{"id":3538,"count":1,"description":"<strong>L\u00e9\u010dba vagin\u00e1ln\u00ed suchosti<\/strong> pokr\u00fdv\u00e1 <em>genitourin\u00e1rn\u00ed syndrom menopauzy<\/em> (GSM, d\u0159\u00edve naz\u00fdvan\u00fd vulvovagin\u00e1ln\u00ed atrofie) \u2014 zten\u010den\u00ed, vysu\u0161en\u00ed a z\u00e1n\u011bt vagin\u00e1ln\u00edch st\u011bn zp\u016fsoben\u00fd poklesem estrogenu po menopauze, l\u00e9\u010db\u011b rakoviny prsu nebo chirurgick\u00e9m odstran\u011bn\u00ed vaje\u010dn\u00edk\u016f. Mezi p\u0159\u00edznaky pat\u0159\u00ed p\u00e1len\u00ed, sv\u011bd\u011bn\u00ed, dyspareunie (bolest p\u0159i pohlavn\u00edm styku), opakovan\u00e9 infekce mo\u010dov\u00fdch cest, urgentn\u00ed mo\u010den\u00ed a krv\u00e1cen\u00ed po styku. Jedn\u00e1 se o <strong>fyziologickou zm\u011bnu tk\u00e1n\u011b<\/strong>, odli\u0161nou od poruch touhy nebo vzru\u0161en\u00ed. L\u00e9\u010dbou prvn\u00ed volby je lok\u00e1ln\u00ed (vagin\u00e1ln\u00ed) n\u00edzkod\u00e1vkovan\u00fd estrogen.\n\n<strong>Evalon kr\u00e9m<\/strong> (<a href=\"https:\/\/medsbase.com\/cs\/evalon-cream\/\">estriol 1 mg\/g vagin\u00e1ln\u00ed kr\u00e9m<\/a>) je kl\u00ed\u010dov\u00fdm produktem. Estriol je nejslab\u0161\u00ed ze t\u0159\u00ed p\u0159irozen\u00fdch estrogen\u016f a pro lok\u00e1ln\u00ed terapii je preferov\u00e1n, proto\u017ee syst\u00e9mov\u00e1 absorpce je minim\u00e1ln\u00ed \u2014 zvy\u0161uje s\u00e9rov\u00fd estradiol pouze nepatrn\u011b, tak\u017ee obavy spojen\u00e9 se syst\u00e9movou HRT ohledn\u011b rakoviny prsu a endometria se p\u0159i typick\u00fdch d\u00e1vk\u00e1ch nevztahuj\u00ed. <strong>15\u201330 minut<\/strong> m\u00edrn\u00e9 zlep\u0161en\u00ed za 2-3 t\u00fddny, pln\u00fd \u00fa\u010dinek za 8-12 t\u00fddn\u016f. <strong>D\u00e1vkov\u00e1n\u00ed:<\/strong> 0,5 g intravagin\u00e1ln\u011b p\u0159ed span\u00edm denn\u011b po dobu 2-4 t\u00fddn\u016f (indukce), pot\u00e9 2-3kr\u00e1t t\u00fddn\u011b (udr\u017eovac\u00ed l\u00e9\u010dba). P\u0159i dyspareunii je u\u017eite\u010dn\u00e9 nan\u00e9st tenkou vrstvu tak\u00e9 na vestibulum vulvy. Pokra\u010dujte neomezen\u011b dlouho \u2014 p\u0159\u00edznaky se vr\u00e1t\u00ed b\u011bhem t\u00fddn\u016f po vysazen\u00ed.\n\n<strong>Co to nen\u00ed.<\/strong> Evalon Cream nezvy\u0161uje libido, ne\u0159e\u0161\u00ed poruchy vzru\u0161en\u00ed a nel\u00e9\u010d\u00ed psychogenn\u00ed dyspareunii. L\u00e9\u010d\u00ed fyzickou tk\u00e1\u0148 (zvlh\u010den\u00ed, elasticita, normalizace pH, obnova zdrav\u00e9 vagin\u00e1ln\u00ed fl\u00f3ry). Pro n\u00edzkou touhu nebo poruchy vzru\u0161en\u00ed nav\u0161tivte na\u0161e <a href=\"\/cs\/female-sexual-dysfunction\/\">\u017densk\u00e1 sexu\u00e1ln\u00ed dysfunkce<\/a> kategorie.\n\n<strong>Dopl\u0148ky, kter\u00e9 dopl\u0148uj\u00ed Evalon Cream.<\/strong> Nehormon\u00e1ln\u00ed vagin\u00e1ln\u00ed zvlh\u010dova\u010de (Replens, Hyalo Gyn \u2014 aplikujte 2-3\u00d7 t\u00fddn\u011b) pro ka\u017edodenn\u00ed pohodl\u00ed. Silikonov\u00e9 lubrikanty pro pohlavn\u00ed styk (vodn\u00ed pro pou\u017eit\u00ed s kondomy). Terapie vagin\u00e1ln\u00edmi dilat\u00e1tory, pokud se vyvinula ztuhlost p\u00e1nevn\u00edho dna nebo vstupu do pochvy. Fyzioterapie p\u00e1nevn\u00edho dna.\n\n<strong>Bezpe\u010dnost a kontraindikace.<\/strong> Vyhn\u011bte se pou\u017eit\u00ed p\u0159i aktivn\u00edm hormon-receptor-pozitivn\u00edm karcinomu prsu, pokud to neschv\u00e1l\u00ed onkolog. Opatrnost p\u0159i nevysv\u011btlen\u00e9m vagin\u00e1ln\u00edm krv\u00e1cen\u00ed (nejprve vy\u0161et\u0159it), t\u011b\u017ek\u00e9m onemocn\u011bn\u00ed jater, anamn\u00e9ze estrogen-senzitivn\u00edch n\u00e1dor\u016f. T\u011bhotenstv\u00ed je kontraindikac\u00ed (tento produkt je ur\u010den pro postmenopauz\u00e1ln\u00ed \u017eeny). P\u0159i jak\u00e9koli estrogenn\u00ed terapii je vhodn\u00e1 ro\u010dn\u00ed gynekologick\u00e1 kontrola.\n\n<strong>Pro\u010d objedn\u00e1vat z MedsBase.<\/strong> WHO-GMP certifikovan\u00fd indick\u00fd generick\u00fd l\u00e9k za zlomek ceny zna\u010dkov\u00fdch produkt\u016f z UK\/US. Diskr\u00e9tn\u00ed balen\u00ed, celosv\u011btov\u00e1 doprava, ka\u017ed\u00e1 objedn\u00e1vka kryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.  V\u00edce ne\u017e 1 400+ z\u00e1kazn\u00edk\u016f obslou\u017eeno.","link":"https:\/\/medsbase.com\/cs\/vaginal-dryness-treatment\/","name":"L\u00e9\u010dba vagin\u00e1ln\u00ed suchosti","slug":"vaginal-dryness-treatment","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3538","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=3538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}