{"id":3096,"date":"2025-09-18T02:46:44","date_gmt":"2025-09-18T02:46:44","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/?p=3096"},"modified":"2025-09-18T02:46:45","modified_gmt":"2025-09-18T02:46:45","slug":"hrt-kouka-risk","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/hrt-kouka-risk\/","title":{"rendered":"\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09\u3067\u4f7f\u3046\u85ac\u306e\u7a2e\u985e\u3068\u7279\u5fb4"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>HRT\u306e\u80cc\u666f\u3068\u610f\u7fa9<\/strong><\/h2>\n\n\n\n<p>\u9589\u7d4c\u306f\u5973\u6027\u306e\u751f\u7406\u7684\u306a\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u3067\u3042\u308a\u3001\u5e73\u5747\u7684\u306b\u306f\u65e5\u672c\u4eba\u5973\u6027\u306750\u6b73\u524d\u5f8c\u306b\u8fce\u3048\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u9589\u7d4c\u306b\u4f34\u3044\u5375\u5de3\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3001\u5375\u80de\u30db\u30eb\u30e2\u30f3\uff08\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\uff09\u306e\u5206\u6ccc\u304c\u6025\u6fc0\u306b\u6e1b\u5c11\u3059\u308b\u3053\u3068\u3067\u3001\u591a\u304f\u306e\u5973\u6027\u306b\u66f4\u5e74\u671f\u75c7\u72b6\u304c\u51fa\u73fe\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u307b\u3066\u308a\uff08\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\uff09\u3001\u767a\u6c57\u3001\u52d5\u60b8\u3001\u4e0d\u7720\u3001\u6c17\u5206\u5909\u52d5\u3068\u3044\u3063\u305f\u81ea\u5f8b\u795e\u7d4c\u75c7\u72b6\u306b\u52a0\u3048\u3001\u81a3\u306e\u4e7e\u71e5\u3084\u6027\u4ea4\u75db\u3001\u983b\u5c3f\u306a\u3069\u306e\u6ccc\u5c3f\u751f\u6b96\u5668\u75c7\u72b6\u3001\u3055\u3089\u306b\u9577\u671f\u7684\u306b\u306f\u9aa8\u7c97\u9b06\u75c7\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u5897\u52a0\u304c\u554f\u984c\u3068\u306a\u308a\u307e\u3059\u3002\u65e5\u672c\u7523\u79d1\u5a66\u4eba\u79d1\u5b66\u4f1a\uff08JSOG\uff09\u3084\u5317\u7c73\u66f4\u5e74\u671f\u5b66\u4f1a\uff08NAMS\uff09\u306f\u3001\u3053\u3046\u3057\u305f\u75c7\u72b6\u3084\u5065\u5eb7\u30ea\u30b9\u30af\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u9078\u629e\u80a2\u306e\u4e00\u3064\u3068\u3057\u3066\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT: Hormone Replacement Therapy\uff09\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>HRT\u306f1960\u5e74\u4ee3\u306b\u5c0e\u5165\u3055\u308c\u3001\u5f53\u521d\u306f\u300c\u9589\u7d4c\u5f8c\u306e\u5973\u6027\u306b\u5065\u5eb7\u3068\u82e5\u3055\u3092\u53d6\u308a\u623b\u3059\u6cbb\u7642\u300d\u3068\u3057\u3066\u5e83\u304f\u666e\u53ca\u3057\u307e\u3057\u305f\u3002\u3057\u304b\u30572002\u5e74\u3001\u7c73\u56fd\u3067\u884c\u308f\u308c\u305f\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u300cWomen&#8217;s Health Initiative\uff08WHI\uff09\u300d\u306e\u7d50\u679c\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u306e\u4f75\u7528\u7642\u6cd5\u3067\u4e73\u304c\u3093\u3084\u8840\u6813\u75c7\u306e\u30ea\u30b9\u30af\u304c\u5897\u3048\u308b\u3068\u5831\u544a\u3055\u308c\u3001\u4e00\u6642\u671fHRT\u306e\u4f7f\u7528\u306f\u4e16\u754c\u7684\u306b\u6025\u6e1b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u5f8c\u306e\u89e3\u6790\u3067\u3001HRT\u306e\u30ea\u30b9\u30af\u306f\u300c\u958b\u59cb\u5e74\u9f62\u300d\u300c\u9589\u7d4c\u304b\u3089\u306e\u7d4c\u904e\u5e74\u6570\u300d\u300c\u6295\u4e0e\u7d4c\u8def\u300d\u306b\u3088\u3063\u3066\u5927\u304d\u304f\u5909\u308f\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u3001\u8fd1\u5e74\u306f\u300c\u9069\u5207\u306a\u5bfe\u8c61\u306b\u3001\u9069\u5207\u306a\u65b9\u6cd5\u3067\u4f7f\u7528\u3059\u308c\u3070\u6709\u76ca\u6027\u304c\u30ea\u30b9\u30af\u3092\u4e0a\u56de\u308b\u300d\u3068\u518d\u8a55\u4fa1\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306a\u80cc\u666f\u304b\u3089\u3001\u73fe\u5728\u306eHRT\u306f\u300c\u5f37\u3044\u66f4\u5e74\u671f\u75c7\u72b6\u306b\u60a9\u3080\u9589\u7d4c\u524d\u5f8c\u306e\u5973\u6027\u306b\u5bfe\u3057\u3066\u3001\u77ed\u671f\u9593\u30fb\u9069\u5207\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u300d\u304c\u57fa\u672c\u65b9\u91dd\u3068\u3055\u308c\u3001\u3055\u3089\u306b\u9aa8\u7c97\u9b06\u75c7\u4e88\u9632\u3092\u76ee\u7684\u3068\u3057\u305f\u9577\u671f\u4f7f\u7528\u306b\u3064\u3044\u3066\u3082\u3001\u500b\u3005\u306e\u30ea\u30b9\u30af\u8a55\u4fa1\u3092\u524d\u63d0\u306b\u691c\u8a0e\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>HRT\u306e\u57fa\u672c\u6982\u5ff5\u3068\u9069\u5fdc<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u9069\u5fdc<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e2d\u7b49\u5ea6\u301c\u91cd\u5ea6\u306e\u66f4\u5e74\u671f\u75c7\u72b6\uff08\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u3001\u767a\u6c57\u3001\u4e0d\u7720\u306a\u3069\uff09<br><\/li>\n\n\n\n<li>\u9589\u7d4c\u5f8c\u306e\u9aa8\u7c97\u9b06\u75c7\u4e88\u9632\uff08\u7279\u306b\u4ed6\u306e\u6cbb\u7642\u304c\u56f0\u96e3\u306a\u5834\u5408\uff09<br><\/li>\n\n\n\n<li>\u81a3\u306e\u4e7e\u71e5\u3001\u6027\u4ea4\u75db\u306a\u3069\u306e\u6ccc\u5c3f\u751f\u6b96\u5668\u75c7\u72b6\uff08\u7279\u306b\u5c40\u6240\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u88fd\u5264\u304c\u6709\u52b9\uff09<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u7981\u5fcc<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e73\u304c\u3093\u3001\u5b50\u5bae\u4f53\u304c\u3093\u306e\u65e2\u5f80<br><\/li>\n\n\n\n<li>\u8840\u6813\u585e\u6813\u75c7\u306e\u65e2\u5f80\uff08\u6df1\u90e8\u9759\u8108\u8840\u6813\u75c7\u3001\u80ba\u585e\u6813\u75c7\u306a\u3069\uff09<br><\/li>\n\n\n\n<li>\u91cd\u5ea6\u306e\u809d\u75be\u60a3<br><\/li>\n\n\n\n<li>\u539f\u56e0\u4e0d\u660e\u306e\u4e0d\u6b63\u6027\u5668\u51fa\u8840<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u4f7f\u7528\u306e\u57fa\u672c\u539f\u5247<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9589\u7d4c\u304b\u308910\u5e74\u4ee5\u5185\u3001\u307e\u305f\u306f60\u6b73\u672a\u6e80\u3067\u958b\u59cb\u3059\u308b\u3053\u3068\u304c\u63a8\u5968<\/strong>\u3002<br><\/li>\n\n\n\n<li>\u6700\u4f4e\u6709\u52b9\u91cf\u3092\u7528\u3044\u3001\u5b9a\u671f\u7684\u306b\u52b9\u679c\u3068\u526f\u4f5c\u7528\u3092\u8a55\u4fa1\u3057\u306a\u304c\u3089\u7d99\u7d9a\u306e\u53ef\u5426\u3092\u5224\u65ad\u3059\u308b\u3002<br><\/li>\n\n\n\n<li>\u4e73\u304c\u3093\u3084\u8840\u6813\u75c7\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u5973\u6027\u306b\u306f\u614e\u91cd\u6295\u4e0e\u307e\u305f\u306f\u56de\u907f\u3002<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u88fd\u5264<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306e\u751f\u7406\u7684\u5f79\u5272<\/strong><\/h3>\n\n\n\n<p>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306f\u5973\u6027\u306e\u751f\u6b96\u6a5f\u80fd\u306b\u3068\u3069\u307e\u3089\u305a\u3001\u5168\u8eab\u306e\u591a\u69d8\u306a\u7d44\u7e54\u306b\u4f5c\u7528\u3057\u307e\u3059\u3002\u8840\u7ba1\u62e1\u5f35\u4f5c\u7528\u3092\u6301\u3061\u3001\u9aa8\u5438\u53ce\u3092\u6291\u5236\u3057\u3001\u76ae\u819a\u3084\u7c98\u819c\u3092\u4fdd\u8b77\u3059\u308b\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002\u9589\u7d4c\u306b\u3088\u308a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u304c\u67af\u6e07\u3059\u308b\u3068\u3001\u3053\u308c\u3089\u306e\u4fdd\u8b77\u52b9\u679c\u304c\u5931\u308f\u308c\u3001\u66f4\u5e74\u671f\u75c7\u72b6\u3084\u9aa8\u7c97\u9b06\u75c7\u3001\u52d5\u8108\u786c\u5316\u306e\u9032\u884c\u306a\u3069\u304c\u751f\u3058\u307e\u3059\u3002<\/p>\n\n\n\n<p>HRT\u306b\u304a\u3044\u3066\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u88dc\u5145\u306f\u6700\u3082\u52b9\u679c\u7684\u306b\u66f4\u5e74\u671f\u75c7\u72b6\u3092\u6539\u5584\u3059\u308b\u624b\u6bb5\u3067\u3042\u308a\u3001\u7279\u306b\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u3084\u767a\u6c57\u306a\u3069\u306e\u8840\u7ba1\u904b\u52d5\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u306f80\u301c90%\u306e\u75c7\u4f8b\u3067\u6709\u52b9\u6027\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u88fd\u5264\u306e\u7a2e\u985e<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>1. \u7d4c\u53e3\u88fd\u5264\uff08\u5185\u670d\u85ac\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7d50\u5408\u578b\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\uff08CEE: Conjugated Equine Estrogen\uff09<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li>\u4ee3\u8868\u7684\u5546\u54c1\uff1a\u30d7\u30ec\u30de\u30ea\u30f3\u00ae<br><\/li>\n\n\n\n<li>\u30a6\u30de\u7531\u6765\u306e\u8907\u5408\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3002\u53e4\u304f\u304b\u3089\u4f7f\u7528\u3055\u308c\u3066\u304a\u308a\u3001WHI\u8a66\u9a13\u3067\u3082\u7528\u3044\u3089\u308c\u305f\u3002<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u9320<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li>\u4ee3\u8868\u7684\u5546\u54c1\uff1a\u30b8\u30e5\u30ea\u30ca\u00ae<br><\/li>\n\n\n\n<li>\u751f\u4f53\u5185\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u540c\u4e00\u69cb\u9020\u3092\u6301\u3064\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>\u7279\u5fb4<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u670d\u7528\u304c\u7c21\u5358\u3067\u4f7f\u3044\u3084\u3059\u3044\u3002<br><\/li>\n\n\n\n<li>\u305f\u3060\u3057\u809d\u81d3\u3067\u306e\u521d\u56de\u901a\u904e\u52b9\u679c\u306b\u3088\u308a\u3001\u8840\u4e2d\u51dd\u56fa\u56e0\u5b50\u306e\u5897\u52a0\u3084\u4e2d\u6027\u8102\u80aa\u4e0a\u6607\u304c\u307f\u3089\u308c\u3001\u8840\u6813\u75c7\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<p><strong>\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong><strong><br><\/strong> WHI\u8a66\u9a13\u3067\u306f\u3001CEE\u5358\u72ec\u7fa4\u3067\u9aa8\u6298\u30ea\u30b9\u30af\u4f4e\u6e1b\uff08\u80a1\u95a2\u7bc0\u9aa8\u6298 33%\u6e1b\u5c11\uff09\u304c\u793a\u3055\u308c\u305f\u4e00\u65b9\u3001\u8133\u5352\u4e2d\u3084\u9759\u8108\u8840\u6813\u75c7\u30ea\u30b9\u30af\u304c\u5897\u52a0\u3057\u305f\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>2. \u7d4c\u76ae\u88fd\u5264\uff08\u8cbc\u4ed8\u85ac\u30fb\u30d1\u30c3\u30c1\u30fb\u30b8\u30a7\u30eb\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u8cbc\u4ed8\u85ac\uff08\u30a8\u30b9\u30c8\u30e9\u30fc\u30ca\u00ae\uff09<\/strong><strong><br><\/strong><\/li>\n\n\n\n<li><strong>\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u30b8\u30a7\u30eb\uff08\u30c7\u30a3\u30d3\u30b2\u30eb\u00ae\uff09<\/strong><strong><br><\/strong><\/li>\n<\/ul>\n\n\n\n<p><strong>\u7279\u5fb4<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u76ae\u819a\u304b\u3089\u76f4\u63a5\u8840\u4e2d\u306b\u5438\u53ce\u3055\u308c\u3001\u809d\u81d3\u3092\u7d4c\u7531\u3057\u306a\u3044\u3002<br><\/li>\n\n\n\n<li>\u8840\u4e2d\u6fc3\u5ea6\u306e\u5909\u52d5\u304c\u5c11\u306a\u304f\u3001\u8840\u6813\u75c7\u3084\u8102\u8cea\u4ee3\u8b1d\u3078\u306e\u5f71\u97ff\u304c\u5c11\u306a\u3044\u3002<br><\/li>\n\n\n\n<li>\u8cbc\u4ed8\u90e8\u306e\u76ae\u819a\u708e\u3084\u304b\u3076\u308c\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<p><strong>\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong><strong><br><\/strong> \u5927\u898f\u6a21\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306b\u304a\u3044\u3066\u3001\u7d4c\u76ae\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306f\u7d4c\u53e3\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u6bd4\u8f03\u3057\u3066\u9759\u8108\u8840\u6813\u75c7\u30ea\u30b9\u30af\u3092\u6709\u610f\u306b\u5897\u52a0\u3055\u305b\u306a\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>3. \u5c40\u6240\u88fd\u5264\uff08\u81a3\u9320\u30fb\u81a3\u30af\u30ea\u30fc\u30e0\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e3b\u306b\u840e\u7e2e\u6027\u81a3\u708e\u3001\u6027\u4ea4\u75db\u3001\u983b\u5c3f\u306a\u3069\u306e\u6ccc\u5c3f\u751f\u6b96\u5668\u75c7\u72b6\u306b\u4f7f\u7528\u3002<br><\/li>\n\n\n\n<li>\u5168\u8eab\u3078\u306e\u5438\u53ce\u306f\u5c11\u306a\u304f\u3001\u4e73\u304c\u3093\u65e2\u5f80\u60a3\u8005\u306b\u3082\u4f7f\u7528\u3067\u304d\u308b\u5834\u5408\u304c\u3042\u308b\uff08\u5fc5\u305a\u5c02\u9580\u533b\u5224\u65ad\u304c\u5fc5\u8981\uff09\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u88fd\u5264\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u30ea\u30b9\u30af<\/strong><\/h3>\n\n\n\n<p><strong>\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u66f4\u5e74\u671f\u75c7\u72b6\u306e\u6539\u5584\uff08\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u3001\u767a\u6c57\u3001\u4e0d\u7720\u306a\u3069\uff09<br><\/li>\n\n\n\n<li>\u9aa8\u7c97\u9b06\u75c7\u4e88\u9632\uff08\u9aa8\u5bc6\u5ea6\u7dad\u6301\u30fb\u9aa8\u6298\u30ea\u30b9\u30af\u6e1b\u5c11\uff09<br><\/li>\n\n\n\n<li>\u81a3\u3084\u5c3f\u8def\u306e\u840e\u7e2e\u75c7\u72b6\u6539\u5584<br><\/li>\n<\/ul>\n\n\n\n<p><strong>\u30ea\u30b9\u30af<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7d4c\u53e3\u88fd\u5264\u3067\u306f\u8840\u6813\u75c7\u30ea\u30b9\u30af\u4e0a\u6607\uff08\u7279\u306b\u55ab\u7159\u8005\u30fb\u80a5\u6e80\u5973\u6027\uff09<br><\/li>\n\n\n\n<li>\u9577\u671f\u6295\u4e0e\u3067\u4e73\u304c\u3093\u30ea\u30b9\u30af\u304c\u308f\u305a\u304b\u306b\u5897\u52a0\uff08\u7279\u306b\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u4f75\u7528\u6642\uff09<br><\/li>\n\n\n\n<li>\u5b50\u5bae\u4f53\u304c\u3093\u30ea\u30b9\u30af\uff08\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u6295\u4e0e\u6642\uff09<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u88fd\u5264<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u533b\u5b66\u7684\u80cc\u666f<\/strong><\/h3>\n\n\n\n<p>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3092\u5358\u72ec\u3067\u88dc\u5145\u3059\u308b\u3068\u3001\u5b50\u5bae\u5185\u819c\u304c\u904e\u5270\u306b\u5897\u6b96\u3057\u3001<strong>\u5b50\u5bae\u4f53\u304c\u3093\u30ea\u30b9\u30af<\/strong>\u304c\u5897\u52a0\u3057\u307e\u3059\u3002\u3053\u308c\u3092\u9632\u3050\u305f\u3081\u306b\u3001\u5b50\u5bae\u304c\u6b8b\u3063\u3066\u3044\u308b\u5973\u6027\u306b\u306f\u5fc5\u305a\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\uff08\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\uff09\u3092\u4f75\u7528\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong><strong><br><\/strong> \u8907\u6570\u306e\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u306f\u5b50\u5bae\u4f53\u304c\u3093\u30ea\u30b9\u30af\u30922\u301c10\u500d\u306b\u5897\u52a0\u3055\u305b\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3010NICE 2019\u3011\u3002\u4e00\u65b9\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\uff0b\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u4f75\u7528\u7642\u6cd5\u3067\u306f\u30ea\u30b9\u30af\u306f\u6291\u5236\u3055\u308c\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u88fd\u5264\u306e\u7a2e\u985e<\/strong><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u7d4c\u53e3\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>\u30b8\u30c9\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\uff08\u30c7\u30e5\u30d5\u30a1\u30b9\u30c8\u30f3\u00ae\uff09<\/strong><strong><br><\/strong> \u2192 \u81ea\u7136\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u306b\u8fd1\u3044\u4f5c\u7528\u3002\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u30ce\u30eb\u30a8\u30c1\u30b9\u30c6\u30ed\u30f3<\/strong><strong><br><\/strong> \u2192 \u5f37\u529b\u306a\u4f5c\u7528\u304c\u3042\u308b\u304c\u3001\u6642\u306b\u4f53\u91cd\u5897\u52a0\u3084\u3080\u304f\u307f\u3092\u4f34\u3046\u3002<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u5b50\u5bae\u5185\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u653e\u51fa\u30b7\u30b9\u30c6\u30e0\uff08LNG-IUS: \u30df\u30ec\u30fc\u30ca\u00ae\uff09<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li>\u5b50\u5bae\u5185\u306b\u88c5\u7740\u3057\u3001\u5c40\u6240\u7684\u306b\u30db\u30eb\u30e2\u30f3\u3092\u653e\u51fa\u3059\u308b\u3002<br><\/li>\n\n\n\n<li>\u907f\u598a\u52b9\u679c\u3082\u3042\u308a\u3001\u4e0d\u6b63\u51fa\u8840\u304c\u5c11\u306a\u304f\u306a\u308b\u3002<br><\/li>\n\n\n\n<li>\u65e5\u672c\u3067\u3082\u300cHRT\u7528\u300d\u300c\u907f\u598a\u7528\u300d\u3068\u3057\u3066\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u60a3\u8005\u3055\u3093\u5411\u3051\u89e3\u8aac<\/strong><\/h3>\n\n\n\n<p>\u300c\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3060\u3051\u3060\u3068\u5b50\u5bae\u306e\u58c1\u304c\u539a\u304f\u306a\u308a\u3059\u304e\u3066\u304c\u3093\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u306a\u308b\u306e\u3067\u3001\u30d0\u30e9\u30f3\u30b9\u3092\u3068\u308b\u305f\u3081\u306b\u300e\u3082\u3046\u4e00\u3064\u306e\u30db\u30eb\u30e2\u30f3\uff08\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\uff09\u300f\u3092\u8db3\u3059\u5fc5\u8981\u304c\u3042\u308b\u300d\u3068\u8003\u3048\u308b\u3068\u308f\u304b\u308a\u3084\u3059\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u3082\u3057\u300c\u5b50\u5bae\u3092\u624b\u8853\u3067\u53d6\u3063\u3066\u3044\u308b\u300d\u5834\u5408\u306f\u3001\u305d\u3082\u305d\u3082\u5b50\u5bae\u5185\u819c\u5897\u6b96\u306e\u5fc3\u914d\u304c\u306a\u3044\u305f\u3081\u3001<strong>\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u306f\u4e0d\u8981<\/strong>\u3068\u306a\u308a\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" src=\"\/gynecology\/wp-content\/uploads\/2025\/09\/32744813_s-4.webp\" alt=\"\u533b\u7642\" class=\"wp-image-3100\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-content\/uploads\/2025\/09\/32744813_s-4.webp 640w, https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-content\/uploads\/2025\/09\/32744813_s-4-300x225.webp 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>HRT\u306e\u4f75\u7528\u7642\u6cd5\u306e\u30d1\u30bf\u30fc\u30f3<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u5468\u671f\u7684\u4f75\u7528\u6cd5<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e00\u5b9a\u671f\u9593\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3092\u6295\u4e0e\u3057\u305f\u5f8c\u3001\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u3092\u8ffd\u52a0\u3002<br><\/li>\n\n\n\n<li>\u5b9a\u671f\u7684\u306b\u300c\u751f\u7406\u306e\u3088\u3046\u306a\u51fa\u8840\u300d\u304c\u8d77\u304d\u308b\u3002<br><\/li>\n\n\n\n<li>\u66f4\u5e74\u671f\u79fb\u884c\u671f\uff08\u9589\u7d4c\u524d\u5f8c\uff09\u306b\u3088\u304f\u4f7f\u308f\u308c\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u9023\u7d9a\u4f75\u7528\u6cd5<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u3092\u6bce\u65e5\u4e00\u7dd2\u306b\u4f7f\u3046\u3002<br><\/li>\n\n\n\n<li>\u51fa\u8840\u304c\u306a\u304f\u3001\u9589\u7d4c\u5f8c\u306e\u5973\u6027\u306b\u9069\u3057\u3066\u3044\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u60a3\u8005\u3055\u3093\u5411\u3051\u89e3\u8aac<\/strong><\/h3>\n\n\n\n<p>\u300c\u307e\u3060\u9589\u7d4c\u3057\u305f\u3070\u304b\u308a\u300d\u306e\u4eba\u306b\u306f\u5468\u671f\u7684\u306b\u4f75\u7528\u3059\u308b\u65b9\u6cd5\u304c\u5411\u304d\u3001\u300c\u9589\u7d4c\u304b\u3089\u5e74\u6570\u304c\u7d4c\u3063\u3066\u3044\u308b\u300d\u4eba\u306b\u306f\u6bce\u65e5\u7d9a\u3051\u3066\u98f2\u3080\uff08\u51fa\u8840\u304c\u306a\u3044\uff09\u65b9\u6cd5\u304c\u5411\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u300c\u6bce\u6708\u306e\u3088\u3046\u306b\u51fa\u8840\u304c\u3042\u308b\u3068\u9762\u5012\u300d\u3068\u3044\u3046\u65b9\u3082\u3044\u307e\u3059\u304c\u3001\u305d\u308c\u306f\u5b50\u5bae\u3092\u5b88\u308b\u305f\u3081\u306b\u5fc5\u8981\u306a\u4ed5\u7d44\u307f\u3067\u3042\u308a\u3001\u5e74\u9f62\u3084\u75c7\u72b6\u306b\u5fdc\u3058\u3066\u51fa\u8840\u306e\u306a\u3044\u65b9\u6cd5\u306b\u5207\u308a\u66ff\u3048\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>HRT\u306e\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066<\/strong><\/h2>\n\n\n\n<p>\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09\u306f\u3001\u66f4\u5e74\u671f\u75c7\u72b6\u3092\u6539\u5584\u3057\u9aa8\u3084\u8840\u7ba1\u306e\u5065\u5eb7\u3092\u5b88\u308b\u6709\u529b\u306a\u6cbb\u7642\u3067\u3059\u304c\u3001\u305d\u306e\u4e00\u65b9\u3067\u526f\u4f5c\u7528\u3084\u9577\u671f\u7684\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u591a\u304f\u306e\u8b70\u8ad6\u304c\u306a\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u7279\u306b2002\u5e74\u306b\u767a\u8868\u3055\u308c\u305f\u7c73\u56fd\u306e\u5927\u898f\u6a21\u7814\u7a76\u300cWomen&#8217;s Health 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