{"id":56848,"date":"2024-02-27T17:10:28","date_gmt":"2024-02-27T17:10:28","guid":{"rendered":"https:\/\/medsname.com\/yaz\/"},"modified":"2026-04-30T10:17:17","modified_gmt":"2026-04-30T10:17:17","slug":"yaz","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/yaz\/","title":{"rendered":"Yaz"},"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>Yaz<\/strong> je kombinovan\u00e1 or\u00e1ln\u00ed antikoncepce (COC) obsahuj\u00edc\u00ed <strong>drospirenon<\/strong> (progestin 4. generace s antimineralokortikoidn\u00ed (\u0161et\u0159\u00edc\u00ed drasl\u00edk) a antiandrogenn\u00ed aktivitou) s <strong>ethinyl estradiol<\/strong>. P\u0159i u\u017e\u00edv\u00e1n\u00ed jednou denn\u011b je \u00fa\u010dinnost ~99 % p\u0159i dokonal\u00e9m dodr\u017eov\u00e1n\u00ed (~91 % p\u0159i b\u011b\u017en\u00e9m u\u017e\u00edv\u00e1n\u00ed). Balen\u00ed: drospirenone 3 mg + ethinyl estradiol 0,02 mg (28 tablet \u2013 re\u017eim 24+4). Za\u010d\u00edn\u00e1 p\u016fsobit po 7 po sob\u011b jdouc\u00edch dnech spr\u00e1vn\u00e9ho u\u017e\u00edv\u00e1n\u00ed v nov\u00e9m cyklu. Pou\u017e\u00edv\u00e1 se k antikoncepci a b\u011b\u017en\u011b k regulaci cyklu, siln\u00e9 menstruaci, akn\u00e9 a PMS\/PMDD. Toto je <strong>n\u00edzkod\u00e1vkovanou\/ultran\u00edzkod\u00e1vkovanou<\/strong> formulaci \u2014 obsah estrogenu je 20 mcg EE nebo m\u00e9n\u011b, co\u017e sni\u017euje ne\u017e\u00e1douc\u00ed \u00fa\u010dinky spojen\u00e9 s estrogenem (nevolnost, citlivost prsou) za cenu m\u00edrn\u011b ni\u017e\u0161\u00ed stability cyklick\u00e9 regulace.<\/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<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/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 Pro\u010d nakupovat na MedsBase:<\/strong> Ov\u011b\u0159en\u00e9 dod\u00e1vky p\u0159\u00edmo od v\u00fdrobce \u00b7 Diskr\u00e9tn\u00ed celosv\u011btov\u00e1 doprava \u00b7 Bezpe\u010dn\u00e9 platby (kreditn\u00ed karta, kryptom\u011bny) \u00b7 Hodnocen\u00ed 4.9\u2605 od 1 400+ z\u00e1kazn\u00edk\u016f\n<\/div>\n<h2><strong>Co je Yaz?<\/strong><\/h2>\n<p>Yaz je zna\u010dkov\u00fd generick\u00fd kombinovan\u00fd peror\u00e1ln\u00ed antikoncep\u010dn\u00ed p\u0159\u00edpravek obsahuj\u00edc\u00ed <strong>drospirenon<\/strong> a <strong>ethinylestradiol (EE)<\/strong>. P\u016fsob\u00ed proti ot\u011bhotn\u011bn\u00ed t\u0159emi mechanismy:<\/p>\n<ul>\n<li><strong>Potla\u010den\u00ed ovulace<\/strong> (prim\u00e1rn\u00ed) \u2014 stabiln\u00ed hladiny hormon\u016f zabra\u0148uj\u00ed vzestupu LH.<\/li>\n<li><strong>Zahu\u0161t\u011bn\u00ed cervik\u00e1ln\u00edho hlenu<\/strong> \u2014 omezuje pronik\u00e1n\u00ed spermi\u00ed.<\/li>\n<li><strong>Zten\u010den\u00ed endometria<\/strong> \u2014 sni\u017euje mo\u017enost implantace.<\/li>\n<\/ul>\n<p>S\u00edla: <strong>drospirenone 3 mg + ethinyl estradiol 0,02 mg (28 tablet \u2013 re\u017eim 24+4)<\/strong>. V\u00fdrobce: Bayer.<\/p>\n<h2><strong>Progestinov\u00fd profil: Drospirenone<\/strong><\/h2>\n<p><strong>Riziko VTE (sr\u00e1\u017een\u00ed krve):<\/strong> <strong>M\u00edrn\u011b vy\u0161\u0161\u00ed riziko VTE ne\u017e LNG<\/strong> (~9\u201312 p\u0159\u00edpad\u016f na 10 000 \u017een za rok). Absolutn\u00ed riziko z\u016fst\u00e1v\u00e1 n\u00edzk\u00e9, ale relativn\u00ed riziko oproti LNG je ~1,5\u20132\u00d7. Proberte s l\u00e9ka\u0159em, pokud m\u00e1te rizikov\u00e9 faktory pro sr\u00e1\u017een\u00ed krve.<\/p>\n<p><strong>Androgenn\u00ed \/ jin\u00e1 aktivita:<\/strong> <strong>Antiandrogenn\u00ed<\/strong> \u2013 zvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00e9 pro akn\u00e9, PMS\/PMDD a hirsutismus. M\u00edrn\u00fd diuretick\u00fd \u00fa\u010dinek m\u016f\u017ee sn\u00ed\u017eit nad\u00fdm\u00e1n\u00ed a citlivost prsou.<\/p>\n<p><strong>Nejvhodn\u011bj\u0161\u00ed pro u\u017eivatelky:<\/strong> Akn\u00e9, PMS\/PMDD, hormon\u00e1ln\u00ed nad\u00fdm\u00e1n\u00ed, \u017eeny bez rizikov\u00fdch faktor\u016f VTE.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Kontracepce<\/strong> \u2014 ~99% \u00fa\u010dinnost p\u0159i perfektn\u00edm u\u017e\u00edv\u00e1n\u00ed, ~91% p\u0159i b\u011b\u017en\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<li><strong>\u00daprava menstrua\u010dn\u00edho cyklu<\/strong> \u2014 p\u0159i nepravideln\u00e9 menstruaci.<\/li>\n<li><strong>Siln\u00e9 menstrua\u010dn\u00ed krv\u00e1cen\u00ed (menoragie)<\/strong> \u2014 sni\u017euje krevn\u00ed ztr\u00e1ty o 50% a v\u00edce.<\/li>\n<li><strong>Bolestiv\u00e1 menstruace (dysmenorea)<\/strong> \u2014 sni\u017euje prostaglandinem zprost\u0159edkovan\u00e9 k\u0159e\u010de.<\/li>\n<li><strong>Akn\u00e9 vulgaris a PMS\/PMDD<\/strong> \u2014 zvl\u00e1\u0161t\u011b \u00fa\u010dinn\u00e9 d\u00edky antiandrogenn\u00edmu profilu drospirenonu.<\/li>\n<li><strong>Bolest p\u0159i endometri\u00f3ze<\/strong> (mimo schv\u00e1len\u00e9 indikace, re\u017eimy kontinu\u00e1ln\u00edho u\u017e\u00edv\u00e1n\u00ed).<\/li>\n<li><strong>Prevence ovari\u00e1ln\u00edch cyst<\/strong> a sn\u00ed\u017een\u00e9 riziko rakoviny vaje\u010dn\u00edk\u016f p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2><strong>Jak u\u017e\u00edvat Yaz<\/strong><\/h2>\n<ol>\n<li><strong>Za\u010dn\u011bte 1. den menstruace<\/strong> pro okam\u017eitou antikoncep\u010dn\u00ed ochranu. P\u0159i zah\u00e1jen\u00ed v jinou dobu je nutn\u00fdch 7 dn\u00ed z\u00e1lo\u017en\u00ed antikoncepce.<\/li>\n<li>U\u017eijte <strong>jednu tabletu denn\u011b ve stejnou dobu<\/strong> \u2014 nastavte si bud\u00edk v telefonu. D\u016fslednost je kl\u00ed\u010dov\u00e1.<\/li>\n<li>Dodr\u017eujte po\u0159ad\u00ed v balen\u00ed. 21denn\u00ed balen\u00ed: u\u017e\u00edvejte jednu tabletu denn\u011b po dobu 21 dn\u016f, n\u00e1sleduje 7 dn\u016f bez tablet. 28denn\u00ed balen\u00ed: u\u017e\u00edvejte v\u0161ech 28 tablet po sob\u011b (posledn\u00edch 7 jsou placebo\/\u017eelezo).<\/li>\n<li>O\u010dek\u00e1vejte krv\u00e1cen\u00ed z vysazen\u00ed b\u011bhem t\u00fddne bez tablet\/placeba \u2014 slab\u0161\u00ed ne\u017e p\u0159irozen\u00e1 menstruace.<\/li>\n<li>Po p\u0159est\u00e1vce za\u010dn\u011bte s dal\u0161\u00edm balen\u00edm v pl\u00e1novan\u00fd den, bez ohledu na to, zda krv\u00e1cen\u00ed ustalo.<\/li>\n<\/ol>\n<h2><strong>Pravidla p\u0159i vynech\u00e1n\u00ed tablety (KL\u00cd\u010cOV\u00c9 \u2014 pe\u010dliv\u011b si p\u0159e\u010dt\u011bte)<\/strong><\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Sc\u00e9n\u00e1\u0159<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 vynechan\u00e1 tableta (&lt;24 hodin zpo\u017ed\u011bn\u00ed)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vynechanou tabletu u\u017eijte co nejd\u0159\u00edve, jak si vzpomenete. Pokra\u010dujte v u\u017e\u00edv\u00e1n\u00ed zbytku balen\u00ed jako obvykle. Nen\u00ed pot\u0159eba z\u00e1lo\u017en\u00ed antikoncepce.<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2+ vynechan\u00e9 pilulky (48+ hodin po term\u00ednu)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vezm\u011bte nejnov\u011bj\u0161\u00ed vynechanou pilulku okam\u017eit\u011b. Pou\u017e\u00edvejte kondomy nebo se zdr\u017ete pohlavn\u00edho styku po dobu <strong>7 dnech<\/strong>. Pokud k vynech\u00e1n\u00ed pilulek do\u0161lo v posledn\u00edch 7 dnech aktivn\u00edho balen\u00ed, <strong>vynechejte placebo t\u00fdden<\/strong> a za\u010dn\u011bte p\u0159\u00edmo s nov\u00fdm balen\u00edm. Zva\u017ete nouzovou antikoncepci, pokud do\u0161lo k nechr\u00e1n\u011bn\u00e9mu pohlavn\u00edmu styku v p\u0159edchoz\u00edch 5 dnech.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Zvracen\u00ed do 2 hodin po u\u017eit\u00ed pilulky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pova\u017eujte za vynechanou pilulku. Vezm\u011bte dal\u0161\u00ed z n\u00e1hradn\u00edho balen\u00ed, pokud je k dispozici, nebo aplikujte pravidla pro vynechan\u00e9 pilulky.<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Siln\u00fd pr\u016fjem trvaj\u00edc\u00ed &gt;24 hodin<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pova\u017eujte za vynechan\u00e9 pilulky; pou\u017e\u00edvejte z\u00e1lo\u017en\u00ed ochranu po dobu 7 dn\u016f po uzdraven\u00ed.<\/td>\n<\/tr>\n<\/table>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>B\u011b\u017en\u00e9, obvykle p\u0159echodn\u00e9 (zlep\u0161en\u00ed b\u011bhem 3 cykl\u016f):<\/strong> nevolnost, citlivost prsou, bolesti hlavy, zm\u011bny n\u00e1lady, pr\u016flomov\u00e9 krv\u00e1cen\u00ed\/\u0161pin\u011bn\u00ed, sn\u00ed\u017een\u00e9 libido, v\u00e1ha stabiln\u00ed nebo m\u00edrn\u00fd n\u00e1r\u016fst.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> migr\u00e9na, melasma (pigmentace k\u016f\u017ee), nesn\u00e1\u0161enlivost kontaktn\u00edch \u010do\u010dek, chloasma.<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9 (vz\u00e1cn\u00e9, ale d\u016fle\u017eit\u00e9):<\/strong> ven\u00f3zn\u00ed tromboembolie (DVT\/PE), arteri\u00e1ln\u00ed tromboembolie (mrtvice, infarkt myokardu), hypertenze, cholestatick\u00e1 \u017eloutenka, jatern\u00ed adenom, rakovina prsu (mal\u00e9 zv\u00fd\u0161en\u00ed rizika b\u011bhem u\u017e\u00edv\u00e1n\u00ed, n\u00e1vrat k v\u00fdchoz\u00ed hodnot\u011b do 10 let po ukon\u010den\u00ed).<\/p>\n<p><strong>Varovn\u00e9 p\u0159\u00edznaky VTE \u2014 P\u0158ERU\u0160TE u\u017e\u00edv\u00e1n\u00ed a vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc:<\/strong> siln\u00e1 bolest nohy nebo otok (DVT), n\u00e1hl\u00e1 du\u0161nost nebo bolest na hrudi (PE), n\u00e1hl\u00e1 siln\u00e1 bolest hlavy s neurologick\u00fdmi p\u0159\u00edznaky (mrtvice), siln\u00e1 bolest b\u0159icha (mezenterick\u00e1 tromb\u00f3za).<\/p>\n<h2><strong>Kdo by nem\u011bl u\u017e\u00edvat Yaz<\/strong><\/h2>\n<p>Kombinovan\u00e9 peror\u00e1ln\u00ed antikoncepce jsou <strong>absolutn\u011b kontraindikov\u00e1ny<\/strong> u:<\/p>\n<ul>\n<li><strong>Kou\u0159en\u00ed + v\u011bk \u226535<\/strong> \u2014 dramatick\u00e9 zv\u00fd\u0161en\u00ed rizika c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody\/infarktu.<\/li>\n<li>Historie VTE (DVT nebo PE), trombofilie (Leidensk\u00e1 mutace faktoru V, deficit proteinu C\/S, antifosfolipidov\u00e9 protil\u00e1tky).<\/li>\n<li>Historie c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody, p\u0159echodn\u00e9 ischemick\u00e9 ataky nebo ischemick\u00e9 choroby srde\u010dn\u00ed.<\/li>\n<li><strong>Migr\u00e9na s aurou<\/strong> \u2014 v\u00fdznamn\u00e9 riziko c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody.<\/li>\n<li>Nekontrolovan\u00e1 hypertenze (&gt;160\/100 mmHg).<\/li>\n<li>Aktivn\u00ed nebo ned\u00e1vn\u00fd (do 10 let) karcinom prsu.<\/li>\n<li>Aktivn\u00ed jatern\u00ed onemocn\u011bn\u00ed (hepatitida, cirh\u00f3za, n\u00e1dor).<\/li>\n<li>Zn\u00e1m\u00e9 t\u011bhotenstv\u00ed nebo nevysv\u011btlen\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed.<\/li>\n<li>Rozs\u00e1hl\u00fd chirurgick\u00fd v\u00fdkon s prodlou\u017eenou imobilizac\u00ed (p\u0159eru\u0161it 4 t\u00fddny p\u0159edem).<\/li>\n<li>Kojen\u00ed do 6 t\u00fddn\u016f po porodu (sni\u017euje tvorbu ml\u00e9ka; vysok\u00e9 riziko VTE).<\/li>\n<li>T\u011b\u017ek\u00e1 cukrovka s c\u00e9vn\u00edmi komplikacemi.<\/li>\n<\/ul>\n<h2><strong>Interakce s l\u00e9\u010divy<\/strong><\/h2>\n<ul>\n<li><strong>Enzymov\u00e9 induktory (SNI\u017dUJ\u00cd antikoncep\u010dn\u00ed \u00fa\u010dinek \u2014 nutn\u00e1 z\u00e1lo\u017en\u00ed metoda):<\/strong> rifampicin, rifabutin, fenytoin, fenobarbital, karbamazepin, topiram\u00e1t, primidon, n\u011bkter\u00e9 HIV antiretrovir\u00e1ly (ritonavir, efavirenz), t\u0159ezalka te\u010dkovan\u00e1.<\/li>\n<li><strong>Antibiotika (v\u011bt\u0161ina NEsni\u017euje \u00fa\u010dinnost)<\/strong> \u2014 star\u00e9 doporu\u010den\u00ed pou\u017e\u00edvat z\u00e1lo\u017en\u00ed metodu b\u011bhem antibiotik plat\u00ed pouze pro rifampicin\/rifabutin. Ostatn\u00ed antibiotika (amoxicilin, doxycyklin, cefalexin) nesni\u017euj\u00ed \u00fa\u010dinnost kombinovan\u00e9 hormon\u00e1ln\u00ed antikoncepce u v\u011bt\u0161iny \u017een.<\/li>\n<li><strong>Lamotrigin<\/strong> \u2014 Kombinovan\u00e1 hormon\u00e1ln\u00ed antikoncepce sni\u017euje hladiny lamotriginu; m\u016f\u017ee b\u00fdt nutn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li><strong>Drospirenon + \u0161et\u0159\u00edc\u00ed drasl\u00edk l\u00e9ky<\/strong> (ACE inhibitory, ARB, \u0161et\u0159\u00edc\u00ed drasl\u00edk diuretika, dlouhodob\u00e9 NSAID): mal\u00e9 riziko hyperkal\u00e9mie. Zkontrolujte hladinu drasl\u00edku v prvn\u00edm cyklu p\u0159i kombinaci.<\/li>\n<li><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong> \u2014 m\u016f\u017ee m\u00edrn\u011b zv\u00fd\u0161it hladiny estrogenu; klinicky nev\u00fdznamn\u00e9.<\/li>\n<\/ul>\n<h2><strong>Nekontraceptivn\u00ed benefity<\/strong><\/h2>\n<ul>\n<li>~50% sn\u00ed\u017een\u00ed rizika rakoviny vaje\u010dn\u00edk\u016f p\u0159i u\u017e\u00edv\u00e1n\u00ed po dobu 5+ let (\u00fa\u010dinek p\u0159etrv\u00e1v\u00e1 desetilet\u00ed po vysazen\u00ed).<\/li>\n<li>~50% sn\u00ed\u017een\u00ed rizika rakoviny d\u011blo\u017en\u00ed sliznice.<\/li>\n<li>Leh\u010d\u00ed, krat\u0161\u00ed a p\u0159edv\u00eddateln\u011bj\u0161\u00ed menstruace.<\/li>\n<li>Sn\u00ed\u017een\u00ed menstrua\u010dn\u00edch k\u0159e\u010d\u00ed, mittelschmerzu a p\u0159\u00edznak\u016f PMS.<\/li>\n<li>Zlep\u0161en\u00ed akn\u00e9 (zejm\u00e9na u COC obsahuj\u00edc\u00edch drospirenon nebo cyproteron).<\/li>\n<li>Sn\u00ed\u017een\u00ed v\u00fdskytu benign\u00edch ovari\u00e1ln\u00edch cyst a fibrocystick\u00fdch zm\u011bn prs\u016f.<\/li>\n<li>Potenci\u00e1ln\u00ed ochrann\u00fd \u00fa\u010dinek proti z\u00e1n\u011btliv\u00fdm onemocn\u011bn\u00edm p\u00e1nve (zhoustnut\u00ed cervik\u00e1ln\u00edho hlenu).<\/li>\n<\/ul>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b (15\u201325 \u00b0C \/ 59\u201377 \u00b0F) v p\u016fvodn\u00edm blistru. Chra\u0148te p\u0159ed p\u0159\u00edm\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm a vlhkost\u00ed. Nepou\u017e\u00edvejte po uplynut\u00ed data expirace. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak rychle Yaz zab\u00edr\u00e1?<\/h3>\n<p>Pokud za\u010dnete u\u017e\u00edvat 1. den menstruace, \u00fa\u010dinek je okam\u017eit\u00fd. P\u0159i za\u010d\u00e1tku v jin\u00fd den je nutn\u00e9 7 dn\u00ed pou\u017e\u00edvat z\u00e1lo\u017en\u00ed antikoncepci (kondomy nebo abstinence).<\/p>\n<h3 class=\"wp-block-heading\">Co se stane, kdy\u017e budu cht\u00edt ot\u011bhotn\u011bt?<\/h3>\n<p>Plodnost se obvykle vrac\u00ed do 1\u20133 m\u011bs\u00edc\u016f po vysazen\u00ed. N\u011bkter\u00e9 \u017eeny ot\u011bhotn\u00ed ji\u017e v prvn\u00edm cyklu po ukon\u010den\u00ed u\u017e\u00edv\u00e1n\u00ed. Doporu\u010duje se u\u017e\u00edvat kyselinu listovou 3 m\u011bs\u00edce p\u0159ed pl\u00e1novan\u00fdm ot\u011bhotn\u011bn\u00edm.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsob\u00ed Yaz p\u0159ib\u00edr\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>Modern\u00ed n\u00edzkod\u00e1vkov\u00e9 COC jsou v placebem kontrolovan\u00fdch studi\u00edch obecn\u011b neutr\u00e1ln\u00ed v\u016f\u010di hmotnosti. N\u011bkter\u00e9 \u017eeny hl\u00e1s\u00ed zm\u011bny 1\u20132 kg, ale \u010dasto jde o zadr\u017eov\u00e1n\u00ed tekutin, kter\u00e9 se po 3 m\u011bs\u00edc\u00edch uprav\u00ed. COC obsahuj\u00edc\u00ed drospirenon (s m\u00edrn\u00fdm diuretick\u00fdm \u00fa\u010dinkem) mohou b\u00fdt pro v\u00e1hu p\u0159\u00edzniv\u011bj\u0161\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Yaz k vynech\u00e1n\u00ed menstruace?<\/h3>\n<p>Ano \u2014 tzv. \u201ctricykling\u201d nebo kontinu\u00e1ln\u00ed u\u017e\u00edv\u00e1n\u00ed je pro v\u011bt\u0161inu \u017een bezpe\u010dn\u00e9. Vynechejte t\u00fdden bez tablet a za\u010dn\u011bte p\u0159\u00edmo s dal\u0161\u00edm balen\u00edm, abyste odd\u00e1lili nebo vynechali menstrua\u010dn\u00ed krv\u00e1cen\u00ed. M\u016f\u017ee se objevit pr\u016flomov\u00e9 \u0161pin\u011bn\u00ed; pro dlouhodob\u00e9 kontinu\u00e1ln\u00ed u\u017e\u00edv\u00e1n\u00ed se pora\u010fte s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Je Yaz bezpe\u010dn\u00fd, pokud m\u00e1m nadv\u00e1hu?<\/h3>\n<p>M\u00edrn\u00e1 obezita (BMI 30\u201335) nen\u00ed absolutn\u00ed kontraindikac\u00ed kombinovan\u00e9 hormon\u00e1ln\u00ed antikoncepce, ale zvy\u0161uje riziko \u017eiln\u00ed tromboembolie. P\u0159i BMI &gt;35 mohou b\u00fdt vhodn\u011bj\u0161\u00ed \u010dist\u011b gestagenn\u00ed pilulky nebo nehormon\u00e1ln\u00ed metody. Konzultujte s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">A co kojen\u00ed?<\/h3>\n<p>Kombinovan\u00e9 pilulky se nedoporu\u010duj\u00ed koj\u00edc\u00edm \u017een\u00e1m do 6 t\u00fddn\u016f po porodu (riziko \u017eiln\u00ed tromboembolie + sn\u00ed\u017een\u00ed tvorby ml\u00e9ka). B\u011bhem kojen\u00ed jsou preferov\u00e1ny \u010dist\u011b gestagenn\u00ed pilulky (minipilulky).<\/p>\n<h3 class=\"wp-block-heading\">Chr\u00e1n\u00ed Yaz p\u0159ed pohlavn\u011b p\u0159enosn\u00fdmi infekcemi?<\/h3>\n<p>Ne. Hormon\u00e1ln\u00ed antikoncepce neposkytuje \u017e\u00e1dnou ochranu p\u0159ed pohlavn\u011b p\u0159enosn\u00fdmi nemocemi. Pou\u017e\u00edvejte kondomy jako bari\u00e9rovou ochranu proti chlamydi\u00edm, kapavce, HIV, opar\u016fm, syfilis a HPV.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e zapomenu pilulku?<\/h3>\n<p>Viz tabulka Pravidel pro vynechan\u00e9 pilulky v\u00fd\u0161e. Stru\u010dn\u011b: 1 vynechan\u00e1 pilulka (&lt;24 hodin zpo\u017ed\u011bn\u00ed) = u\u017eijte a pokra\u010dujte; 2+ vynechan\u00e9 pilulky (48+ hodin zpo\u017ed\u011bn\u00ed) = u\u017eijte nejnov\u011bj\u0161\u00ed + 7 dn\u00ed z\u00e1lo\u017en\u00ed ochrany.<\/p>\n<h3 class=\"wp-block-heading\">Kdy bych m\u011bla neodkladn\u011b kontaktovat l\u00e9ka\u0159e?<\/h3>\n<p>Siln\u00e9 bolesti nohou nebo otoky (mo\u017en\u00e1 hlubok\u00e1 \u017eiln\u00ed tromb\u00f3za), bolesti na hrudi nebo du\u0161nost (mo\u017en\u00e1 plicn\u00ed embolie), siln\u00e1 bolest hlavy se zrakov\u00fdmi\/neurologick\u00fdmi zm\u011bnami (mo\u017en\u00e1 c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda), siln\u00e1 bolest b\u0159icha, \u017eloutnut\u00ed k\u016f\u017ee nebo o\u010d\u00ed (probl\u00e9m s j\u00e1try).<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u0159ej\u00edt z Yaz na jinou pilulku?<\/h3>\n<p>Ano \u2014 novou pilulku za\u010dn\u011bte u\u017e\u00edvat den po dokon\u010den\u00ed sou\u010dasn\u00e9ho balen\u00ed (bez p\u0159est\u00e1vky bez tablet), pokud p\u0159ech\u00e1z\u00edte na jinou kombinovanou hormon\u00e1ln\u00ed antikoncepci. P\u0159i p\u0159echodu na \u010dist\u011b gestagenn\u00ed antikoncepci p\u0159ekryjte u\u017e\u00edv\u00e1n\u00ed o 7 dn\u00ed. P\u0159i zm\u011bn\u011b kv\u016fli vedlej\u0161\u00edm \u00fa\u010dink\u016fm nebo zdravotn\u00edm zm\u011bn\u00e1m se v\u017edy pora\u010fte s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed antikoncep\u010dn\u00ed p\u0159\u00edpravky<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/yasmin\/\">Yasmin (Drospirenone + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ovral-l\/\">Ovral-L (Levonorgestrel + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ovral-g\/\">Ovral-G (Norgestrel + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/loette\/\">Loette (LNG + EE ultra-low)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duoluton-l\/\">Duoluton-L (LNG + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/triquilar\/\">Triquilar (T\u0159\u00edf\u00e1zov\u00fd LNG + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/femilon\/\">Femilon (Desogestrel + EE n\u00edzk\u00e1 d\u00e1vka)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed:<\/strong> Hormon\u00e1ln\u00ed antikoncepce m\u00e1 kontraindikace a interakce. P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed se pora\u010fte s l\u00e9ka\u0159em. Pokud kou\u0159\u00edte a je v\u00e1m v\u00edce ne\u017e 35 let, trp\u00edte migr\u00e9nou s aurou, m\u00e1te v anamn\u00e9ze \u017eiln\u00ed tromboembolii, aktivn\u00ed jatern\u00ed onemocn\u011bn\u00ed nebo zn\u00e1m\u00e9 kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed, kombinovan\u00e1 or\u00e1ln\u00ed antikoncepce pro v\u00e1s nemus\u00ed b\u00fdt bezpe\u010dn\u00e1. Nouzov\u00e1 antikoncepce nen\u00ed n\u00e1hradou pravideln\u00e9 antikoncepce.<\/p>\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>L\u00e9\u010dba akn\u00e9<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">Isotroin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/epilite\/\">Epilite<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/melacare-forte-cream\/\">Melacare Forte kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tretinex-cream\/\">Tretinex Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/isofair\/\">Isofair<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p><span style=\"font-weight: 400;\">\u2705 Zabr\u00e1n\u00ed ot\u011bhotn\u011bn\u00ed<br \/>\n<\/span><span style=\"font-weight: 400;\">\u2705 Reguluje menstrua\u010dn\u00ed cyklus<br \/>\n<\/span><span style=\"font-weight: 400;\">\u2705 Sni\u017euje v\u00fdskyt akn\u00e9<br \/>\n<\/span><span style=\"font-weight: 400;\">\u2705 Sni\u017euje menstrua\u010dn\u00ed k\u0159e\u010de<br \/>\n<\/span><span style=\"font-weight: 400;\">\u2705 P\u0159edepsan\u00e1 antikoncepce<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P\u0159\u00edpravek Yaz obsahuje drospirenon a ethinylestradiol.<\/span><\/p>","protected":false},"featured_media":56849,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3215,3530,3141,3223,3502],"product_tag":[4183,4186,4187],"class_list":{"0":"post-56848","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-acne-treatment","7":"product_cat-alternative-contraceptives","8":"product_cat-category-overview","9":"product_cat-chronic-conditions","10":"product_cat-womens-health","11":"product_tag-drospirenone","12":"product_tag-ethinylestradiol","13":"product_tag-yaz","15":"first","16":"instock","17":"shipping-taxable","18":"purchasable","19":"product-type-variable","20":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/56848","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=56848"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56849"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56848"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56848"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56848"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}