{"id":3521,"count":18,"description":"L\u00e9\u010dba neplodnosti vyu\u017e\u00edv\u00e1 mal\u00fd, ale specializovan\u00fd arzen\u00e1l l\u00e9k\u016f \u2014 gonadotropiny (FSH, hCG, LH), agonist\u00e9 a antagonist\u00e9 GnRH, modul\u00e1tory estrogenu (klomifen, letrozol, enclomifen), podpora progesteronu a p\u0159\u00edpravky pro mu\u017eskou plodnost. Katalog MedsBase Fertility obsahuje stejn\u00e9 molekuly pou\u017e\u00edvan\u00e9 v protokolech IVF, IUI a indukce ovulace v klinik\u00e1ch plodnosti po cel\u00e9m sv\u011bt\u011b, dod\u00e1van\u00e9 <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s vhodn\u00fdm chladic\u00edm obalem tam, kde je to vy\u017eadov\u00e1no.\n\n<strong>hCG (lidsk\u00fd choriov\u00fd gonadotropin) \u2014 trigger shoty a mu\u017esk\u00fd hypogonadismus.<\/strong> hCG napodobuje LH a pou\u017e\u00edv\u00e1 se jak jako spou\u0161t\u011b\u010d IVF\/IUI k vyvol\u00e1n\u00ed ovulace, tak u mu\u017e\u016f ke stimulaci testosteronu ve varlatech a (kde je zachov\u00e1na) spermatogenezi. M\u00e1me skladem <strong>HUCOG<\/strong> 5000 IU a 10000 IU (Bharat Serums), <strong>Puretrig<\/strong> 5000 IU, <strong>Eutrig HP<\/strong> 5000 IU, a <strong>ZyHCG HP<\/strong> 10000 IU. Na\u010dasov\u00e1n\u00ed spou\u0161t\u011b\u010de je specifick\u00e9 pro protokol (obvykle 36 hodin p\u0159ed odb\u011brem vaj\u00ed\u010dek u IVF); d\u00e1vkov\u00e1n\u00ed u mu\u017esk\u00e9 hypogonadismu je samostatn\u00fd protokol s ni\u017e\u0161\u00ed frekvenc\u00ed.\n\n<strong>FSH a gonadotropiny pro ovari\u00e1ln\u00ed stimulaci.<\/strong> Rekombinantn\u00ed nebo mo\u010dov\u00fd FSH stimuluje v\u00fdvoj antraln\u00edch folikul\u016f pro IVF nebo IUI cykly. <strong>Qualifol<\/strong> 75 IU (rekombinantn\u00ed FSH) je skladem pro stimula\u010dn\u00ed f\u00e1zi. Zvy\u0161ov\u00e1n\u00ed d\u00e1vky je monitorov\u00e1no pomoc\u00ed s\u00e9riov\u00e9ho ultrazvuku a hladin estradiolu pod dohledem reproduk\u010dn\u00ed endokrinologie.\n\n<strong>Indukce ovulace \u2014 klomifen a enklomifen.<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/fertility-supplements-for-women\/\">Klomifen citr\u00e1t<\/a> z\u016fst\u00e1v\u00e1 prvn\u00ed lini\u00ed l\u00e9\u010dby anovula\u010dn\u00ed neplodnosti (PCOS, hypotalamick\u00e1 dysfunkce). Sortiment Clomiford zahrnuje standardn\u00ed 50 mg tabletu pro 5denn\u00ed l\u00e9\u010debn\u00e9 cykly. Enclomiphene (aktivn\u00ed enantiomer s \u010dist\u0161\u00edm profilem vedlej\u0161\u00edch \u00fa\u010dink\u016f, st\u00e1le \u010dast\u011bji pou\u017e\u00edvan\u00fd u mu\u017esk\u00e9ho hypogonadismu pro zachov\u00e1n\u00ed plodnosti) je k dispozici jako <strong>Enclomisign<\/strong>. Letrozole (inhibitor aromat\u00e1zy s lep\u0161\u00edmi daty o \u017eiv\u011b narozen\u00fdch ne\u017e clomiphene u PCOS \u2014 Legro 2014 NEJM) je skladem v onkologick\u00e9 sekci pro off-label fertilitu.\n\n<strong>Mu\u017esk\u00e1 plodnost a funkce varlat.<\/strong> Idiopatick\u00e1 neplodnost mu\u017esk\u00e9ho faktoru m\u016f\u017ee reagovat na zm\u011bnu \u017eivotn\u00edho stylu, antioxida\u010dn\u00ed suplementaci, clomiphene \/ enclomiphene nebo hCG. <a href=\"https:\/\/medsbase.com\/cs\/fertility-supplements-for-men\/\">Dopl\u0148ky stravy pro mu\u017eskou plodnost<\/a> nab\u00edz\u00ed koenzym Q10, L-karnitin, kombinace zinku + selenu a dal\u0161\u00ed antioxida\u010dn\u00ed dopl\u0148ky, u kter\u00fdch bylo v metaanal\u00fdze prok\u00e1z\u00e1no m\u00edrn\u00e9 zlep\u0161en\u00ed parametr\u016f spermi\u00ed. P\u0159\u00edpady azoospermie, t\u011b\u017ek\u00e9 oligospermie, retrogr\u00e1dn\u00ed ejakulace nebo anatomick\u00e9 obstrukce vy\u017eaduj\u00ed urologick\u00e9 vy\u0161et\u0159en\u00ed sp\u00ed\u0161e ne\u017e empirickou suplementaci.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> L\u00e9ky na plodnost vy\u017eaduj\u00ed l\u00e9\u010debn\u00fd protokol navr\u017een\u00fd reproduk\u010dn\u00edm endokrinologem nebo specialistou na plodnost \u2014 na\u010dasov\u00e1n\u00ed, d\u00e1vkov\u00e1n\u00ed, monitorov\u00e1n\u00ed (ultrazvuk + krevn\u00ed testy) a \u0159\u00edzen\u00ed rizik (syndrom hyperstimulace vaje\u010dn\u00edk\u016f, mnoho\u010detn\u00e9 t\u011bhotenstv\u00ed) jsou kl\u00ed\u010dov\u00e9 pro bezpe\u010dnost a \u00fasp\u011bch. Samostatn\u011b pod\u00e1van\u00e9 protokoly bez monitorov\u00e1n\u00ed nejsou bezpe\u010dn\u00e9. Dod\u00e1v\u00e1me l\u00e9ky; klinick\u00fd protokol mus\u00ed poch\u00e1zet od va\u0161eho specialisty na plodnost. D\u016fle\u017eit\u00e1 je manipulace s biologick\u00fdmi gonadotropiny v chladn\u00e9m \u0159et\u011bzci \u2014 po obdr\u017een\u00ed uchov\u00e1vejte v chladni\u010dce a dodr\u017eujte \u00fadaje o stabilit\u011b konkr\u00e9tn\u00edho produktu.\n\nV\u0161echny produkty Fertility od MedsBase jsou expedov\u00e1ny z <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a manipulac\u00ed odpov\u00eddaj\u00edc\u00ed chladov\u00e9mu \u0159et\u011bzci, 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\/fertility\/","name":"Plodnost","slug":"fertility","taxonomy":"product_cat","parent":3141,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3521","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\/3141"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}