-id=\"5366105\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40425aea elementor-widget elementor-widget-heading\" data-id=\"40425aea\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Da medicina da fertilidade \u00e0 menopausa: um trabalho pioneiro<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ee25826 elementor-widget elementor-widget-text-editor\" data-id=\"2ee25826\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A carreira do Dr. Mache Seibel na \u00e1rea de endocrinologia reprodutiva teve in\u00edcio no campo da fertilidade. Ele participou de alguns dos primeiros procedimentos de fertiliza\u00e7\u00e3o in vitro (FIV) nos Estados Unidos \u2014 chegando at\u00e9 mesmo a ajudar gorilas de um zool\u00f3gico a engravidar.<\/p><p>No entanto, um momento decisivo, tanto na vida pessoal quanto na carreira m\u00e9dica, mudou completamente o rumo de sua trajet\u00f3ria profissional.<\/p><p>Sua esposa apresentava um risco gen\u00e9tico de c\u00e2ncer e, aos 40 e poucos anos, foi submetida a uma cirurgia para remo\u00e7\u00e3o dos ov\u00e1rios e das trompas de Fal\u00f3pio, o que a levou a uma menopausa cir\u00fargica imediata. Isso ocorreu apenas seis meses ap\u00f3s o lan\u00e7amento do <em>Iniciativa de Sa\u00fade da Mulher<\/em> O estudo (WHI) de 2002, que associou incorretamente o uso de estrog\u00eanio a um risco aumentado de c\u00e2ncer de mama e doen\u00e7as card\u00edacas.<\/p><p>Diante do medo generalizado e da relut\u00e2ncia dos m\u00e9dicos em tratar sua pr\u00f3pria esposa, o Dr. Mache Seibel dedicou-se a investigar os dados brutos da pesquisa. Ap\u00f3s mais de dois anos de rean\u00e1lise detalhada e mais de duas d\u00e9cadas de pesquisa cont\u00ednua, o especialista de Harvard comprovou o que a ci\u00eancia agora confirma: <strong>o estudo apresentava falhas, e a terapia de reposi\u00e7\u00e3o de estrog\u00eanio \u00e9 segura.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9368301 elementor-widget elementor-widget-spacer\" data-id=\"9368301\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b62a1bc elementor-widget elementor-widget-heading\" data-id=\"b62a1bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">A menopausa n\u00e3o tem a ver com a idade: \u00e9 uma transi\u00e7\u00e3o biol\u00f3gica<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bcb8c9f elementor-widget elementor-widget-text-editor\" data-id=\"bcb8c9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Um dos maiores erros da medicina tradicional foi associar a menopausa estritamente ao envelhecimento. O Dr. Mache Seibel ressalta que a menopausa n\u00e3o define a velhice; trata-se, na verdade, de uma transi\u00e7\u00e3o hormonal, muito semelhante \u00e0 puberdade.<\/p><p>Embora a idade m\u00e9dia da menopausa esteja entre 50 e 51 anos, o especialista destaca dados epidemiol\u00f3gicos importantes:<\/p><p>\u00a0Aproximadamente <strong>10% de mulheres<\/strong> entrar na menopausa antes dos 45 anos.<\/p><p>\u00a0Aproximadamente <strong>1% de mulheres<\/strong> entrar na menopausa antes dos 40 anos.<\/p><p>\u00a0A perimenopausa (a fase de transi\u00e7\u00e3o) come\u00e7a <strong>5 a 10 anos antes<\/strong> a menstrua\u00e7\u00e3o cessa definitivamente.<\/p><p>Isso significa que as flutua\u00e7\u00f5es hormonais afetam diretamente as mulheres mais jovens, que est\u00e3o no auge de suas vidas profissionais, criando fam\u00edlias, construindo neg\u00f3cios e desenvolvendo suas carreiras.<\/p><p>O erro do estudo WHI de 2002 que induziu o mundo ao erro<\/p><p>Antes de 2002, o estrog\u00eanio era o medicamento mais prescrito no mundo. No entanto, o <em>Iniciativa de Sa\u00fade da Mulher<\/em> O estudo provocou uma queda acentuada no n\u00famero de prescri\u00e7\u00f5es ao espalhar o medo do c\u00e2ncer de mama.<\/p><p>O Dr. Mache Seibel demonstra exatamente onde a metodologia do estudo falhou:<\/p><ol><li><strong>Desenho de estudo incompat\u00edvel:<\/strong> O estudo tinha como objetivo avaliar mulheres com idades entre 50 e 79 anos. No entanto, 75% das mulheres que receberam terapia hormonal tinham entre 60 e 79 anos, enquanto 75% do grupo do placebo (comprimido de a\u00e7\u00facar) tinham entre 50 e 59 anos.<\/li><li><strong>Uma compara\u00e7\u00e3o injusta:<\/strong> O estudo comparou a sa\u00fade de mulheres idosas que tomavam horm\u00f4nios com a sa\u00fade de mulheres significativamente mais jovens que n\u00e3o tomavam horm\u00f4nios.<\/li><li><strong>Os dados reais revelados:<\/strong> Quando os pesquisadores finalmente compararam mulheres da mesma faixa et\u00e1ria (50 a 59 anos), <strong>n\u00e3o houve aumento do risco de c\u00e2ncer de mama<\/strong>.<\/li><li><strong>Prote\u00e7\u00e3o contra o c\u00e2ncer:<\/strong> Nas mulheres que tomaram apenas estrog\u00eanio (mulheres que haviam sido submetidas a uma histerectomia), os dados finais revelaram <strong>23%: redu\u00e7\u00e3o do c\u00e2ncer de mama e taxas mais baixas de doen\u00e7as card\u00edacas<\/strong> em compara\u00e7\u00e3o com o grupo do placebo.<\/li><\/ol><p>\u00a0<\/p><p><strong>A ci\u00eancia cometeu um erro ao divulgar dados prematuros e distorcidos, criando um mito que perdura h\u00e1 mais de 20 anos.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d0ca1e elementor-widget elementor-widget-spacer\" data-id=\"4d0ca1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f9d198 elementor-widget elementor-widget-heading\" data-id=\"6f9d198\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">A \"janela de oportunidade\" do estrog\u00eanio<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f96d7c elementor-widget elementor-widget-text-editor\" data-id=\"8f96d7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Autor dos best-sellers <em>A Janela do Estrog\u00eanio<\/em> e <em>A Solu\u00e7\u00e3o para o Estrog\u00eanio<\/em>, o Dr. Mache Seibel estabeleceu o conceito cient\u00edfico da \u201cJanela de Estrog\u00eanio\u201d para o in\u00edcio seguro da Terapia de Reposi\u00e7\u00e3o Hormonal.<\/p><p>\u00a0<strong>Quando come\u00e7ar:<\/strong> O momento ideal para iniciar a terapia de reposi\u00e7\u00e3o de estrog\u00eanio \u00e9 nos primeiros 10 anos ap\u00f3s o in\u00edcio da menopausa (normalmente entre 50 e 59 anos) ou imediatamente ap\u00f3s a menopausa precoce em mulheres mais jovens.<\/p><p>\u00a0<strong>Prote\u00e7\u00e3o cardiovascular:<\/strong> A introdu\u00e7\u00e3o precoce do estrog\u00eanio previne o ac\u00famulo de placas nas art\u00e9rias (aterosclerose) e protege o sistema cardiovascular.<\/p><p>\u00a0<strong>Quando parar:<\/strong> O Dr. Mache esclarece que chegar a uma determinada idade (como 60 anos) <strong>n\u00e3o exige a interrup\u00e7\u00e3o da terapia hormonal<\/strong> se o tratamento tiver sido iniciado dentro do prazo adequado. Com supervis\u00e3o m\u00e9dica adequada, a mulher pode continuar se beneficiando da prote\u00e7\u00e3o hormonal.<\/p><p><strong>O estrog\u00eanio trata o \u201cSUM\u201d (A Soma de Voc\u00ea) <\/strong><\/p><p>Um dos pontos mais marcantes da entrevista com o Dr. Mache Seibel \u00e9 a diferen\u00e7a anat\u00f4mica entre tratar o corpo como um todo e tratar partes isoladas:<\/p><p>Os receptores de estrog\u00eanio est\u00e3o presentes em praticamente todas as c\u00e9lulas do corpo humano: <strong>na pele, nos olhos, no c\u00e9rebro, nas mamas, nos ossos, na bexiga e na vagina.<\/strong><\/p><p>Ao utilizar a Terapia de Reposi\u00e7\u00e3o Hormonal sist\u00eamica, a mulher trata a <strong>SOMA<\/strong> (<em>S-U-M<\/em>, a totalidade do seu corpo). Por outro lado, os medicamentos n\u00e3o hormonais voltados para um \u00fanico sintoma tratam apenas <strong>ALGUNS<\/strong> (<em>S-O-M-E<\/em>, apenas partes isoladas).<\/p><p><strong>\u201cSintomas \u201devidentes\u201c x \u201ddiscretos\u201d <\/strong><\/p><p>O Dr. Mache classifica os sintomas da menopausa em dois grupos principais:<\/p><ol><li><strong> Sintomas de ru\u00eddo <\/strong><\/li><\/ol><p>Esses s\u00e3o sintomas que a mulher percebe imediatamente: ondas de calor, suores noturnos, confus\u00e3o mental, altera\u00e7\u00f5es de humor, ins\u00f4nia e urg\u00eancia urin\u00e1ria.<\/p><ol start=\"2\"><li><strong> Sintomas silenciosos <\/strong><\/li><\/ol><p>Esses s\u00e3o riscos invis\u00edveis que evoluem silenciosamente at\u00e9 causarem complica\u00e7\u00f5es graves:<\/p><p>\u00a0<strong>Osteoporose:<\/strong> A perda acelerada de c\u00e1lcio nos ossos leva \u00e0 diminui\u00e7\u00e3o da densidade \u00f3ssea. O Dr. Mache Seibel destaca uma estat\u00edstica impressionante: <em>Para uma mulher saud\u00e1vel de 50 anos, o risco de morrer devido a complica\u00e7\u00f5es decorrentes de uma fratura de quadril \u00e9 o mesmo que o risco de morrer de c\u00e2ncer de mama.<\/em><\/p><p>\u00a0<strong>Doen\u00e7as cardiovasculares:<\/strong> O estreitamento e o endurecimento das art\u00e9rias ocorrem de forma silenciosa e continuam sendo a principal causa de mortalidade em mulheres na p\u00f3s-menopausa.<\/p><p>O estrog\u00eanio atua diretamente nos sintomas assintom\u00e1ticos, preservando a massa \u00f3ssea e a elasticidade vascular.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70a8cd7 elementor-widget elementor-widget-spacer\" data-id=\"70a8cd7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eee69f6 elementor-widget elementor-widget-heading\" data-id=\"eee69f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Op\u00e7\u00f5es modernas n\u00e3o hormonais: o termostato do c\u00e9rebro<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40c0075 elementor-widget elementor-widget-text-editor\" data-id=\"40c0075\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Para mulheres com contraindica\u00e7\u00f5es m\u00e9dicas rigorosas (como hist\u00f3rico de co\u00e1gulos sangu\u00edneos graves, disfun\u00e7\u00e3o hep\u00e1tica ou certos tipos de c\u00e2ncer), a ci\u00eancia desenvolveu alternativas n\u00e3o hormonais altamente eficazes.<\/p><p>O Dr. Mache Seibel explica que o c\u00e9rebro possui um \u201ctermostato\u201d interno localizado no hipot\u00e1lamo. \u00c0 medida que os n\u00edveis de estrog\u00eanio caem durante a menopausa, esse termostato deixa de funcionar corretamente, provocando ondas intensas de calor.<\/p><p>Medicamentos modernos n\u00e3o hormonais, como <strong>Elinzanetant<\/strong>, atuam diretamente nos neurorreceptores do c\u00e9rebro para restabelecer a regula\u00e7\u00e3o da temperatura e melhorar a qualidade do sono sem o uso de horm\u00f4nios.<\/p><p>A menopausa no ambiente de trabalho: uma quest\u00e3o que movimenta bilh\u00f5es de d\u00f3lares<\/p><p>Em seu livro <em>Lidando com a menopausa: o impacto nas mulheres, nas empresas e nos resultados financeiros<\/em>, o Dr. Mache Seibel amplia a discuss\u00e3o para os setores corporativo e econ\u00f4mico:<\/p><p>\u00a0<strong>25% da for\u00e7a de trabalho global<\/strong> \u00e9 composto por mulheres que est\u00e3o passando pela perimenopausa ou pela menopausa.<\/p><p>\u00a0<strong>1 em cada 10 mulheres<\/strong> abandona completamente o mercado de trabalho devido \u00e0 gravidade dos sintomas da menopausa.<\/p><p>\u00a0<strong>25% de mulheres<\/strong> deixam de lado promo\u00e7\u00f5es ou cargos de lideran\u00e7a porque sentem que a confus\u00e3o mental, a fadiga e as ondas de calor prejudicam seu desempenho executivo.<\/p><p>Somente nos Estados Unidos, as ondas de calor n\u00e3o tratadas custam \u00e0s empresas cerca de <strong>$16 bilh\u00f5es<\/strong> em perda de produtividade, absente\u00edsmo e consultas m\u00e9dicas adicionais.<\/p><p>Ele defende pol\u00edticas de apoio no local de trabalho \u2014 como controle de temperatura, \u00e1reas de descanso silenciosas, hor\u00e1rios flex\u00edveis e acesso a produtos de higiene feminina \u2014 para garantir que mulheres experientes possam se destacar no auge de suas carreiras.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ce8aca elementor-widget elementor-widget-spacer\" data-id=\"7ce8aca\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d28248 elementor-widget elementor-widget-heading\" data-id=\"6d28248\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Guia pr\u00e1tico: O que perguntar ao seu m\u00e9dico<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-489bea5 elementor-widget elementor-widget-text-editor\" data-id=\"489bea5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Para garantir uma consulta m\u00e9dica produtiva e segura, o Dr. Mache Seibel aconselha as mulheres a irem preparadas:<\/p><ol><li><strong>Traga algu\u00e9m com voc\u00ea:<\/strong> Pe\u00e7a a uma pessoa de confian\u00e7a para acompanh\u00e1-lo e ajudar a anotar as instru\u00e7\u00f5es e os detalhes.<\/li><li><strong>Anote suas perguntas com anteced\u00eancia:<\/strong> A ansiedade pode fazer com que voc\u00ea se esque\u00e7a de perguntas importantes durante a consulta.<\/li><li><strong>Anote o seguinte:<\/strong> Mantenha um registro escrito claro das orienta\u00e7\u00f5es recomendadas.<\/li><li><strong>Fa\u00e7a perguntas espec\u00edficas:<\/strong><\/li><\/ol><p>\u00a0Qual \u00e9 o momento ideal para eu come\u00e7ar?<\/p><p>\u00a0Quais s\u00e3o exatamente as minhas op\u00e7\u00f5es hormonais e n\u00e3o hormonais?<\/p><p>\u00a0Que efeitos colaterais devo esperar no in\u00edcio?<\/p><p>\u00a0Contra quais riscos espec\u00edficos \u00e0 sa\u00fade esse tratamento tem como objetivo me proteger?<\/p><p>A menopausa n\u00e3o \u00e9 uma doen\u00e7a: n\u00e3o sofra em sil\u00eancio<\/p><p>O Dr. Mache Seibel encerra a entrevista com uma mensagem clara de esperan\u00e7a e empoderamento: a menopausa \u00e9 um processo biol\u00f3gico natural, mas <strong>sofrer com sintomas debilitantes n\u00e3o \u00e9 nem natural nem necess\u00e1rio<\/strong>.<\/p><p>Com op\u00e7\u00f5es terap\u00eauticas modernas, perfis de seguran\u00e7a comprovados e informa\u00e7\u00f5es precisas, toda mulher tem o direito de viver a maturidade com sa\u00fade, vitalidade e pleno desempenho.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4839195 elementor-widget elementor-widget-spacer\" data-id=\"4839195\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b880525 elementor-widget elementor-widget-heading\" data-id=\"b880525\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Assista \u00e0 entrevista completa<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2db958 elementor-widget elementor-widget-text-editor\" data-id=\"c2db958\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Assista \u00e0 entrevista completa com <strong>Dr. Mache Seibel<\/strong> no canal do YouTube da Izadora Guimar\u00e3es e compartilhe esse conte\u00fado com outras mulheres que precisam ter acesso a informa\u00e7\u00f5es cient\u00edficas de qualidade.<\/p><p><a href=\"https:\/\/youtu.be\/4ug5GBAS4TI\" target=\"_blank\" rel=\"noopener\"><strong>ASSISTA AO EPIS\u00d3DIO COMPLETO NO YOUTUBE<\/strong><\/a><\/p><p><strong>Menopausa: Prazer em conhec\u00ea-la<\/strong>\u00a0faz parte do\u00a0<strong>Multiverso das Mulheres com Mais de 40 Anos<\/strong>, reunindo conversas sobre sa\u00fade, menopausa, longevidade, comportamento, cultura, estilo de vida e as diversas facetas da vida ap\u00f3s os 40 anos.<\/p><p><strong>Mais divers\u00e3o e menos pausas!<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9093936 elementor-widget elementor-widget-spacer\" data-id=\"9093936\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-383fa005 e-flex e-con-boxed e-con e-parent\" data-id=\"383fa005\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-47536e37 e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"47536e37\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;slideInUp&quot;,&quot;animation_mobile&quot;:&quot;none&quot;,&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-337cb7e7 elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"337cb7e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInUp&quot;,&quot;_animation_mobile&quot;:&quot;none&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24fa0d01 layout-underline elementor-widget__width-initial elementor-widget elementor-widget-gum_heading\" data-id=\"24fa0d01\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"gum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"gum-widget-title decor-after\"><h3 class=\"section-main-title size-default\"><span class=\"prefix\"><\/span><span class=\"maintitle\">\u00daltimas not\u00edcias\n<\/span><span class=\"subfix\"><\/span><\/h3><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3b157305 e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"3b157305\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;slideInUp&quot;,&quot;animation_mobile&quot;:&quot;none&quot;,&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-59a20350 elementor-post-meta-divider-icon post-grid-col-4 post-grid-col-mobile-1 elementor-widget elementor-widget-gum_posts_grid\" data-id=\"59a20350\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"gum_posts_grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"grid-posts\"><div class=\"grid-post grid-col-4 image-position-top\"><article id=\"post-1002\" class=\"post-1002 post type-post status-publish format-standard has-post-thumbnail hentry category-menopause-culture tag-ageism tag-menopause-at-work tag-menopause-awareness tag-menopause-in-france tag-menopause-stigma tag-perimenopause tag-women-over-40 tag-womens-health\">\r\n      <div class=\"post-top\">\r\n<ul class=\"meta-position-before posts-meta\"><\/ul>        <div class=\"blog-image\" style=\"background-image: url('https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/09\/claire_blog.png');\"><img decoding=\"async\" src=\"https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/09\/claire_blog.png\" title=\"\" alt=\"\" \/><\/div>\r\n    <ul class=\"meta-position-top posts-meta\"><\/ul><h5 class=\"post-title\"><a href=\"https:\/\/www.menopauseptmy.com\/pt\/menopause-in-france-claire-fournier\/\">Por que a menopausa ainda \u00e9 um tabu na Fran\u00e7a? Claire Fournier fala sobre idade, beleza e sil\u00eancio<\/a><\/h5><ul class=\"meta-position-mid posts-meta\"><\/ul><ul class=\"meta-position-after posts-meta\"><\/ul>  <\/div>\r\n        <div class=\"post-content\">\r\n                  <ul class=\"meta-position-content posts-meta\"><\/ul>        <\/div>\r\n  <ul class=\"meta-position-bottom posts-meta\"><li class=\"list-meta date_meta\"><span class=\"meta-text\">9 de setembro de 2026<\/span><\/li><\/ul><\/article>\r\n<\/div><div class=\"grid-post grid-col-4 image-position-top\"><article id=\"post-809\" class=\"post-809 post type-post status-publish format-standard has-post-thumbnail hentry category-menopause-womens-health tag-estrogen tag-hormone-therapy tag-hrt-and-menopause tag-menopause tag-menopause-at-work tag-menopause-symptoms tag-perimenopause tag-womens-health\">\r\n      <div class=\"post-top\">\r\n<ul class=\"meta-position-before posts-meta\"><\/ul>        <div class=\"blog-image\" style=\"background-image: url('https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/09\/mache_post.png');\"><img decoding=\"async\" src=\"https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/09\/mache_post.png\" title=\"\" alt=\"\" \/><\/div>\r\n    <ul class=\"meta-position-top posts-meta\"><\/ul><h5 class=\"post-title\"><a href=\"https:\/\/www.menopauseptmy.com\/pt\/hrt-and-menopause-dr-mache-seibel\/\">Terapia de Substitui\u00e7\u00e3o Hormonal (TSH) e Menopausa: O que as mulheres precisam saber<\/a><\/h5><ul class=\"meta-position-mid posts-meta\"><\/ul><ul class=\"meta-position-after posts-meta\"><\/ul>  <\/div>\r\n        <div class=\"post-content\">\r\n                  <ul class=\"meta-position-content posts-meta\"><\/ul>        <\/div>\r\n  <ul class=\"meta-position-bottom posts-meta\"><li class=\"list-meta date_meta\"><span class=\"meta-text\">1\u00ba de setembro de 2026<\/span><\/li><\/ul><\/article>\r\n<\/div><div class=\"grid-post grid-col-4 image-position-top\"><article id=\"post-599\" class=\"post-599 post type-post status-publish format-standard has-post-thumbnail hentry category-menopause-womens-health tag-healthy-aging tag-hrt tag-menopause-after-40 tag-menopause-lifestyle tag-menopause-symptoms tag-perimenopause tag-women-over-40\">\r\n      <div class=\"post-top\">\r\n<ul class=\"meta-position-before posts-meta\"><\/ul>        <div class=\"blog-image\" style=\"background-image: url('https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/08\/Susan-1.png');\"><img decoding=\"async\" src=\"https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/08\/Susan-1.png\" title=\"\" alt=\"\" \/><\/div>\r\n    <ul class=\"meta-position-top posts-meta\"><\/ul><h5 class=\"post-title\"><a href=\"https:\/\/www.menopauseptmy.com\/pt\/menopause-after-40-susan-sheehan\/\">Menopausa ap\u00f3s os 40: o que acontece quando seu corpo muda?<\/a><\/h5><ul class=\"meta-position-mid posts-meta\"><\/ul><ul class=\"meta-position-after posts-meta\"><\/ul>  <\/div>\r\n        <div class=\"post-content\">\r\n                  <ul class=\"meta-position-content posts-meta\"><\/ul>        <\/div>\r\n  <ul class=\"meta-position-bottom posts-meta\"><li class=\"list-meta date_meta\"><span class=\"meta-text\">24 de agosto de 2026<\/span><\/li><\/ul><\/article>\r\n<\/div><div class=\"grid-post grid-col-4 image-position-top\"><article id=\"post-589\" class=\"post-589 post type-post status-publish format-standard has-post-thumbnail hentry category-menopause-womens-health tag-hormone-therapy tag-hrt tag-menopause tag-menopause-education tag-perimenopause tag-women-over-40 tag-womens-health\">\r\n      <div class=\"post-top\">\r\n<ul class=\"meta-position-before posts-meta\"><\/ul>        <div class=\"blog-image\" style=\"background-image: url('https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/08\/iza_history.png');\"><img decoding=\"async\" src=\"https:\/\/www.menopauseptmy.com\/wp-content\/uploads\/2026\/08\/iza_history.png\" title=\"\" alt=\"\" \/><\/div>\r\n    <ul class=\"meta-position-top posts-meta\"><\/ul><h5 class=\"post-title\"><a href=\"https:\/\/www.menopauseptmy.com\/pt\/my-menopause-story-hormone-prescription\/\">Minha hist\u00f3ria sobre a menopausa: quando uma receita de horm\u00f4nio mudou tudo<\/a><\/h5><ul class=\"meta-position-mid posts-meta\"><\/ul><ul class=\"meta-position-after posts-meta\"><\/ul>  <\/div>\r\n        <div class=\"post-content\">\r\n                  <ul class=\"meta-position-content posts-meta\"><\/ul>        <\/div>\r\n  <ul class=\"meta-position-bottom posts-meta\"><li class=\"list-meta date_meta\"><span class=\"meta-text\">22 de agosto de 2026<\/span><\/li><\/ul><\/article>\r\n<\/div><\/div><div class=\"not-empty\">&nbsp;<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Date time post 1 de setembro de 2026 The Truth About Hormone Replacement Therapy: Harvard Doctor Explains Benefits, Risks, and the Mistake of the 2002 Study Hormone Replacement Therapy (HRT) and menopause remain two of the most misunderstood subjects in women\u2019s health. Is estrogen really safe? When should hormone replacement therapy be started? Does a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":832,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"footnotes":""},"categories":[20],"tags":[30,22,29,7,28,24,8,23],"class_list":["post-809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-menopause-womens-health","tag-estrogen","tag-hormone-therapy","tag-hrt-and-menopause","tag-menopause","tag-menopause-at-work","tag-menopause-symptoms","tag-perimenopause","tag-womens-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.1 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HRT and Menopause: What Women Need to Know - www.menopauseptmy.com<\/title>\n<meta name=\"description\" content=\"HRT and menopause remain confusing for many women. Dr. Mache Seibel discusses estrogen, treatment options, symptoms and menopause at work.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.menopauseptmy.com\/pt\/hrt-and-menopause-dr-mache-seibel\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HRT and Menopause: What Women Need to Know\" \/>\n<meta property=\"og:description\" content=\"HRT and menopause remain confusing for many women. 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