{"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 (p\u016fvodn\u00ed konjugovan\u00fd estrogen z\u00edskan\u00fd z mo\u010di b\u0159ez\u00edch klisen \u2014 nejl\u00e9pe prostudovan\u00fd p\u0159\u00edpravek HRT) je skladov\u00e1n jako <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> Kontraindikace HRT: anamn\u00e9za karcinomu prsu nebo endometria, nevysv\u011btlen\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed, aktivn\u00ed VTE, t\u011b\u017ek\u00e9 jatern\u00ed onemocn\u011bn\u00ed, ned\u00e1vn\u00e1 CMP nebo IM. Nutn\u00e1 konzultace rizik s praktick\u00fdm l\u00e9ka\u0159em nebo specialistou na menopauzu \u2014 sou\u010dasn\u00e9 d\u016fkazy podporuj\u00ed u\u017e\u00edv\u00e1n\u00ed HRT jako \u010dist\u00fd p\u0159\u00ednos pro symptomatick\u00e9 \u017eeny za\u010d\u00ednaj\u00edc\u00ed do 10 let od menopauzy, s ro\u010dn\u00edm p\u0159ehodnocen\u00edm rizik a p\u0159\u00ednos\u016f. Riziko karcinomu prsu je v absolutn\u00edch \u010d\u00edslech mal\u00e9 (p\u0159ibli\u017en\u011b 1 p\u0159\u00edpad nav\u00edc na 1 000 \u017een ro\u010dn\u011b p\u0159i u\u017e\u00edv\u00e1n\u00ed kombinovan\u00e9 HRT po dobu &lt; 5 let).\n\nV\u0161echny produkty HRT od MedsBase jsou expedov\u00e1ny z <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}]}}