{"id":3530,"count":12,"description":"Modern\u00ed kombinovan\u00e9 peror\u00e1ln\u00ed antikoncep\u010dn\u00ed pilulky (COCP) a \u010dist\u011b gestagenn\u00ed pilulky (POP) poskytuj\u00ed p\u0159i pravideln\u00e9m denn\u00edm u\u017e\u00edv\u00e1n\u00ed \u00fa\u010dinnost p\u0159es 99 %. Katalog alternativn\u00ed antikoncepce MedsBase obsahuje hlavn\u00ed zna\u010dky COCP a POP v\u010detn\u011b postkoit\u00e1ln\u00ed antikoncepce. (Viz tak\u00e9 na\u0161e Antikoncep\u010dn\u00ed pilulky<\/a> podkategorie.) V\u0161echny produkty dod\u00e1v\u00e1 WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\nKombinovan\u00e9 peror\u00e1ln\u00ed antikoncep\u010dn\u00ed pilulky (COCP).<\/strong> COCP kombinuj\u00ed ethinylestradiol (estrogen) s gestagenem, poskytuj\u00ed spolehlivou antikoncepci a p\u0159in\u00e1\u0161ej\u00ed v\u00fdhody jako slab\u0161\u00ed menstruace, pravideln\u00e9 cykly, sn\u00ed\u017een\u00ed akn\u00e9, ni\u017e\u0161\u00ed riziko rakoviny vaje\u010dn\u00edk\u016f a endometria a p\u0159ijateln\u00fd bezpe\u010dnostn\u00ed profil u mlad\u00fdch zdrav\u00fdch neku\u0159a\u010dek. Zna\u010dky podle typu gestagenu: Na b\u00e1zi levonorgestrelu (nej\u010dist\u0161\u00ed kardiovaskul\u00e1rn\u00ed profil, m\u00edrn\u011b vy\u0161\u0161\u00ed androgenn\u00ed \u00fa\u010dinky) \u2014 Loette<\/a> (n\u00edzk\u00e1 d\u00e1vka 20 mcg EE), Ovral-L<\/a> (30 mcg EE), Ovral G<\/a> (50 mcg EE \u2014 star\u0161\u00ed vysokod\u00e1vkovan\u00e1 varianta), Duoluton L<\/a>, Triquilar<\/a> (t\u0159\u00edf\u00e1zov\u00fd). Na b\u00e1zi drospirenonu (anti-mineralokortikoidn\u00ed, m\u016f\u017ee pomoci s nad\u00fdm\u00e1n\u00edm a PMS, ale m\u00edrn\u011b vy\u0161\u0161\u00ed riziko VTE) \u2014 Yaz<\/a> a Yasmin<\/a>. Na b\u00e1zi desogestrelu (ni\u017e\u0161\u00ed androgenn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky) \u2014 Femilon<\/a>.\n\nProgestogen-only pills (POPs \/ \"mini-pill\").<\/strong> POP se vyh\u00fdbaj\u00ed estrogenu a jsou vhodn\u00e9 pro \u017eeny, kter\u00e9 nemohou u\u017e\u00edvat estrogen (ku\u0159a\u010dky nad 35 let, koj\u00edc\u00ed, migr\u00e9na s aurou, anamn\u00e9za VTE nebo c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody, hypertenze). Modern\u00ed POP s desogestrelem udr\u017euj\u00ed potla\u010den\u00ed ovulace a maj\u00ed 12hodinov\u00e9 okno pro vynechanou pilulku (ve srovn\u00e1n\u00ed se 3 hodinami u star\u0161\u00edch POP s norethisteronem). Skladem jako Cerazette<\/a> (desogestrel 75 mcg).\n\nNouzov\u00e1 antikoncepce.<\/strong> Levonorgestrel 1,5 mg v jednor\u00e1zov\u00e9 tablet\u011b je nejpou\u017e\u00edvan\u011bj\u0161\u00ed nouzovou antikoncepc\u00ed na sv\u011bt\u011b \u2014 nej\u00fa\u010dinn\u011bj\u0161\u00ed do 12 hodin po nechr\u00e1n\u011bn\u00e9m pohlavn\u00edm styku, m\u00e9n\u011b \u00fa\u010dinn\u00e1 po 72 hodin\u00e1ch. Skladem jako i-pill<\/a> a Postpone 72<\/a>. Viz tak\u00e9 na\u0161e specializovan\u00e1 Pilulka po pohlavn\u00edm styku<\/a> kategorie.\n\nJak vybrat.<\/strong> Prvotn\u00ed u\u017eivatelka COCP bez rizikov\u00fdch faktor\u016f \u2192 standardn\u00ed n\u00edzkod\u00e1vkovan\u00fd levonorgestrel + ethinylestradiol (Loette, Ovral-L). Nad\u00fdm\u00e1n\u00ed, PMS, akn\u00e9 \u2192 na b\u00e1zi drospirenonu (Yaz, Yasmin). Nesn\u00e1\u0161enlivost estrogenu (ku\u0159a\u010dka nad 35 let, migr\u00e9na s aurou, anamn\u00e9za VTE, kojen\u00ed) \u2192 POP s desogestrelem (Cerazette). Zapomenut\u00e1 pilulka do 72 hodin \u2192 nouzov\u00e1 antikoncepce (i-pill, Postpone 72), pot\u00e9 pokra\u010dovat v pravideln\u00e9m u\u017e\u00edv\u00e1n\u00ed podle p\u0159\u00edbalov\u00e9ho let\u00e1ku.\n\nD\u016fle\u017eit\u00e9.<\/strong> COCPs raise VTE risk by approximately 2\u20134\u00d7 over baseline (still small in absolute terms \u2014 around 5\u201312 events per 10,000 woman-years). Risk factors that increase VTE further: smoking over age 35, BMI > 35, family history of unprovoked VTE, prolonged immobility, recent surgery, hypertension. Migraine with aura is an absolute contraindication to COCPs (stroke risk). Antibiotics (apart from rifampicin \/ rifabutin) do not significantly reduce COCP efficacy in modern guidance, but St John's wort and several anticonvulsants do. Missed-pill rules vary by formulation \u2014 read the patient information leaflet supplied with each pack.\n\nAll MedsBase Alternative Contraceptives ship from WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/alternative-contraceptives\/","name":"Alternativn\u00ed antikoncepce","slug":"alternative-contraceptives","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3530","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=3530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}