{"id":52837,"date":"2023-09-20T09:39:06","date_gmt":"2023-09-20T09:39:06","guid":{"rendered":"https:\/\/medsname.com\/oestrogel-gel\/"},"modified":"2026-04-30T10:25:15","modified_gmt":"2026-04-30T10:25:15","slug":"oestrogel-gel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/oestrogel-gel\/","title":{"rendered":"Oestrogel Gel"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Oestrogel Gel<\/strong> je <strong>transderm\u00e1ln\u00ed estradiol 0,06 % w\/w<\/strong> \u2014 bioidentick\u00fd 17\u03b2-estradiol vst\u0159eb\u00e1van\u00fd k\u016f\u017e\u00ed pro hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii v menopauze. Transderm\u00e1ln\u00ed pod\u00e1n\u00ed <strong>obch\u00e1z\u00ed prvn\u00ed pr\u016fchod j\u00e1try<\/strong>, co\u017e sni\u017euje riziko \u017eiln\u00ed tromboembolie a c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody ve srovn\u00e1n\u00ed s peror\u00e1ln\u00edm estrogenem. Aplikujte jednou denn\u011b na k\u016f\u017ei pa\u017e\u00ed, ramen nebo stehen. \u017deny s d\u011blohou mus\u00ed kombinovat s progestinem (Susten \/ Endogest \/ Naturogest \/ Meprate) k ochran\u011b endometria.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed obal bez ozna\u010den\u00ed (n\u00e1zev l\u00e9ku nen\u00ed vid\u011bt zvenku) \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 P\u0159e\u010dt\u011bte si n\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 objedn\u00e1vka z MedsBase je odesl\u00e1na od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v prost\u00e9m, zcela diskr\u00e9tn\u00edm balen\u00ed \u2013 nic zvenku neidentifikuje obsah ani l\u00e9k\u00e1rnu. Platby kartou prob\u00edhaj\u00ed p\u0159es regulovan\u00fd krypto-onramp; popis na v\u00fdpisu z va\u0161eho \u00fa\u010dtu je n\u00e1zev procesoru (regulovan\u00e9ho zpracovatele plateb kartou) \u2013 nikdy \u201cMedsBase\u201d ani nic souvisej\u00edc\u00edho s l\u00e9k\u00e1rnou. Platby v kryptom\u011bn\u00e1ch p\u0159es Plisio z\u016fst\u00e1vaj\u00ed pln\u011b anonymn\u00ed. Ka\u017ed\u00e1 z\u00e1silka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h2>Co je Oestrogel Gel?<\/h2>\n<p>Oestrogel Gel je <strong>17\u03b2-estradiol<\/strong> (bioidentick\u00fd estrogen produkovan\u00fd vaje\u010dn\u00edky) v \u010dir\u00e9 hydroalkoholick\u00e9 gelov\u00e9 b\u00e1zi, 0,06 % hmotnostn\u00edch. Ka\u017ed\u00e9 stla\u010den\u00ed pumpy nebo p\u0159edem odm\u011b\u0159en\u00fd prou\u017eek dod\u00e1v\u00e1 odm\u011b\u0159enou d\u00e1vku estradiolu, kter\u00e1 se vst\u0159eb\u00e1v\u00e1 k\u016f\u017e\u00ed do syst\u00e9mov\u00e9ho ob\u011bhu. \u00da\u010dinn\u00e1 l\u00e1tka je toto\u017en\u00e1 s endogenn\u00edm estradiolem \u2014 nejde o syntetick\u00fd analog, konjugovan\u00e9 ko\u0148sk\u00e9 estrogeny (Premarin) ani estriol nebo estron.<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>Vazomotorick\u00e9 p\u0159\u00edznaky menopauzy<\/strong> \u2014 n\u00e1valy horka, no\u010dn\u00ed pocen\u00ed \u2014 nejsiln\u011bj\u0161\u00ed indikace podlo\u017een\u00e1 d\u016fkazy.<\/li>\n<li><strong>Genitourin\u00e1rn\u00ed syndrom menopauzy<\/strong> \u2014 vagin\u00e1ln\u00ed suchost, dyspareunie (\u010dasto kombinovan\u00e9 s lok\u00e1ln\u00edm vagin\u00e1ln\u00edm estrogenem p\u0159i p\u0159etrv\u00e1vaj\u00edc\u00edch p\u0159\u00edznac\u00edch).<\/li>\n<li><strong>Prevence postmenopauz\u00e1ln\u00ed osteopor\u00f3zy<\/strong> \u2014 podlo\u017eeno d\u016fkazy, zejm\u00e9na p\u0159i zah\u00e1jen\u00ed \u010dasn\u011b po menopauze.<\/li>\n<li><strong>P\u0159ed\u010dasn\u00e9 selh\u00e1n\u00ed vaje\u010dn\u00edk\u016f \/ chirurgick\u00e1 menopauza<\/strong> \u2014 fyziologick\u00e1 n\u00e1hrada do p\u0159irozen\u00e9ho v\u011bku menopauzy (~51 let).<\/li>\n<li><strong>N\u00e1ladov\u00e9 a kognitivn\u00ed p\u0159\u00edznaky<\/strong> v \u010dasn\u00e9 menopauze (studie KEEPS podporuje p\u0159\u00ednos v tzv. okn\u011b p\u0159\u00edle\u017eitosti).<\/li>\n<\/ul>\n<h2>Pro\u010d transderm\u00e1ln\u00ed \u2014 ve srovn\u00e1n\u00ed s peror\u00e1ln\u00edm estrogenem<\/h2>\n<p>Peror\u00e1ln\u00ed estrogen proch\u00e1z\u00ed nejprve j\u00e1try, kde zvy\u0161uje faktory sr\u00e1\u017elivosti, globulin v\u00e1zaj\u00edc\u00ed pohlavn\u00ed hormony a CRP. Transderm\u00e1ln\u00ed estradiol tomuto prvopr\u016fchodu vyh\u00fdb\u00e1, co\u017e m\u00e1 n\u00e1sleduj\u00edc\u00ed m\u011b\u0159iteln\u00e9 d\u016fsledky:<\/p>\n<ul>\n<li><strong>Ni\u017e\u0161\u00ed riziko VTE<\/strong> \u2014 studie ESTHER a observa\u010dn\u00ed metaanal\u00fdzy ukazuj\u00ed, \u017ee transderm\u00e1ln\u00ed pod\u00e1n\u00ed v\u00fdznamn\u011b nezvy\u0161uje riziko VTE, zat\u00edmco peror\u00e1ln\u00ed ho zhruba zdvojn\u00e1sobuje.<\/li>\n<li><strong>Ni\u017e\u0161\u00ed riziko mrtvice<\/strong> p\u0159i standardn\u00edch d\u00e1vk\u00e1ch.<\/li>\n<li><strong>Men\u0161\u00ed vliv na triglyceridy a CRP<\/strong>.<\/li>\n<li><strong>Men\u0161\u00ed zm\u011bna globulinu v\u00e1zaj\u00edc\u00edho tyroxin<\/strong> \u2014 u\u017eite\u010dn\u00e9 u \u017een s hypotyre\u00f3zou u\u017e\u00edvaj\u00edc\u00edch levothyroxin.<\/li>\n<\/ul>\n<p>Z t\u011bchto d\u016fvod\u016f je transderm\u00e1ln\u00ed pod\u00e1n\u00ed preferovanou cestou u \u017een s rizikov\u00fdmi faktory VTE (obezita, rodinn\u00e1 anamn\u00e9za, kou\u0159en\u00ed, v\u011bk &gt; 60 let), onemocn\u011bn\u00edm \u017elu\u010dov\u00fdch kamen\u016f, hypertriglycerid\u00e9mi\u00ed, migr\u00e9nou s aurou nebo hypotyre\u00f3zou. Modern\u00ed britsk\u00e9 a evropsk\u00e9 sm\u011brnice doporu\u010duj\u00ed transderm\u00e1ln\u00ed pod\u00e1n\u00ed jako prvn\u00ed volbu u v\u011bt\u0161iny nov\u011b zah\u00e1jen\u00fdch terapi\u00ed.<\/p>\n<h2>Jak aplikovat Oestrogel<\/h2>\n<ol>\n<li><strong>D\u00e1vkov\u00e1n\u00ed:<\/strong> obvykl\u00e9 zah\u00e1jen\u00ed je jedna a\u017e dv\u011b d\u00e1vky denn\u011b (0,75\u20131,5 mg estradiolu\/den). D\u00e1vku upravujte podle p\u0159\u00edznak\u016f b\u011bhem 2\u20134 t\u00fddn\u016f; n\u011bkter\u00e9 \u017eeny pot\u0159ebuj\u00ed t\u0159i d\u00e1vky.<\/li>\n<li><strong>Aplikujte na:<\/strong> \u010distou, suchou, neporu\u0161enou oblast k\u016f\u017ee na pa\u017e\u00edch (od ramene k z\u00e1p\u011bst\u00ed), ramenou, horn\u00ed \u010d\u00e1sti zad nebo stehnech \u2014 p\u0159ibli\u017en\u011b na plochu o velikosti dlan\u011b.<\/li>\n<li><strong>Nenan\u00e1\u0161ejte na:<\/strong> prsa, vulvu, poru\u0161enou nebo podr\u00e1\u017ed\u011bnou poko\u017eku, ani na poko\u017eku o\u0161et\u0159enou kosmetick\u00fdmi p\u0159\u00edpravky.<\/li>\n<li><strong>Nechte zaschnout<\/strong> po dobu 2\u20135 minut p\u0159ed oble\u010den\u00edm; m\u00edsto neom\u00fdvejte alespo\u0148 1 hodinu. Na stejn\u00e9 m\u00edsto neaplikujte hydrata\u010dn\u00ed kr\u00e9m, opalovac\u00ed kr\u00e9m ani parf\u00e9m.<\/li>\n<li><strong>Zabra\u0148te p\u0159enosu k\u016f\u017e\u00ed na k\u016f\u017ei<\/strong> \u2014 nenechte d\u011bti, t\u011bhotn\u00e9 \u017eeny ani mu\u017ee p\u0159ij\u00edt do kontaktu s m\u00edstem aplikace po dobu 1 hodiny. Estradiol m\u016f\u017ee b\u00fdt transderm\u00e1ln\u011b absorbov\u00e1n k\u00fdmkoli v t\u011bsn\u00e9m kontaktu.<\/li>\n<li><strong>P\u0159idejte progestin<\/strong> pokud m\u00e1te d\u011blohu \u2014 Susten \/ Endogest \/ Naturogest 100 mg denn\u011b kontinu\u00e1ln\u011b, nebo 200 mg cyklicky po dobu 12\u201314 dn\u00ed\/m\u011bs\u00edc. Bez protiv\u00e1hy progestinu samotn\u00fd estrogen zp\u016fsobuje hyperplazii endometria a rakovinu.<\/li>\n<\/ol>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> citlivost prsou, bolesti hlavy, k\u0159e\u010de v nohou, m\u00edrn\u00e1 nevolnost, pr\u016flomov\u00e9 krv\u00e1cen\u00ed (zejm\u00e9na v prvn\u00edch 6 m\u011bs\u00edc\u00edch), m\u00edstn\u00ed podr\u00e1\u017ed\u011bn\u00ed k\u016f\u017ee, zm\u011bny n\u00e1lady.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> melasma, zm\u011bny hmotnosti, p\u0159\u00edznaky \u017elu\u010dn\u00edku (m\u00e9n\u011b ne\u017e u peror\u00e1ln\u00ed formy), zm\u011bny libida.<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9 (vyhledejte neodkladnou p\u00e9\u010di):<\/strong> n\u00e1hl\u00e1 siln\u00e1 bolest hlavy, zm\u011bny vid\u011bn\u00ed, bolest nebo otok l\u00fdtka, bolest na hrudi, \u017eloutenka, bulka v prsu, postmenopauz\u00e1ln\u00ed krv\u00e1cen\u00ed trvaj\u00edc\u00ed d\u00e9le ne\u017e 6 m\u011bs\u00edc\u016f od za\u010d\u00e1tku.<\/p>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Aktivn\u00ed nebo prod\u011blan\u00e1 rakovina prsu nebo jin\u00fd estrogen-dependentn\u00ed n\u00e1dor<\/li>\n<li>Nediagnostikovan\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>Aktivn\u00ed nebo prod\u011blan\u00e1 VTE \/ plicn\u00ed embolie \/ c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda \/ IM<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed onemocn\u011bn\u00ed, aktivn\u00ed jatern\u00ed adenom<\/li>\n<li>T\u011bhotenstv\u00ed<\/li>\n<li>Migr\u00e9na s aurou (relativn\u00ed \u2013 transderm\u00e1ln\u00ed pod\u00e1n\u00ed je preferov\u00e1no p\u0159ed peror\u00e1ln\u00edm, pokud je pot\u0159eba HRT)<\/li>\n<li>Zn\u00e1m\u00e1 trombofilie (Leidenova mutace faktoru V, mutace protrombinov\u00e9ho genu)<\/li>\n<\/ul>\n<h2>Interakce s l\u00e9\u010divy<\/h2>\n<p>Induktory CYP3A4 (rifampicin, karbamazepin, fenytoin, fenobarbital, t\u0159ezalka te\u010dkovan\u00e1) sni\u017euj\u00ed hladiny estradiolu a mohou zhor\u0161it menopauz\u00e1ln\u00ed p\u0159\u00edznaky. Transderm\u00e1ln\u00ed pod\u00e1n\u00ed je m\u00e9n\u011b ovlivn\u011bno CYP ne\u017e peror\u00e1ln\u00ed, ale interakce st\u00e1le mohou nastat. D\u00e1vka levothyroxinu m\u016f\u017ee pot\u0159ebovat p\u0159enastaven\u00ed po zah\u00e1jen\u00ed nebo ukon\u010den\u00ed HRT \u2013 zkontrolujte TSH za 6\u20138 t\u00fddn\u016f.<\/p>\n<h2>T\u011bhotenstv\u00ed &amp; Kojen\u00ed<\/h2>\n<p>Kontraindikov\u00e1no v t\u011bhotenstv\u00ed a p\u0159i kojen\u00ed.<\/p>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C s pevn\u011b uzav\u0159en\u00fdm v\u00ed\u010dkem (gel je na b\u00e1zi alkoholu a p\u0159i otev\u0159en\u00ed se odpa\u0159uje). Uchov\u00e1vejte ve vzp\u0159\u00edmen\u00e9 poloze. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed \u2013 transderm\u00e1ln\u00ed estradiol m\u016f\u017ee b\u00fdt u d\u011bt\u00ed absorbov\u00e1n k\u016f\u017e\u00ed v klinicky v\u00fdznamn\u00e9m mno\u017estv\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Pot\u0159ebuji k Oestrogelu progestin?<\/h3>\n<p>Pokud m\u00e1te d\u011blohu, <strong>ano<\/strong> \u2013 samotn\u00fd estrogen zp\u016fsobuje hyperplazii endometria a rakovinu. Pou\u017eijte Susten \/ Endogest \/ Naturogest (mikronizovan\u00fd progesteron, preferovan\u00fd) nebo Meprate (MPA). Pokud jste prod\u011blali hysterektomii, progestin nen\u00ed pot\u0159eba.<\/p>\n<h3>Za jak dlouho poc\u00edt\u00edm \u00falevu od p\u0159\u00edznak\u016f?<\/h3>\n<p>N\u00e1valy horka obvykle za\u010d\u00ednaj\u00ed ustupovat b\u011bhem 2\u20134 t\u00fddn\u016f; pln\u00fd \u00fa\u010dinek nast\u00e1v\u00e1 za 8\u201312 t\u00fddn\u016f. Pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed, l\u00e9ka\u0159 m\u016f\u017ee p\u0159idat pumpi\u010dkov\u00fd aplik\u00e1tor nebo p\u0159ej\u00edt na n\u00e1plast s vy\u0161\u0161\u00ed d\u00e1vkou.<\/p>\n<h3>Je transderm\u00e1ln\u00ed estrogen bezpe\u010dn\u011bj\u0161\u00ed ne\u017e peror\u00e1ln\u00ed?<\/h3>\n<p>Pokud jde o riziko \u017eiln\u00ed tromboembolie, c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody, \u017elu\u010dn\u00edkov\u00fdch pot\u00ed\u017e\u00ed a zv\u00fd\u0161en\u00ed triglycerid\u016f \u2014 ano, d\u016fkazy jsou jasn\u00e9. Riziko rakoviny prsu je u obou zp\u016fsob\u016f pod\u00e1n\u00ed podobn\u00e9. Zlep\u0161en\u00ed kvality \u017eivota je tak\u00e9 srovnateln\u00e9.<\/p>\n<h3>Mohu aplikovat Oestrogel na prsa?<\/h3>\n<p>Ne. Aplikace na prsa zvy\u0161uje lok\u00e1ln\u00ed expozici estrogenu v prsn\u00ed tk\u00e1ni a je spojena s citlivost\u00ed prsou a teoretick\u00fdmi obavami. Aplikujte na pa\u017ee, ramena, horn\u00ed \u010d\u00e1st zad nebo stehna.<\/p>\n<h3>Mohou m\u016fj partner\/d\u011bti absorbovat estradiol, pokud se dotknou m\u00edsta aplikace?<\/h3>\n<p>Ano \u2014 toto je re\u00e1ln\u00e9 riziko. Nechte gel zcela zaschnout (5 minut) a vyhn\u011bte se ko\u017en\u00edmu kontaktu v m\u00edst\u011b aplikace alespo\u0148 1 hodinu. U d\u011bt\u00ed vystaven\u00fdch aplikovan\u00e9mu estradiolu byly zaznamen\u00e1ny zn\u00e1mky p\u0159ed\u010dasn\u00e9 puberty.<\/p>\n<h3>Mohu se po aplikaci sprchovat nebo plavat?<\/h3>\n<p>Po aplikaci po\u010dkejte alespo\u0148 1 hodinu p\u0159ed sprchov\u00e1n\u00edm nebo plav\u00e1n\u00edm. Aplikujte v dob\u011b, kter\u00e1 vyhovuje va\u0161emu denn\u00edmu re\u017eimu (obvykle r\u00e1no).<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Aplikujte, jakmile si vzpomenete. Pokud je bl\u00edzko dal\u0161\u00ed pl\u00e1novan\u00e9 d\u00e1vky, vynechejte zapomenutou \u2014 ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku. Vynechan\u00e9 dny mohou zp\u016fsobit n\u00e1vrat p\u0159\u00edznak\u016f.<\/p>\n<h3>Mohu pou\u017e\u00edvat Oestrogel po rakovin\u011b prsu?<\/h3>\n<p>Obecn\u011b kontraindikov\u00e1no. Proberte se sv\u00fdm onkologem; nehormon\u00e1ln\u00ed mo\u017enosti (SSRI, gabapentin, klonidin, KBT) jsou obvykle preferov\u00e1ny pro vasomotorick\u00e9 p\u0159\u00edznaky po rakovin\u011b prsu.<\/p>\n<h3>Jak se Oestrogel li\u0161\u00ed od Premarinu?<\/h3>\n<p>Oestrogel je bioidentick\u00fd 17\u03b2-estradiol aplikovan\u00fd transderm\u00e1ln\u011b. Premarin jsou konjugovan\u00e9 ko\u0148sk\u00e9 estrogeny (sm\u011bs estrogenn\u00edch slou\u010denin odvozen\u00fdch z mo\u010di b\u0159ez\u00edch klisen) pod\u00e1van\u00e9 peror\u00e1ln\u011b. Transderm\u00e1ln\u00ed bioidentick\u00fd estrogen je modern\u00ed preferovanou v\u00fdchoz\u00ed volbou; Premarin je st\u00e1le \u00fa\u010dinn\u00fd, ale nese rizika spojen\u00e1 s peror\u00e1ln\u00edm pod\u00e1n\u00edm a prvn\u00edm pr\u016fchodem j\u00e1try.<\/p>\n<h3>Pom\u016f\u017ee Oestrogel p\u0159i vagin\u00e1ln\u00ed suchosti?<\/h3>\n<p>P\u016fsob\u00ed syst\u00e9mov\u011b \u2014 mnoho \u017een zaznamen\u00e1 zlep\u0161en\u00ed. U rezistentn\u00edch nebo z\u00e1va\u017en\u00fdch lok\u00e1ln\u00edch p\u0159\u00edznak\u016f lze p\u0159idat Premarin kr\u00e9m (vagin\u00e1ln\u00ed konjugovan\u00e9 estrogeny) nebo jin\u00e9 lok\u00e1ln\u00ed vagin\u00e1ln\u00ed estrogeny spolu s Oestrogel. Lok\u00e1ln\u00ed vagin\u00e1ln\u00ed estrogeny nevy\u017eaduj\u00ed progestinovou opozici.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed hormon\u00e1ln\u00ed a \u017eensk\u00e9 zdrav\u00ed l\u00e9ky<\/h2>\n<p>Dal\u0161\u00ed produkty v <strong>Hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie (HRT) a \u017eensk\u00e9 zdrav\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/progynova\/\">Progynova (Estradiol Valerate peror\u00e1ln\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/premarin\/\">Premarin (Konjugovan\u00e9 estrogeny peror\u00e1ln\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/premarin-cream\/\">Premarin kr\u00e9m (Vagin\u00e1ln\u00ed estrogen)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-capsule\/\">Susten tobolky (Mikronizovan\u00fd progesteron)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endogest\/\">Endogest (Mikronizovan\u00fd progesteron)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>\u26a0\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/strong><\/p>\n<p style=\"margin:0;font-size:0.95em;\">Hormon\u00e1ln\u00ed terapie s sebou nese individu\u00e1ln\u00ed pom\u011br p\u0159\u00ednos\u016f a rizik, kter\u00fd se li\u0161\u00ed podle v\u011bku, doby od menopauzy, osobn\u00ed a rodinn\u00e9 anamn\u00e9zy a sou\u010dasn\u00fdch stav\u016f. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm HRT, progestinov\u00e9 terapie nebo vagin\u00e1ln\u00edch estrogen\u016f proberte svou kompletn\u00ed l\u00e9ka\u0159skou historii s klinick\u00fdm l\u00e9ka\u0159em. P\u0159eru\u0161te l\u00e9\u010dbu a vyhledejte neodkladnou p\u00e9\u010di v p\u0159\u00edpad\u011b nevysv\u011btliteln\u00e9ho vagin\u00e1ln\u00edho krv\u00e1cen\u00ed, n\u00e1hl\u00e9 siln\u00e9 bolesti hlavy, zm\u011bn vid\u011bn\u00ed, bolesti nebo otoku l\u00fdtka, bolesti na hrudi nebo bulky v prsu.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Oestrogel Gel (transderm\u00e1ln\u00ed estradiol 0,06 % w\/w) \u2014 bioidentick\u00fd 17\u03b2-estradiol absorbovan\u00fd k\u016f\u017e\u00ed pro hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii v menopauze. Obch\u00e1z\u00ed prvn\u00ed pr\u016fchod j\u00e1try, co\u017e sni\u017euje riziko \u017eiln\u00ed tromboembolie a mrtvice ve srovn\u00e1n\u00ed s peror\u00e1ln\u00edm estrogenem.<\/p>","protected":false},"featured_media":52838,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3519,3502],"product_tag":[3527,3528],"class_list":{"0":"post-52837","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-hormone-replacement-therapy-hrt-medication-for-menopause","8":"product_cat-womens-health","9":"product_tag-estradiol","10":"product_tag-oestrogel","12":"first","13":"outofstock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=52837"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52838"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52837"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52837"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52837"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}