{"id":3519,"count":15,"description":"Hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie (HRT) nahrazuje ub\u00fdvaj\u00edc\u00ed estrogen vaje\u010dn\u00edk\u016f \u2014 a p\u0159id\u00e1v\u00e1 progestogen u \u017een s neporu\u0161enou d\u011blohou k ochran\u011b endometria \u2014 k \u0159e\u0161en\u00ed menopauz\u00e1ln\u00edch p\u0159\u00edznak\u016f (n\u00e1valy horka, no\u010dn\u00ed pocen\u00ed, vagin\u00e1ln\u00ed atrofie, n\u00e1lada, sp\u00e1nek) a ke sn\u00ed\u017een\u00ed dlouhodob\u00e9 ztr\u00e1ty kostn\u00ed hustoty po menopauze. Modern\u00ed doporu\u010den\u00ed podporuj\u00ed pou\u017eit\u00ed HRT do 10 let od menopauzy u symptomatick\u00fdch \u017een bez kontraindikac\u00ed. Katalog HRT p\u0159\u00edpravk\u016f MedsBase obsahuje peror\u00e1ln\u00ed, topick\u00e9 a pouze progestogenn\u00ed mo\u017enosti dod\u00e1van\u00e9 spole\u010dnostmi <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>Peror\u00e1ln\u00ed konjugovan\u00e9 ko\u0148sk\u00e9 estrogeny.<\/strong> Premarin (the original conjugated oestrogen extracted from pregnant mare's urine \u2014 the most-studied HRT preparation) is stocked as <a href=\"https:\/\/medsbase.com\/cs\/premarin\/\">Premarin<\/a> peror\u00e1ln\u00ed tablety a <a href=\"https:\/\/medsbase.com\/cs\/premarin-cream\/\">Premarin kr\u00e9m<\/a> pro vagin\u00e1ln\u00ed atrofii. Premarin p\u016fsob\u00ed na v\u00edce podtyp\u016f estrogenov\u00fdch receptor\u016f; peror\u00e1ln\u00ed forma vy\u017eaduje kombinaci s progestogenem u \u017een s neporu\u0161enou d\u011blohou.\n\n<strong>Estradiol valer\u00e1t.<\/strong> \u010cist\u00fd estradiol (bioidentick\u00fd s p\u0159irozen\u00fdm estrogenem) v d\u00e1vce 1 mg nebo 2 mg denn\u011b peror\u00e1ln\u011b, dostupn\u00fd tak\u00e9 jako transderm\u00e1ln\u00ed gel a n\u00e1plast. Peror\u00e1ln\u00ed estradiol valer\u00e1t jako <a href=\"https:\/\/medsbase.com\/cs\/progynova\/\">Progynova<\/a>. Transderm\u00e1ln\u00ed varianty (Oestrogel) obch\u00e1zej\u00ed jatern\u00ed metabolismus prvn\u00edho pr\u016fchodu \u2014 vhodn\u00e9 pro \u017eeny s hypertriglyceridemi\u00ed, onemocn\u011bn\u00edm \u017elu\u010dn\u00edku nebo migr\u00e9nou s aurou, kde je peror\u00e1ln\u00ed estrogen kontraindikov\u00e1n.\n\n<strong>Tibolon \u2014 jednoduch\u00e1 alternativn\u00ed tableta.<\/strong> Tibolon 2,5 mg je syntetick\u00fd steroid se slabou estrogenn\u00ed, progestogenn\u00ed a androgenn\u00ed aktivitou v jedn\u00e9 denn\u00ed tablet\u011b \u2014 vhodn\u00fd pro postmenopauz\u00e1ln\u00ed \u017eeny, kter\u00e9 cht\u011bj\u00ed kontrolu p\u0159\u00edznak\u016f bez samostatn\u00e9ho progestogenu, a m\u016f\u017ee zlep\u0161it libido d\u00edky sv\u00e9mu androgenn\u00edmu \u00fa\u010dinku. Skladov\u00e1n jako <a href=\"https:\/\/medsbase.com\/cs\/livial\/\">Livial<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/tibofem\/\">Tibofem<\/a>.\n\n<strong>Progesteron a progestogeny \u2014 pro ochranu endometria nebo jako dopln\u011bk k HRT.<\/strong> Mikronizovan\u00fd p\u0159\u00edrodn\u00ed progesteron je preferovan\u00fdm progestogenem v modern\u00ed HRT (\u010dist\u0161\u00ed profil ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a p\u0159\u00edzniv\u011bj\u0161\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky ne\u017e star\u0161\u00ed syntetick\u00e9 progestogeny). Skladov\u00e1n jako <a href=\"https:\/\/medsbase.com\/cs\/susten-capsule\/\">Susten Capsule<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/endogest\/\">Endogest<\/a>. Syntetick\u00e9 progestogeny pro cyklickou nebo kontinu\u00e1ln\u00ed kombinovanou HRT zahrnuj\u00ed dydrogesteron (<a href=\"https:\/\/medsbase.com\/cs\/gestoford\/\">Gestoford<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/gestheal\/\">Gestheal<\/a>) a medroxyprogesteron (Meprate).\n\n<strong>Selektivn\u00ed modul\u00e1tor estrogenov\u00e9ho receptoru (SERM).<\/strong> Raloxifen 60 mg (estrogenn\u00ed \u00fa\u010dinek na kosti, antiestrogenn\u00ed na prs a endometrium) je alternativou pro prevenci postmenopauz\u00e1ln\u00ed osteopor\u00f3zy u \u017een, kter\u00e9 nemohou nebo necht\u011bj\u00ed plnou hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii (HRT) \u2014 a sni\u017euje incidenci invazivn\u00edho karcinomu prsu v studi\u00edch MORE\/STAR. Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/raloxiheal\/\">Raloxiheal<\/a>. Nese varov\u00e1n\u00ed ohledn\u011b VTE podobn\u011b jako estrogen.\n\n<strong>Pomocn\u00e9 p\u0159\u00edpravky.<\/strong> Kabergolin (dopaminov\u00fd agonista, ob\u010das pou\u017e\u00edvan\u00fd pro p\u0159\u00edznaky menopauzy zprost\u0159edkovan\u00e9 prolaktinem) jako <a href=\"https:\/\/medsbase.com\/cs\/cabgolin\/\">Cabgolin<\/a>. Shatavari (Asparagus racemosus \u2014 \u00e1jurv\u00e9dsk\u00fd pomocn\u00fd p\u0159\u00edpravek pro p\u0159\u00edznaky menopauzy) jako <a href=\"https:\/\/medsbase.com\/cs\/shatavari\/\">Shatavari<\/a>.\n\n<strong>Jak vybrat.<\/strong> N\u00e1valy horka\/no\u010dn\u00ed pocen\u00ed\/vagin\u00e1ln\u00ed atrofie s d\u011blohou \u2192 cyklick\u00e1 nebo kontinu\u00e1ln\u00ed kombinovan\u00e1 estrogenov\u00e1 + progestogenn\u00ed terapie. Hysterektomie \u2192 monoterapie estrogenem. Pouze vagin\u00e1ln\u00ed atrofie \u2192 lok\u00e1ln\u00ed\/vagin\u00e1ln\u00ed estrogen (Premarin kr\u00e9m, Oestrogel). Pot\u0159eba jednoduch\u00e9 tablety s androgenn\u00edm \u00fa\u010dinkem \u2192 tibolon. Nelze u\u017e\u00edvat estrogen, ale pot\u0159ebuje ochranu kost\u00ed \u2192 raloxifen. Migr\u00e9na s aurou, hypertriglyceridemie, onemocn\u011bn\u00ed \u017elu\u010dn\u00edku \u2192 transderm\u00e1ln\u00ed estrogen sp\u00ed\u0161e ne\u017e peror\u00e1ln\u00ed.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> HRT contraindications: history of breast or endometrial cancer, undiagnosed vaginal bleeding, active VTE, severe liver disease, recent stroke or MI, pregnancy. Risk discussion with your GP or menopause specialist is essential \u2014 current evidence supports HRT use as net-benefit for symptomatic women starting within 10 years of menopause, with risk-benefit reassessment annually. Breast cancer risk is small in absolute terms (around 1 extra case per 1,000 women per year on combined HRT for &lt; 5 years).\n\nAll MedsBase HRT products ship from <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/hormone-replacement-therapy-hrt-medication-for-menopause\/","name":"Hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie (HRT) pro menopauzu","slug":"hormone-replacement-therapy-hrt-medication-for-menopause","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}