{"id":10734,"date":"2020-04-28T06:37:47","date_gmt":"2020-04-28T09:37:47","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/anticonceptivos-orales-y-la-piel\/"},"modified":"2020-04-28T06:37:47","modified_gmt":"2020-04-28T09:37:47","slug":"contraceptivos-orais-e-a-pele","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/","title":{"rendered":"Contraceptivos orais e a pele"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#%C2%BFQue-es-un-anticonceptivo-oral\" >O que \u00e9 um contraceptivo oral?<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#%C2%BFQuien-toma-anticonceptivos-orales\" >Quem toma contraceptivos orais?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#%C2%BFQue-problemas-de-la-piel-se-tratan-con-anticonceptivos-orales\" >Quais problemas de pele s\u00e3o tratados com contraceptivos orais?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#Condiciones-de-la-piel-tratadas-con-anticonceptivos-orales\" >Condi\u00e7\u00f5es da pele tratadas com contraceptivos orais.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#%C2%BFComo-funcionan-los-anticonceptivos-orales-para-las-enfermedades-de-la-piel\" >Como os contraceptivos orais funcionam para as condi\u00e7\u00f5es da pele?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#%C2%BFQue-problemas-de-la-piel-pueden-ser-causados-%E2%80%8B%E2%80%8Bpor-los-anticonceptivos-orales\" >Quais problemas de pele podem ser causados \u200b\u200bpor contraceptivos orais?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#Que-son-contraindicaciones-a-los-anticonceptivos-orales\" >Quais s\u00e3o as contra-indica\u00e7\u00f5es aos contraceptivos orais?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#Contraindicaciones-absolutas-de-los-anticonceptivos-orales\" >Contra-indica\u00e7\u00f5es absolutas de contraceptivos orais.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/anticonceptivos-orales-y-la-piel\/#Contraindicaciones-relativas-a-los-anticonceptivos-orales\" >Contra-indica\u00e7\u00f5es relacionadas a contraceptivos orais.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h1><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-un-anticonceptivo-oral\"><\/span><span style=\"font-size: 24px; line-height: 1.4;\">O que \u00e9 um contraceptivo oral?<\/span><span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>Um contraceptivo oral ou de nascimento. <span class=\"term\" data-term-id=\"1854\">ao controle<\/span> p\u00edlula, \u00e9 um medicamento que impede a gravidez. Eles cont\u00eam dois horm\u00f4nios combinados (<span class=\"term\" data-term-id=\"1844\">estrog\u00eanio<\/span> e <span class=\"term\" data-term-id=\"1845\">progestina<\/span>) ou um \u00fanico horm\u00f4nio (progestina).<\/p>\n<ul>\n<li>O componente estrog\u00eanio \u00e9 geralmente etinilestradiol.<\/li>\n<li>O componente progestina \u00e9 um dos v\u00e1rios <span class=\"term\" data-term-id=\"1843\">progestinas<\/span>.<\/li>\n<\/ul>\n<p>Os OCPs suprimem a ovula\u00e7\u00e3o e engrossam o colo do \u00fatero. <span class=\"term\" data-term-id=\"190\">caralho<\/span> (que impede a entrada de espermatoz\u00f3ides no \u00fatero).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-toma-anticonceptivos-orales\"><\/span>Quem toma contraceptivos orais?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os contraceptivos orais s\u00e3o usados principalmente por mulheres em idade f\u00e9rtil para controle de natalidade. Eles tamb\u00e9m t\u00eam benef\u00edcios de sa\u00fade n\u00e3o contraceptivos.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-problemas-de-la-piel-se-tratan-con-anticonceptivos-orales\"><\/span>Quais problemas de pele s\u00e3o tratados com contraceptivos orais?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os contraceptivos orais s\u00e3o usados para tratar sinais de hiperandrogenismo em mulheres. Problemas de pele associados s\u00e3o<\/p>\n<ul>\n<li>\n<p>Acne vulgar e acne comedonal\n<\/li>\n<li>Hirsutismo<\/li>\n<li>Seborr\u00e9ia<\/li>\n<li>Padr\u00e3o feminino <span class=\"term\" data-term-id=\"122\">cabelo<\/span> perdido<\/li>\n<\/ul>\n<p>Hiperandrogenismo refere-se a um excesso de horm\u00f4nio masculino na circula\u00e7\u00e3o ou devido ao aumento da sensibilidade das c\u00e9lulas pilosseb\u00e1ceas individuais <span class=\"term\" data-term-id=\"1300\">fol\u00edculo<\/span> e <span class=\"term\" data-term-id=\"262\">seb\u00e1ceo<\/span> gl\u00e2ndula). <\/p>\n<p>Mulheres com sinais de hiperandrogenismo devem ser rastreadas quanto a dist\u00farbios subjacentes, como ov\u00e1rio polic\u00edstico. <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span>, <span class=\"term\" data-term-id=\"1036\">cong\u00eanito<\/span> ad-renal <span class=\"term\" data-term-id=\"136\">hiperplasia<\/span>tumores adrenais ou ovarianos.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Condiciones-de-la-piel-tratadas-con-anticonceptivos-orales\"><\/span>Condi\u00e7\u00f5es da pele tratadas com contraceptivos orais.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedones1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-6498515-4327312' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedones1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-6498515.jpg'>\n<\/div>\n<p class=\"p-small\">Acne comedonal<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hirsutism3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5907722-7626201' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hirsutism3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5907722.jpg'>\n<\/div>\n<p class=\"p-small\">Hirsutismo<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='Voc\u00ea est\u00e1 em: In\u00edcio V\u00eddeo Gay Online - Sexo Gay Bareback: feminino-careca2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildd' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/female-balding2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3487138.jpg'>\n<\/div>\n<p class=\"p-small\">Alopecia feminina<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-funcionan-los-anticonceptivos-orales-para-las-enfermedades-de-la-piel\"><\/span>Como os contraceptivos orais funcionam para as condi\u00e7\u00f5es da pele?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os contraceptivos orais combinados suprimem o horm\u00f4nio luteinizante (LH) alimentado por <span class=\"term\" data-term-id=\"984\">andr\u00f3gino<\/span> produ\u00e7\u00e3o e aumento <span class=\"term\" data-term-id=\"1167\">sexo<\/span> globulina de liga\u00e7\u00e3o a horm\u00f4nios. O resultado \u00e9 uma diminui\u00e7\u00e3o nos n\u00edveis de androg\u00eanio livre, levando a uma melhora na acne e uma redu\u00e7\u00e3o no crescimento excessivo de p\u00ealos.<\/p>\n<p>A a\u00e7\u00e3o dos contraceptivos orais combinados depende do seu equil\u00edbrio estrog\u00eanio-progestina. Progestinas s\u00e3o fracas. <span class=\"term\" data-term-id=\"985\">andr\u00f3genos<\/span>.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1846\">Estrog\u00eanios<\/span> Pode reduzir a acne.<\/li>\n<li>Andr\u00f3genos podem agravar a acne.<\/li>\n<\/ul>\n<p>Em um contraceptivo oral combinado, os efeitos do estrog\u00eanio superam os efeitos da progestina, de modo que os n\u00edveis de androg\u00eanio geralmente diminuem.<\/p>\n<ul>\n<li>\u00c0s vezes, progestinas mais antigas de primeira e segunda gera\u00e7\u00e3o podem ativar o andr\u00f3geno <span class=\"term\" data-term-id=\"782\">receptor<\/span>, piorando a acne.<\/li>\n<li>Novas progestinas de terceira e quarta gera\u00e7\u00e3o, como norgestimato e drospirenona, t\u00eam menos atividade no receptor de andr\u00f3geno.<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"1841\">Progesterona<\/span>-S\u00f3 os contraceptivos orais (a minip\u00edlula) n\u00e3o s\u00e3o eficazes no tratamento de doen\u00e7as da pele mediadas por andr\u00f3genos e podem piorar a acne.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-problemas-de-la-piel-pueden-ser-causados-%E2%80%8B%E2%80%8Bpor-los-anticonceptivos-orales\"><\/span>Quais problemas de pele podem ser causados \u200b\u200bpor contraceptivos orais?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os problemas de pele \u00e0s vezes causados \u200b\u200bpor contraceptivos orais incluem:<\/p>\n<ul>\n<li>Acne<\/li>\n<li>Melasma<\/li>\n<li><span class=\"term\" data-term-id=\"691\">Autoimune<\/span> progesterona <span class=\"term\" data-term-id=\"53\">dermatite<\/span><\/li>\n<li>Aranha <span class=\"term\" data-term-id=\"699\">telangiectasias<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"254\">Pyogenic<\/span> <span class=\"term\" data-term-id=\"113\">granuloma<\/span><\/li>\n<li>Porfiria cut\u00e2nea tardia<\/li>\n<li><span class=\"term\" data-term-id=\"90\">Eritema<\/span> complicado<\/li>\n<li><span class=\"term\" data-term-id=\"2\">Acantose<\/span> nigricans<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Que-son-contraindicaciones-a-los-anticonceptivos-orales\"><\/span>Que s\u00e3o <span class=\"term\" data-term-id=\"1324\">contra-indica\u00e7\u00f5es<\/span> contraceptivos orais?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Antes de iniciar os contraceptivos orais, especialmente os OCPs contendo estrog\u00eanio, os pacientes devem ser questionados sobre poss\u00edveis contra-indica\u00e7\u00f5es, devido ao risco de efeitos adversos. Esses incluem <span class=\"term\" data-term-id=\"283\">tromboembolismo<\/span> (co\u00e1gulos sangu\u00edneos) e doen\u00e7a hep\u00e1tica.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Contraindicaciones-absolutas-de-los-anticonceptivos-orales\"><\/span>Contra-indica\u00e7\u00f5es absolutas de contraceptivos orais.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Enxaqueca com aura<\/li>\n<li>\n<p>Tabagismo: mulheres acima de 35 anos que fumam&gt; 15 cigarros \/ dia<\/li>\n<li>\n<span class=\"term\" data-term-id=\"765\">Isqu\u00eamico<\/span> doen\u00e7a card\u00edaca passada ou presente<\/li>\n<li>Ra\u00e7a<\/li>\n<li>Doen\u00e7a hep\u00e1tica ativa: viral <span class=\"term\" data-term-id=\"1801\">hepatite<\/span>, <span class=\"term\" data-term-id=\"553\">cirrose<\/span>ou <span class=\"term\" data-term-id=\"289\">tumor<\/span>\n<\/li>\n<li>Cirurgia de grande porte com imobiliza\u00e7\u00e3o prolongada (os anticoncepcionais orais combinados devem ser descontinuados 4 a 6 semanas antes da cirurgia)<\/li>\n<li>Deep <span class=\"term\" data-term-id=\"1178\">venoso<\/span> <span class=\"term\" data-term-id=\"769\">trombose<\/span>passado ou atual<\/li>\n<li>\n<span class=\"term\" data-term-id=\"561\">Hipertens\u00e3o<\/span>: mal controlado (sist\u00f3lica&gt; 160 mmHg ou diast\u00f3lica&gt; 100 mmHg)<\/li>\n<li>Peito <span class=\"term\" data-term-id=\"30\">C\u00e2ncer<\/span>, atual (diagnosticado nos \u00faltimos 5 anos)<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Contraindicaciones-relativas-a-los-anticonceptivos-orales\"><\/span>Contra-indica\u00e7\u00f5es relacionadas a contraceptivos orais.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Enxaqueca sem aura: em mulheres com mais de 35 anos ou em fumantes<\/li>\n<li>\n<p>Tabagismo: em mulheres com mais de 35 anos que fumam <15 cigarrillos>\n<li>\n<span class=\"term\" data-term-id=\"545\">Concorrente<\/span> tratamento com certos anticonvulsivantes (incluindo fenito\u00edna, carbamazepina, barbit\u00faricos, primidona, topiramato, oxcarbazepina, lamotrigina)<\/li>\n<li>P\u00f3s-parto: primeiras 3 semanas (se voc\u00ea n\u00e3o estiver amamentando), primeiro m\u00eas (se estiver amamentando)<\/li>\n<li>Hipertens\u00e3o: bem controlada ou moderadamente bem controlada (sist\u00f3lica de 140 a 159 mmHg ou diast\u00f3lica de 90 a 99 mmHg)<\/li>\n<li>C\u00e2ncer de mama, diagnosticado h\u00e1 mais de 5 anos.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es un anticonceptivo oral? Un anticonceptivo oral o nacimiento. controlar p\u00edldora, es un medicamento que previene el embarazo. Contienen dos hormonas combinadas (estr\u00f3geno y progestina) o una sola hormona&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-10734","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/10734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=10734"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/10734\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=10734"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=10734"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=10734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}