{"id":56924,"date":"2024-02-27T17:14:41","date_gmt":"2024-02-27T17:14:41","guid":{"rendered":"https:\/\/medsname.com\/progynova\/"},"modified":"2026-04-30T10:17:16","modified_gmt":"2026-04-30T10:17:16","slug":"progynova","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/progynova\/","title":{"rendered":"Progynova"},"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>Progynova<\/strong> je <strong>or\u00e1ln\u00ed syst\u00e9mov\u00fd estrogen<\/strong> (estradiol valer\u00e1t) pou\u017e\u00edvan\u00fd k hormon\u00e1ln\u00ed terapii v menopauze \u2014 l\u00e9\u010dba n\u00e1val\u016f horka, no\u010dn\u00edho pocen\u00ed, vagin\u00e1ln\u00ed suchosti a \u00fabytku kostn\u00ed hustoty. <strong>\u017deny s neporu\u0161enou d\u011blohou mus\u00ed kombinovat estrogen s progestinem<\/strong> (nevyv\u00e1\u017een\u00fd estrogen zvy\u0161uje riziko karcinomu endometria ~8\u201315\u00d7). Modern\u00edm standardem je kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed (1\u20135 let) v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce; dlouhodob\u00e1 rizika zahrnuj\u00ed rakovinu prsu, VTE a c\u00e9vn\u00ed mozkovou p\u0159\u00edhodu (data z Women\u2019s Health Initiative).<\/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><strong>Co je Progynova?<\/strong><\/h2>\n<p>Progynova je zna\u010dkov\u00fd generick\u00fd p\u0159\u00edpravek <strong>estradiol valer\u00e1t<\/strong>, syst\u00e9mov\u00fd peror\u00e1ln\u00ed estrogen pou\u017e\u00edvan\u00fd jako <strong>hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie v menopauze (HST\/HRT)<\/strong>. Estrogen nahrazuje hormon ztracen\u00fd po p\u0159irozen\u00e9 nebo chirurgick\u00e9 menopauze, \u010d\u00edm\u017e zm\u00edr\u0148uje soubor p\u0159\u00edznak\u016f zn\u00e1m\u00fd jako <strong>klimakterick\u00fd syndrom<\/strong>.<\/p>\n<p>S\u00edla: <strong>1 mg, 2 mg (peror\u00e1ln\u00ed tablety, balen\u00ed po 28 nebo 56 tablet\u00e1ch)<\/strong>. V\u00fdrobce: Bayer.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Vazomotorick\u00e9 p\u0159\u00edznaky<\/strong> (n\u00e1valy horka, no\u010dn\u00ed pocen\u00ed) \u2014 nej\u00fa\u010dinn\u011bj\u0161\u00ed dostupn\u00e1 l\u00e9\u010dba, ~75\u201390% redukce v klinick\u00fdch studi\u00edch.<\/li>\n<li><strong>Genitourin\u00e1rn\u00ed syndrom menopauzy<\/strong> \u2014 vagin\u00e1ln\u00ed suchost, dyspareunie, opakovan\u00e9 infekce mo\u010dov\u00fdch cest. Vagin\u00e1ln\u00ed estrogen je preferov\u00e1n u p\u0159\u00edznak\u016f omezen\u00fdch na genitourin\u00e1rn\u00ed trakt.<\/li>\n<li><strong>Prevence postmenopauz\u00e1ln\u00ed osteopor\u00f3zy<\/strong> \u2014 sni\u017euje riziko zlomenin o ~30\u201350% p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed. Ji\u017e nen\u00ed prvn\u00ed volbou, pokud jsou indikov\u00e1ny bisfosfon\u00e1ty nebo denosumab.<\/li>\n<li><strong>P\u0159ed\u010dasn\u00e9 selh\u00e1n\u00ed vaje\u010dn\u00edk\u016f (POI)<\/strong> \u2014 fyziologick\u00e1 n\u00e1hrada u \u017een pod 40 let s p\u0159ed\u010dasnou menopauzou.<\/li>\n<li><strong>Hormon\u00e1ln\u00ed terapie pro \u017eeny p\u0159ech\u00e1zej\u00edc\u00ed na mu\u017ee \u2192 \u017eeny<\/strong> (mimo schv\u00e1len\u00e9 indikace na tomto webu; pod odborn\u00fdm veden\u00edm).<\/li>\n<\/ul>\n<h2><strong>Kritick\u00e9: Progestinov\u00e1 opozice<\/strong><\/h2>\n<p><strong>Pokud m\u00e1te d\u011blohu, mus\u00edte u\u017e\u00edvat estrogen v kombinaci s progestinem<\/strong>. Nekompenzovan\u00fd estrogen stimuluje endometri\u00e1ln\u00ed proliferaci, co\u017e zvy\u0161uje riziko rakoviny endometria ~8\u201315\u00d7. Mo\u017enosti:<\/p>\n<ul>\n<li><strong>Kombinovan\u00e1 kontinu\u00e1ln\u00ed<\/strong> \u2014 estrogen denn\u011b + progestin denn\u011b (bez krv\u00e1cen\u00ed po vysazen\u00ed po 3\u20136 m\u011bs\u00edc\u00edch)<\/li>\n<li><strong>Sekven\u010dn\u00ed (cyklick\u00fd)<\/strong> \u2014 estrogen denn\u011b + progestin 10\u201314 dn\u00ed v m\u011bs\u00edci (krv\u00e1cen\u00ed po vysazen\u00ed v ka\u017ed\u00e9m cyklu)<\/li>\n<li><strong>Mirena IUD<\/strong> \u2014 dod\u00e1v\u00e1 lok\u00e1ln\u00ed progestin do endometria; umo\u017e\u0148uje monoterapii estrogenem jinde<\/li>\n<\/ul>\n<p><strong>\u017deny po hysterektomii<\/strong> mohou u\u017e\u00edvat pouze estrogen bez progestinu. Viz na\u0161e progesteronov\u00e9 produkty: <a href=\"https:\/\/medsbase.com\/cs\/endogest\/\">Endogest<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/gestheal\/\">Gestheal<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/susten-capsule\/\">Susten Capsule<\/a>.<\/p>\n<h2><strong>Jak u\u017e\u00edvat<\/strong><\/h2>\n<ol>\n<li>U\u017e\u00edvejte jednu tabletu denn\u011b, p\u0159ibli\u017en\u011b ve stejnou dobu, s vodou. S j\u00eddlem nebo bez.<\/li>\n<li>Za\u010dn\u011bte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vkou \u2014 obvykle 0,3 mg konjugovan\u00fdch estrogen\u016f nebo 0,5\u20131 mg estradiolu \u2014 a zvy\u0161ujte pouze pokud p\u0159\u00edznaky nejsou dostate\u010dn\u011b kontrolov\u00e1ny po 4\u20136 t\u00fddnech.<\/li>\n<li>P\u0159i cyklick\u00e9m re\u017eimu se progestin u\u017e\u00edv\u00e1 posledn\u00edch 10\u201314 dn\u00ed ka\u017ed\u00e9ho 28denn\u00edho cyklu; o\u010dek\u00e1v\u00e1 se krv\u00e1cen\u00ed po vysazen\u00ed.<\/li>\n<li>P\u0159i kontinu\u00e1ln\u00edm kombinovan\u00e9m re\u017eimu u\u017e\u00edvejte oba hormony denn\u011b; v prvn\u00edch 3\u20136 m\u011bs\u00edc\u00edch se m\u016f\u017ee objevit nepravideln\u00e9 krv\u00e1cen\u00ed.<\/li>\n<li><strong>Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku po nejkrat\u0161\u00ed pot\u0159ebnou dobu.<\/strong> Ka\u017edoro\u010dn\u011b p\u0159ehodno\u0165te s l\u00e9ka\u0159em. V\u011bt\u0161ina doporu\u010den\u00ed navrhuje ukon\u010den\u00ed po 3\u20135 letech.<\/li>\n<\/ol>\n<h2><strong>Rizika a bezpe\u010dnost (d\u016fkazy z WHI a n\u00e1sledn\u00fdch studi\u00ed)<\/strong><\/h2>\n<p>Studie Women\u2019s Health Initiative (WHI) p\u0159inesla nov\u00e9 poznatky o rizic\u00edch HRT. Kl\u00ed\u010dov\u00e1 zji\u0161t\u011bn\u00ed na 10 000 \u017een ro\u010dn\u011b p\u0159i kombinovan\u00e9 HRT estrogen-progestin:<\/p>\n<ul>\n<li><strong>Karcinom prsu:<\/strong> +8 p\u0159\u00edpad\u016f (s progestinem); samotn\u00fd estrogen nezvy\u0161oval riziko rakoviny prsu po ~7 letech ve studii WHI<\/li>\n<li><strong>Mrtvice:<\/strong> +8 mrtvic<\/li>\n<li><strong>\u017diln\u00ed tromboembolie (DVT\/PE):<\/strong> +18 p\u0159\u00edpad\u016f \u2014 nejvy\u0161\u0161\u00ed riziko v prvn\u00edm roce; peror\u00e1ln\u00ed &gt; transderm\u00e1ln\u00ed<\/li>\n<li><strong>Koron\u00e1rn\u00ed onemocn\u011bn\u00ed srdce:<\/strong> +7 p\u0159\u00edpad\u016f u star\u0161\u00edch pacient\u016f za\u010d\u00ednaj\u00edc\u00edch s HRT (60+), ale mo\u017en\u00e1 ochrann\u00fd \u00fa\u010dinek u mlad\u0161\u00edch (&lt;60)<\/li>\n<li><strong>Zlomenina ky\u010dle:<\/strong> \u22125 (ochrann\u00fd \u00fa\u010dinek)<\/li>\n<li><strong>Rakovina tlust\u00e9ho st\u0159eva:<\/strong> \u22126 (ochrann\u00fd, kombinovan\u00e1 HRT)<\/li>\n<li><strong>Rakovina endometria:<\/strong> +1 (ni\u017e\u0161\u00ed p\u0159i progestinov\u00e9 opozici)<\/li>\n<\/ul>\n<p>Pom\u011br p\u0159\u00ednos\u016f a rizik je nejp\u0159\u00edzniv\u011bj\u0161\u00ed u <strong>\u017een pod 60 let s t\u011b\u017ek\u00fdmi p\u0159\u00edznaky a bez kontraindikac\u00ed<\/strong>. Transderm\u00e1ln\u00ed estrogen (n\u00e1plast, gel) m\u016f\u017ee sn\u00ed\u017eit riziko VTE ve srovn\u00e1n\u00ed s peror\u00e1ln\u00edm pod\u00e1n\u00edm.<\/p>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> citlivost prsou, nevolnost, bolest hlavy, zadr\u017eov\u00e1n\u00ed tekutin, zm\u011bny n\u00e1lady, vagin\u00e1ln\u00ed krv\u00e1cen\u00ed (b\u011bhem prvn\u00edch 3\u20136 m\u011bs\u00edc\u016f kontinu\u00e1ln\u011b-kombinovan\u00e9ho re\u017eimu je norm\u00e1ln\u00ed).<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> melasma, \u017elu\u010dov\u00e9 kameny, intolerance kontaktn\u00edch \u010do\u010dek, zm\u011bny libida.<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9 (vz\u00e1cn\u00e9) \u2013 vyhledejte neodkladnou p\u00e9\u010di:<\/strong> bolest na hrudi, du\u0161nost, siln\u00fd otok nohou (VTE\/PE), n\u00e1hl\u00e1 siln\u00e1 bolest hlavy s neurologick\u00fdmi zm\u011bnami (mrtvice), bulka v prsu, ze\u017eloutnut\u00ed k\u016f\u017ee\/o\u010d\u00ed (probl\u00e9m s j\u00e1try), siln\u00e9 nebo prodlou\u017een\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed.<\/p>\n<h2><strong>Kdo by nem\u011bl u\u017e\u00edvat Progynova<\/strong><\/h2>\n<ul>\n<li>Aktu\u00e1ln\u00ed, podez\u0159en\u00ed nebo anamn\u00e9za karcinomu prsu nebo estrogen-dependentn\u00edho karcinomu<\/li>\n<li>Aktu\u00e1ln\u00ed nebo anamn\u00e9za VTE (DVT, PE), trombofilie, aktivn\u00ed tromboembolick\u00e9 onemocn\u011bn\u00ed<\/li>\n<li>Anamn\u00e9za c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody, TIA nebo ned\u00e1vn\u00e9ho IM<\/li>\n<li>Aktivn\u00ed onemocn\u011bn\u00ed jater nebo anamn\u00e9za cholestatick\u00e9 \u017eloutenky (v t\u011bhotenstv\u00ed nebo p\u0159i p\u0159edchoz\u00edm u\u017e\u00edv\u00e1n\u00ed estrogenu)<\/li>\n<li>Nediagnostikovan\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>Zn\u00e1m\u00e9 t\u011bhotenstv\u00ed<\/li>\n<li>Hyperplazie endometria (nejprve vy\u0161et\u0159it)<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost<\/li>\n<\/ul>\n<h2><strong>Interakce s l\u00e9\u010divy<\/strong><\/h2>\n<ul>\n<li><strong>Enzymov\u00e9 induktory<\/strong> (rifampicin, fenytoin, karbamazepin, t\u0159ezalka te\u010dkovan\u00e1) sni\u017euj\u00ed hladinu estrogenu \u2014 m\u016f\u017ee b\u00fdt pot\u0159eba vy\u0161\u0161\u00ed d\u00e1vka estrogenu nebo alternativn\u00ed zp\u016fsob pod\u00e1n\u00ed.<\/li>\n<li><strong>Tyroxin (levothyroxin)<\/strong>: estrogen zvy\u0161uje hladinu thyroxin v\u00e1zaj\u00edc\u00edho globulinu, m\u016f\u017ee zv\u00fd\u0161it pot\u0159ebu tyroxinu.<\/li>\n<li><strong>Warfarin<\/strong>: estrogen m\u00edrn\u011b sni\u017euje \u00fa\u010dinek warfarinu; sledujte INR.<\/li>\n<li><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong>: m\u016f\u017ee m\u00edrn\u011b zv\u00fd\u0161it hladinu estrogenu.<\/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), mimo vlhkost a p\u0159\u00edm\u00e9 sv\u011btlo. Uchov\u00e1vejte v p\u016fvodn\u00edm obalu. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Kdy bych m\u011bla za\u010d\u00edt s HRT?<\/h3>\n<p>Modern\u00ed doporu\u010den\u00ed nazna\u010duj\u00ed, \u017ee zah\u00e1jen\u00ed HRT do 10 let od n\u00e1stupu menopauzy nebo p\u0159ed 60. rokem v\u011bku (\u201cokno p\u0159\u00edle\u017eitosti\u201d) poskytuje nejlep\u0161\u00ed kardiovaskul\u00e1rn\u00ed bezpe\u010dnostn\u00ed profil. Zah\u00e1jen\u00ed HRT po 65. roce v\u011bku m\u00e1 m\u00e9n\u011b p\u0159\u00edzniv\u00fd pom\u011br rizika a p\u0159\u00ednosu, pokud p\u0159etrv\u00e1vaj\u00ed z\u00e1va\u017en\u00e9 p\u0159\u00edznaky.<\/p>\n<h3 class=\"wp-block-heading\">Pot\u0159ebuji progestin, pokud m\u00e1m d\u011blohu?<\/h3>\n<p>Ano \u2014 v\u017edy. Neprotikladan\u00fd estrogen zvy\u0161uje riziko rakoviny endometria 8\u201315\u00d7. U\u017e\u00edvejte estrogen s mikronizovan\u00fdm progesteronem (endogest, gestheal apod.), dydrogesteronem, medroxyprogesteronem nebo Mirena IUD.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho mohu u\u017e\u00edvat HRT?<\/h3>\n<p>Modern\u00ed praxe: nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e1 d\u00e1vka, nejkrat\u0161\u00ed doba \u2014 obvykle 3\u20135 let, s ro\u010dn\u00ed kontrolou. Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed je vhodn\u00e9 p\u0159i z\u00e1va\u017en\u00fdch p\u0159\u00edznac\u00edch, p\u0159ed\u010dasn\u00e9 menopauze nebo osteopor\u00f3ze; \u0159e\u0161\u00ed se individu\u00e1ln\u011b.<\/p>\n<h3 class=\"wp-block-heading\">Je HRT bezpe\u010dn\u011bj\u0161\u00ed ve form\u011b n\u00e1plasti nebo gelu ne\u017e jako tableta?<\/h3>\n<p>Transderm\u00e1ln\u00ed estrogen m\u00e1 ni\u017e\u0161\u00ed riziko VTE (\u017e\u00e1dn\u00fd efekt prvn\u00edho pr\u016fchodu j\u00e1try) a je preferov\u00e1n u \u017een s rizikov\u00fdmi faktory VTE, migr\u00e9nou nebo jatern\u00edmi probl\u00e9my. Or\u00e1ln\u00ed pod\u00e1n\u00ed je pohodln\u00e9 a dob\u0159e prostudovan\u00e9, ale nese m\u00edrn\u011b vy\u0161\u0161\u00ed riziko tromb\u00f3zy.<\/p>\n<h3 class=\"wp-block-heading\">A co bioidentick\u00e9 hormony?<\/h3>\n<p>Estradiol (molekula v Progynova) je bioidentick\u00fd. Konjugovan\u00e9 estrogeny (Premarin) nejsou striktn\u011b bioidentick\u00e9. Mikronizovan\u00fd progesteron je bioidentick\u00fd. \u201cNa m\u00edru p\u0159ipraven\u00e9 bioidentick\u00e9\u201d produkty s nestandardn\u00edmi d\u00e1vkami nemaj\u00ed prok\u00e1zanou v\u00fdhodu a \u010dasto postr\u00e1daj\u00ed kontrolu kvality \u2014 v\u011bt\u0161ina gynekologick\u00fdch spole\u010dnost\u00ed je nedoporu\u010duje.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsob\u00ed HRT rakovinu prsu?<\/h3>\n<p>Riziko z\u00e1vis\u00ed na typu a d\u00e9lce u\u017e\u00edv\u00e1n\u00ed. Pouze estrogen (\u017eeny bez d\u011blohy): \u017e\u00e1dn\u00e9 jasn\u00e9 zv\u00fd\u0161en\u00ed rizika rakoviny prsu po ~7 letech ve studii WHI. Kombinovan\u00fd estrogen-progestin: ~+8 p\u0159\u00edpad\u016f na 10 000 \u017een ro\u010dn\u011b. Riziko se vrac\u00ed na v\u00fdchoz\u00ed hodnotu do 2\u20135 let po ukon\u010den\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pom\u016f\u017ee HRT m\u00e9 n\u00e1lad\u011b nebo sp\u00e1nku?<\/h3>\n<p>\u010casto \u2014 zejm\u00e9na pokud vazomotorick\u00e9 p\u0159\u00edznaky naru\u0161uj\u00ed sp\u00e1nek nebo zp\u016fsobuj\u00ed podr\u00e1\u017ed\u011bnost. HRT nen\u00ed antidepresivum; z\u00e1va\u017en\u00e9 p\u0159\u00edznaky n\u00e1lady mohou vy\u017eadovat samostatnou l\u00e9\u010dbu.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee HRT zp\u016fsobit p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>P\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze je \u010dast\u011bji spojeno s perimenopauz\u00e1ln\u00edm p\u0159echodem samotn\u00fdm (zm\u011bny t\u011blesn\u00e9ho slo\u017een\u00ed, pokles estrogenu) ne\u017e s HRT. Modern\u00ed n\u00edzkod\u00e1vkov\u00e9 HRT je obvykle neutr\u00e1ln\u00ed z hlediska v\u00e1hy.<\/p>\n<h3 class=\"wp-block-heading\">Co m\u00e1m d\u011blat, pokud m\u00e1m vagin\u00e1ln\u00ed krv\u00e1cen\u00ed p\u0159i hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii (HRT)?<\/h3>\n<p>P\u0159i kontinu\u00e1ln\u00ed kombinovan\u00e9 HRT se o\u010dek\u00e1v\u00e1 po dobu 3\u20136 m\u011bs\u00edc\u016f. P\u0159i cyklick\u00e9 HRT je o\u010dek\u00e1v\u00e1n odb\u011brov\u00fd krv\u00e1cen\u00ed. <strong>Neo\u010dek\u00e1van\u00e9 nebo prodlou\u017een\u00e9 krv\u00e1cen\u00ed<\/strong> po 6 m\u011bs\u00edc\u00edch vy\u017eaduje klinick\u00e9 vy\u0161et\u0159en\u00ed (endometri\u00e1ln\u00ed biopsie nebo ultrazvuk) k vylou\u010den\u00ed endometri\u00e1ln\u00ed hyperplazie nebo karcinomu.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e9 jsou nehormon\u00e1ln\u00ed alternativy?<\/h3>\n<p>Pro vazomotorick\u00e9 p\u0159\u00edznaky: SSRI\/SNRI (paroxetin, venlafaxin), gabapentin, klonidin, kognitivn\u011b-behavior\u00e1ln\u00ed terapie, fezolinetant (nov\u011bj\u0161\u00ed neurokinin-3 antagonista). Pro genitourin\u00e1rn\u00ed p\u0159\u00edznaky: vagin\u00e1ln\u00ed zvlh\u010dova\u010de, lubrikanty, ospemifen. Proberte s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed produkty pro hormon\u00e1ln\u00ed a \u017eensk\u00e9 zdrav\u00ed<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/premarin\/\">Premarin (Konjugovan\u00e9 estrogeny)<\/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\/endogest\/\">Endogest (Progesteron 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gestoford\/\">Gestoford (Progesteron 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gestheal\/\">Gestheal (Progesteron 200 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-capsule\/\">Susten tobolky (Progesteron)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-injection\/\">Injekce Susten (Progesteron)<\/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> Informace maj\u00ed vzd\u011bl\u00e1vac\u00ed charakter a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. Hormon\u00e1ln\u00ed terapie nesou specifick\u00e1 rizika (rakovina prsu, VTE, mrtvice, rakovina endometria p\u0159i nepou\u017e\u00edv\u00e1n\u00ed estrogenu) \u2014 p\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli hormon\u00e1ln\u00edho l\u00e9ku se pora\u010fte s l\u00e9ka\u0159em. Individu\u00e1ln\u00ed pom\u011br rizika a p\u0159\u00ednosu z\u00e1vis\u00ed na osobn\u00ed a rodinn\u00e9 anamn\u00e9ze.<\/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>Zdrav\u00ed \u017een<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/candifem-vaginal-cream\/\">Candifem Vaginal Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/yasmin\/\">Yasmin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cb-lin\/\">Cb-Lin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gestheal\/\">Gestheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/danogen\/\">Danogen<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie<br \/>\n\u2705 Zm\u00edr\u0148uje p\u0159\u00edznaky menopauzy<br \/>\n\u2705 Prevence osteopor\u00f3zy<br \/>\n\u2705 P\u0159edepisov\u00e1no gynekology<br \/>\n\u2705 Zlep\u0161uje kvalitu \u017eivota<\/p>\n<p>Progynova obsahuje estradiol.<\/p>","protected":false},"featured_media":56925,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3519,3502],"product_tag":[3527,4201],"class_list":{"0":"post-56924","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-progynova","12":"first","13":"instock","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\/56924","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=56924"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56925"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56924"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56924"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56924"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}