{"id":1361,"date":"2026-05-23T16:00:00","date_gmt":"2026-05-23T19:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1361"},"modified":"2026-05-23T16:00:00","modified_gmt":"2026-05-23T19:00:00","slug":"pgrss-clinica-climaterio-menopausa-trh-bioidentico-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-climaterio-menopausa-trh-bioidentico-rss\/","title":{"rendered":"PGRSS cl\u00ednica climat\u00e9rio \u2014 TRH + bioid\u00eanticos"},"content":{"rendered":"<h2>Por que cl\u00ednica de climat\u00e9rio tem perfil espec\u00edfico<\/h2>\n<p>Cl\u00ednica de climat\u00e9rio\/menopausa atende <strong>mulher 45-65 anos<\/strong> com <strong>TRH (terapia reposi\u00e7\u00e3o hormonal)<\/strong>: <strong>estradiol gel transd\u00e9rmico<\/strong> + <strong>progesterona oral micronizada<\/strong> + <strong>testosterona feminina compounded<\/strong> + <strong>implante hormonal subcut\u00e2neo (chip)<\/strong> + <strong>DHEA + pregnenolona<\/strong> + <strong>fitoestr\u00f3geno e suplementa\u00e7\u00e3o<\/strong>. Combina <strong>avalia\u00e7\u00e3o cardiometab\u00f3lica<\/strong> + <strong>densitometria<\/strong> + <strong>mamografia anual<\/strong> + <strong>PRP \u00edntimo<\/strong> + <strong>laser \u00edntimo (atrofia vulvovaginal)<\/strong>. Volume m\u00e9dio de RSS \u2014 frasco TRH manipulado + chip explantado + material ginecol\u00f3gico. Opera sob RDC 222 + RDC 96\/2008 + RDC 67\/2007 + Resolu\u00e7\u00e3o CFM 2.378\/2024 + Diretrizes SOBRAC.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Frasco TRH manipulado (estradiol, testosterona)<\/td>\n<td>B (controlado RDC 96)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Implante hormonal explantado (chip 90-180 dias)<\/td>\n<td>A1 risco aumentado + B<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Material aplica\u00e7\u00e3o implante (trocater)<\/td>\n<td>E (perfurocortante)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Material exame ginecol\u00f3gico (esp\u00e9culo, bi\u00f3psia)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Tubo coleta hormonal (estradiol, FSH, LH)<\/td>\n<td>A1 risco aumentado + E<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>3-12 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo implante hormonal subcut\u00e2neo<\/h2>\n<p>Chip (gestrinona, testosterona) exige protocolo dedicado:<\/p>\n<ul>\n<li>Aplica\u00e7\u00e3o subcut\u00e2nea bra\u00e7o\/gl\u00fateo via trocater 4-6mm<\/li>\n<li>Validade 90-180 dias (depende composto)<\/li>\n<li>Explanta\u00e7\u00e3o ambulatorial sob anestesia local<\/li>\n<li>Chip explantado = A1 RA + B (res\u00edduo controlado RDC 96)<\/li>\n<li>Receitu\u00e1rio azul + livro 344 (testosterona) + SNGPC<\/li>\n<li>TCLE espec\u00edfico off-label CFM 2.378\/2024<\/li>\n<li>Auditoria CFM trimestral + farm\u00e1cia magistral<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio climat\u00e9rio b\u00e1sico:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 1500-3000.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com TRH manipulado + chip:<\/strong> R$ 380-800\/m\u00eas. Setup R$ 3500-8000.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (TRH + laser \u00edntimo + PRP):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 8-22k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Chip explantado lixeira comum \u2014 A1 RA + B (alta concentra\u00e7\u00e3o hormonal)<\/li>\n<li>Frasco TRH pia \u2014 descumpre RDC 96 controlado<\/li>\n<li>Sem livro 344 testosterona \u2014 auto ANVISA + perda receitu\u00e1rio<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica climat\u00e9rio\/menopausa<\/a><\/strong> \u2014 cap\u00edtulo TRH manipulado + chip + receitu\u00e1rio azul.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica especializada climat\u00e9rio\/menopausa: TRH bioid\u00eantico, gel transd\u00e9rmico, implante hormonal.<\/p>\n","protected":false},"author":3,"featured_media":1360,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2232,2287,22,2288],"class_list":["post-1361","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-climaterio","tag-menopausa","tag-rdc-222","tag-trh"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1361"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1361\/revisions"}],"predecessor-version":[{"id":3921,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1361\/revisions\/3921"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1360"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1361"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1361"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}