{"id":168,"date":"2019-01-31T02:56:11","date_gmt":"2019-01-31T02:56:11","guid":{"rendered":"http:\/\/paoloaltoe.com.br\/blog\/?p=168"},"modified":"2020-01-20T19:16:45","modified_gmt":"2020-01-20T19:16:45","slug":"anticoncepcionais-orais","status":"publish","type":"post","link":"https:\/\/paoloaltoe.com.br\/blog\/2019\/01\/31\/anticoncepcionais-orais\/","title":{"rendered":"ANTICONCEPCIONAIS ORAIS E SEUS EFEITOS EM BEM ESTAR, LIBIDO E PERFORMANCE"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"168\" class=\"elementor elementor-168\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8cb7b1d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8cb7b1d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aca8311\" data-id=\"aca8311\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa3d2b1 elementor-widget elementor-widget-text-editor\" data-id=\"aa3d2b1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Voc\u00ea, mulher que usa anticoncepcional hormonal oral (ACO), pode dispor de alguns sintomas, sendo estes explicados, em parte, pelo uso das p\u00edlulas.<\/p><p><br><\/p>\n<p><\/p>\n<p>Em raz\u00e3o do uso de ACO estar associado ao uso subsequente de antidepressivos e com o primeiro diagn\u00f3stico de depress\u00e3o, a hip\u00f3tese de efeitos colaterais potencialmente depressivos nos ACO merece ser investigada (<a href=\"https:\/\/jamanetwork.com\/journals\/jamapsychiatry\/fullarticle\/2552796\">1<\/a>).<\/p><p><br><\/p>\n<p><\/p>\n<p>Esse estudo randomizado duplo cego (<a href=\"https:\/\/doi.org\/10.1016\/j.fertnstert.2017.02.120\">2<\/a>), valendo-se da escala de bem estar geral (PGWI), mostrou significativa redu\u00e7\u00e3o na sensa\u00e7\u00e3o de bem estar, maior percep\u00e7\u00e3o de humor depressivo, menor autocontrole, menor sa\u00fade e vitalidade nas usu\u00e1rias de ACO.<\/p>\n<p><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Um dos mecanismos para a poss\u00edvel explica\u00e7\u00e3o desses sintomas \u00e9 a insufici\u00eancia androg\u00eanica relativa da mulher (<a href=\"https:\/\/academic.oup.com\/humupd\/article\/20\/1\/76\/887764\">3<\/a>&#8211;<a href=\"https:\/\/doi.org\/10.1016\/S0015-0282(02)02969-2\">4<\/a>) <em>(+shbg, -dhea, testosterona total, -testosterona livre).<\/em><\/p>\n<p><em>&nbsp;<\/em><\/p>\n<p>Horm\u00f4nios androg\u00eanicos tamb\u00e9m cumprem papel modulador de neurotransmissores, bem estar (<a href=\"https:\/\/doi.org\/10.1677\/joe.1.06233\">5<\/a>) e estes estar\u00e3o reduzidos em usu\u00e1rias das p\u00edlulas, contribuindo para redu\u00e7\u00e3o na LIBIDO e interesse sexual.<\/p><p><br><\/p>\n<p><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><em><strong>Assim, perguntamos: \u201cO que fazer\u201d?<\/strong><\/em><br>Aqui (<a href=\"https:\/\/doi.org\/10.1016\/j.contraception.2014.11.002\">6<\/a>&#8211;<a href=\"https:\/\/doi.org\/10.1016\/j.contraception.2016.06.022\">7<\/a>), suplementa\u00e7\u00e3o de 50mg de DHEA\/dia restaurando n\u00edveis de testosterona em mulheres usu\u00e1rias de ACO.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8a8eba6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8a8eba6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0b2655f\" data-id=\"0b2655f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-09d5851 elementor-widget elementor-widget-image\" data-id=\"09d5851\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"730\" height=\"730\" src=\"https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS-1024x1024.jpg\" class=\"attachment-large size-large wp-image-212\" alt=\"\" srcset=\"https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS-1024x1024.jpg 1024w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS-300x300.jpg 300w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS-150x150.jpg 150w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS-768x768.jpg 768w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS-60x60.jpg 60w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/SITE.-IMAGEM.-POST-2.-ANTICONCEPCIONAIS.jpg 1080w\" sizes=\"(max-width: 730px) 100vw, 730px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ece6f2e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ece6f2e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c8abb9e\" data-id=\"c8abb9e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b56687 elementor-widget elementor-widget-text-editor\" data-id=\"1b56687\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ACO contendo estradiol melhora sintoma de baixo desejo sexual (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28323519\">8<\/a>).<\/p>\n<p>\u00a0<\/p>\n<p><em><strong>Provavelmente voc\u00ea possa estar se perguntando: \u201cmas anticoncepcionais hormonais orais atrapalham nos meus resultados est\u00e9ticos, na hipertrofia, performance\u201d?<\/strong><\/em><br \/>SIM, devido maior catabolismo (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28497386\">9<\/a>); <br \/>menor performance (<a href=\"https:\/\/insights.ovid.com\/crossref?an=00005768-201704000-00013\">10<\/a>);<br \/>menor responsividade ao treinamento e menores ganhos (<a href=\"http:\/\/www.fasebj.org\/content\/23\/1_Supplement\/955.25\">11<\/a>).<\/p>\n<p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c2cc9c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c2cc9c4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a117b43\" data-id=\"a117b43\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c943f55 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c943f55\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d4ba29b\" data-id=\"d4ba29b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1777361 elementor-widget elementor-widget-text-editor\" data-id=\"1777361\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>REFERENCIAS BIBLIOGR\u00c1FICAS:<\/strong><br \/>(1) &#8211; doi: 10.1001\/jamapsychiatry.2016.2387<br \/>(2) &#8211; https:\/\/doi.org\/10.1016\/j.fertnstert.2017.02.120<br \/>(3) &#8211; doi: 10.1093\/humupd\/dmt038<br \/>(4) &#8211; https:\/\/doi.org\/10.1016\/S0015-0282(02)02969-2<br \/>(5) &#8211; https:\/\/doi.org\/10.1677\/joe.1.06233<br \/>(6) &#8211; https:\/\/doi.org\/10.1016\/j.contraception.2014.11.002<br \/>(7) &#8211; https:\/\/doi.org\/10.1016\/j.contraception.2016.06.022<br \/>(8) &#8211; doi: 10.1089\/jwh.2016.5801<br \/>(9) &#8211; doi: 10.1007\/s00421-017-3629-6<br \/>(10) &#8211; doi:10.1249\/MSS.0000000000001171<br \/>(11) &#8211; http:\/\/www.fasebj.org\/content\/23\/1_Supplement\/955.25<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bb70bf3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bb70bf3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c5370c9\" data-id=\"c5370c9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7e576c0 elementor-widget elementor-widget-image\" data-id=\"7e576c0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"730\" height=\"93\" src=\"https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/RODAP\u00c9.-SITE.-1-1024x131.jpg\" class=\"attachment-large size-large wp-image-209\" alt=\"\" srcset=\"https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/RODAP\u00c9.-SITE.-1-1024x131.jpg 1024w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/RODAP\u00c9.-SITE.-1-300x38.jpg 300w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/RODAP\u00c9.-SITE.-1-768x98.jpg 768w, https:\/\/paoloaltoe.com.br\/blog\/wp-content\/uploads\/2019\/01\/RODAP\u00c9.-SITE.-1.jpg 1200w\" sizes=\"(max-width: 730px) 100vw, 730px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Voc\u00ea, mulher que usa anticoncepcional hormonal oral (ACO), pode dispor de alguns sintomas, sendo estes explicados, em parte, pelo uso das p\u00edlulas. Em raz\u00e3o do uso de ACO estar associado ao uso subsequente de antidepressivos e com o primeiro diagn\u00f3stico de depress\u00e3o, a hip\u00f3tese de efeitos colaterais potencialmente depressivos nos ACO merece ser investigada (1). [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[110,9,8,7],"tags":[27,26,33,34,31,32,35,30,29,28],"_links":{"self":[{"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/posts\/168"}],"collection":[{"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/comments?post=168"}],"version-history":[{"count":20,"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/posts\/168\/revisions"}],"predecessor-version":[{"id":351,"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/posts\/168\/revisions\/351"}],"wp:attachment":[{"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/media?parent=168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/categories?post=168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/paoloaltoe.com.br\/blog\/wp-json\/wp\/v2\/tags?post=168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}