{"id":2148,"date":"2022-03-29T12:34:56","date_gmt":"2022-03-29T12:34:56","guid":{"rendered":"https:\/\/cancerfactfinder.org\/non-classifiee\/traitement-hormonal-de-substitution-ths\/"},"modified":"2023-04-13T19:37:59","modified_gmt":"2023-04-13T19:37:59","slug":"traitement-hormonal-de-substitution-ths","status":"publish","type":"post","link":"https:\/\/cancerfactfinder.org\/fr\/procedures-medicales-liees-a-une-exposition\/traitement-hormonal-de-substitution-ths\/","title":{"rendered":"Traitement hormonal de substitution (THS)"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container claim-key-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0 0 1px 0;border-color:#002b5f;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1456px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_4_5 4_5 fusion-flex-column claim-key-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1 claim-key-content\"><p><img class=\"alignleft wp-image-167\" src=\"https:\/\/cancerfactfinder.org\/wp-content\/uploads\/2022\/01\/true.svg\" alt=\"Cercle vert contenant un point d\u2019interrogation\" width=\"24\" height=\"24\" \/> Tr\u00e8s probablement ou d\u00e9finitivement vrai<\/p>\n<p><img class=\"alignleft wp-image-166\" src=\"https:\/\/cancerfactfinder.org\/wp-content\/uploads\/2022\/01\/false.svg\" alt=\"Cercle rouge contenant une croix\" width=\"24\" height=\"24\" \/>Information fausse\/d\u00e9sinformation<\/p>\n<p><img class=\"alignleft wp-image-168\" src=\"https:\/\/cancerfactfinder.org\/wp-content\/uploads\/2022\/01\/unsure.svg\" alt=\"Cercle gris contenant un point d\u2019interrogation\" width=\"24\" height=\"24\" \/>Aucune certitude d\u00e9finitive<\/p>\n<\/div>\n<\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:80% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.4%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.4%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:80% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 2.4%;margin-left : 2.4%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_5 1_5 fusion-flex-column claim-key-button-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div style=\"text-align:center;\"><style>.fusion-button.button-1{border-radius:50px 50px 50px 50px;}<\/style><a class=\"fusion-button button-flat fusion-button-default-size button-default button-1 fusion-button-default-span fusion-button-default-type claim-key-button\" target=\"_self\" href=\"https:\/\/cancerfactfinder.org\/fr\/rechercher-dans-factfinder\/\"><span class=\"fusion-button-text\">Modifiez ou affinez votre recherche<\/span><\/a><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:20% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 9.6%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 9.6%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:20% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 9.6%;margin-left : 9.6%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1456px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><h2 id=\"enter-claim-here\">un traitement hormonal de substitution cause le cancer<\/h2>\n<\/div><div class=\"fusion-text fusion-text-3 factfinder-entry-text\"><h3 id=\"what-you-may-have-heard\">Ce que vous avez peut-\u00eatre entendu<\/h3>\n<p><span style=\"font-weight: 400;\">Les femmes qui prennent un traitement hormonal de substitution courent un plus grand risque de d\u00e9velopper un cancer du sein. <\/span><\/p>\n<h3 id=\"what-science-tells-us\">Ce que dit la science<\/h3>\n<p><span style=\"font-weight: 400;\">Il existe divers types de traitement hormonal de substitution (THS), y compris des traitements de substitution \u00e0 base d\u2019\u0153strog\u00e8ne seul, d\u2019\u0153strog\u00e8ne et de progestines (combin\u00e9) ou d\u2019hormones bioidentiques.<\/span><\/p>\n<p><b>\u0152strog\u00e8ne.<\/b><span style=\"font-weight: 400;\"> Bien qu\u2019un traitement hormonal de substitution \u00e0 base d\u2019\u0153strog\u00e8ne seul permette d\u2019am\u00e9liorer les sympt\u00f4mes de la m\u00e9nopause et puisse r\u00e9duire le risque de cancer du sein chez les personnes sans ant\u00e9c\u00e9dent familial de cancer du sein, il augmente le risque de cancer endom\u00e9trial (la membrane qui tapisse l\u2019ut\u00e9rus) (<\/span><a href=\"https:\/\/www.cancer.org\/cancer\/cancer-causes\/medical-treatments\/menopausal-hormone-replacement-therapy-and-cancer-risk.html\"><span style=\"font-weight: 400;\">ACS<\/span><\/a><span style=\"font-weight: 400;\">). Le risque de cancer endom\u00e9trial reste plus \u00e9lev\u00e9 que la moyenne, m\u00eame apr\u00e8s l\u2019arr\u00eat du traitement.<\/span><\/p>\n<p><b>\u0152strog\u00e8ne + progestines (combin\u00e9)<\/b><span style=\"font-weight: 400;\">. Il est \u00e9galement possible de traiter les sympt\u00f4mes de la m\u00e9nopause par une th\u00e9rapie \u00e0 base d\u2019\u0153strog\u00e8ne et de progestines, appel\u00e9 hormonoth\u00e9rapie combin\u00e9e. Plus la dur\u00e9e d\u2019utilisation du THS est longue, plus le risque est \u00e9lev\u00e9. Le risque revient \u00e0 la normale sous trois ans apr\u00e8s l\u2019arr\u00eat des hormones. Il est donc b\u00e9n\u00e9fique d\u2019arr\u00eater le THS si une femme a d\u00e9j\u00e0 d\u00e9but\u00e9 le traitement.<\/span><\/p>\n<p><b>Traitement \u00e0 base d\u2019hormones bioidentiques.<\/b><span style=\"font-weight: 400;\"> Ce traitement hormonal utilise des hormones contenant de l\u2019\u0153strog\u00e8ne et de la progest\u00e9rone, avec la m\u00eame structure chimique que celles qui sont pr\u00e9sentes naturellement dans l\u2019organisme. <\/span><\/p>\n<h4 id=\"epidemiological-evidence\">Recherche \u00e9pid\u00e9miologique<\/h4>\n<p><span style=\"font-weight: 400;\">Les progestines de l\u2019hormonoth\u00e9rapie combin\u00e9e r\u00e9duisent le risque de cancer endom\u00e9trial qui serait associ\u00e9 \u00e0 l\u2019\u0153strog\u00e8ne. Toutefois, l\u2019\u00e9tude de la Women Health Initiative a d\u00e9montr\u00e9 que les femmes qui prennent une hormonoth\u00e9rapie combin\u00e9e pr\u00e9sentent un risque plus \u00e9lev\u00e9 de cancer du sein et de l\u2019ovaire. <\/span><a href=\"https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/risk\/hormones\/mht-fact-sheet\"><span style=\"font-weight: 400;\">(NCI)<\/span><\/a><span style=\"font-weight: 400;\">. L\u2019\u00e9tude Million Women a \u00e9galement constat\u00e9 une augmentation du risque de cancer du sein avec le traitement combin\u00e9 \u00e0 base d\u2019\u0153strog\u00e8ne et de progestines. <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15351099\/\"><span style=\"font-weight: 400;\">(Clarkson et al.)<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alors que le traitement \u00e0 base d\u2019hormones bioidentiques est pr\u00e9sent\u00e9 comme une alternative plus s\u00fbre, aucune \u00e9tude n\u2019a \u00e9tabli que les femmes qui prennent des hormones bioidentiques ont des effets ind\u00e9sirables moins graves (<\/span><a href=\"https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/risk\/hormones\/mht-fact-sheet\"><span style=\"font-weight: 400;\">NCI)<\/span><\/a><span style=\"font-weight: 400;\">. Les hormones bioidentiques ont les m\u00eames risques pour la sant\u00e9 que tout autre type de traitement hormonal.<\/span><\/p>\n<h4 id=\"toxicology-evidence\/supporting\">\u00c9tude toxicologiques\/\u00e9l\u00e9ments de preuve<\/h4>\n<p><span style=\"font-weight: 400;\">Des \u00e9tudes qui ont examin\u00e9 l\u2019impact d\u2019un THS sur des singes et des souris ont montr\u00e9 que l\u2019administration d\u2019un traitement combin\u00e9 \u00e0 base d\u2019\u0153strog\u00e8ne et de progestines augmentait le risque de cancer du sein (<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15351099\/\"><span style=\"font-weight: 400;\">Clarkson et al.<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/p>\n<h4 id=\"iarc-carcinogen-classification\"><strong><i>Classification des substances canc\u00e9rog\u00e8nes du CIRC\u00a0:<\/i><\/strong><span style=\"font-weight: 400;\"> Groupe 1 (agent canc\u00e9rog\u00e8ne pour l\u2019homme)<\/span><\/h4>\n<h3 id=\"how-to-reduce-your-risk\">Comment r\u00e9duire votre risque<\/h3>\n<p><span style=\"font-weight: 400;\">Toute d\u00e9cision d\u2019utilisation d\u2019\u0153strog\u00e8ne, seul ou dans le cadre d\u2019un traitement combin\u00e9 avec des progestines, doit \u00eatre prise par chaque femme et son m\u00e9decin apr\u00e8s avoir pes\u00e9 les risques et les avantages <\/span><a href=\"https:\/\/www.cancer.org\/cancer\/cancer-causes\/medical-treatments\/menopausal-hormone-replacement-therapy-and-cancer-risk.html\"><span style=\"font-weight: 400;\">(ACS)<\/span><\/a><span style=\"font-weight: 400;\">. Certains \u00e9l\u00e9ments \u00e0 prendre en compte sont le risque de base du cancer du sein, endom\u00e9trial ou ovarien (et comment il peut \u00eatre affect\u00e9 par une hormonoth\u00e9rapie), le risque d\u2019autres maladies graves affect\u00e9es par une hormonoth\u00e9rapie (exemple\u00a0: maladie cardiaque, AVC, caillots sanguins graves et effets sur le cerveau) et quels autres m\u00e9dicaments peuvent \u00eatre utilis\u00e9s pour traiter l\u2019ost\u00e9oporose ou les sympt\u00f4mes de la m\u00e9nopause. En cas de d\u00e9cision de prendre un THS, il est pr\u00e9f\u00e9rable de l\u2019utiliser \u00e0 la dose la plus faible n\u00e9cessaire, pendant une dur\u00e9e aussi courte que possible et de continuer \u00e0 consulter votre m\u00e9decin r\u00e9guli\u00e8rement, afin qu\u2019il (elle) puisse v\u00e9rifier si vous avez des effets ind\u00e9sirables. <\/span><a href=\"https:\/\/www.cancer.org\/cancer\/cancer-causes\/medical-treatments\/menopausal-hormone-replacement-therapy-and-cancer-risk.html\"><span style=\"font-weight: 400;\">(ACS)<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Remarque\u00a0: toutes les femmes m\u00e9nopaus\u00e9es doivent consulter imm\u00e9diatement si un saignement vaginal survient\u00a0; il peut s\u2019agir d\u2019un signe de cancer endom\u00e9trial. Un risque faible n\u2019\u00e9limine pas totalement la probabilit\u00e9 d\u2019un cancer endom\u00e9trial.<\/span><\/p>\n<h3 id=\"bottom-line\">En un mot<\/h3>\n<p>Le THS peut augmenter votre risque de cancer du sein, endom\u00e9trial et\/ou de l\u2019ovaire. Parlez \u00e0 votre m\u00e9decin avant de prendre une d\u00e9cision \u00e0 propos d\u2019un traitement hormonal de substitution.<\/p>\n<h3 id=\"sources-and-links-for-more-inf\">Consultez ces sources de confiance pour en savoir plus<\/h3>\n<p><a href=\"https:\/\/www.cancer.org\/cancer\/cancer-causes\/medical-treatments\/menopausal-hormone-replacement-therapy-and-cancer-risk.html\" target=\"_blank\" rel=\"noopener\">Soci\u00e9t\u00e9 am\u00e9ricaine du cancer (American Cancer Society, ACS)\u00a0: le THS<\/a><br \/>\n<a href=\"https:\/\/www.breastcancer.org\/risk\/risk-factors\/using-hormone-replacement-therapy\" target=\"_blank\" rel=\"noopener\">BreastCancer.org\u00a0: le THS<\/a><br \/>\n<a href=\"https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/risk\/hormones\/mht-fact-sheet\" target=\"_blank\" rel=\"noopener\">Institut national du cancer (National Cancer Institute, NCI)\u00a0: le THS<\/a><br \/>\n<a href=\"https:\/\/www.mdanderson.org\/publications\/focused-on-health\/hormones-and-cancer-whats-the-link.h30Z1591413.html\" target=\"_blank\" rel=\"noopener\">Centre m\u00e9dical MD Anderson\u00a0: les hormones et le cancer<\/a><\/p>\n<h3 id=\"date\">Date<\/h3>\n<p>Publication\u00a0: 10\u00a0juin 2021<br \/>\nV\u00e9rification\/mise \u00e0 jour\u00a0: 22\u00a0ao\u00fbt 2022<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[302],"tags":[118,195,116,191,216],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/posts\/2148"}],"collection":[{"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/comments?post=2148"}],"version-history":[{"count":10,"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/posts\/2148\/revisions"}],"predecessor-version":[{"id":4400,"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/posts\/2148\/revisions\/4400"}],"wp:attachment":[{"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/media?parent=2148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/categories?post=2148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cancerfactfinder.org\/fr\/wp-json\/wp\/v2\/tags?post=2148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}