{"id":3547,"count":1,"description":"Syndrom polycystick\u00fdch ovari\u00ed (PCOS) je nej\u010dast\u011bj\u0161\u00ed endokrinn\u00ed poruchou u \u017een v reproduk\u010dn\u00edm v\u011bku, charakterizovanou oligo-\/anovulac\u00ed, hyperandrogenismem (akn\u00e9, hirsutismus) a polycystick\u00fdm vzhledem vaje\u010dn\u00edk\u016f na ultrazvuku. Modern\u00ed l\u00e9\u010dba c\u00edl\u00ed na dominantn\u00ed klinick\u00fd probl\u00e9m \u2014 regulaci cyklu, plodnost, hirsutismus\/akn\u00e9, inzulinovou rezistenci\/metabolick\u00e9 riziko \u2014 s r\u016fzn\u00fdmi l\u00e9ky pro r\u016fzn\u00e9 c\u00edle.\n\n<strong>Skladem.<\/strong> Medroxyprogesteron (peror\u00e1ln\u00ed progestagen pro regulaci cyklu u \u017een, kter\u00e9 nepl\u00e1nuj\u00ed antikoncepci ani t\u011bhotenstv\u00ed \u2014 obvykle 10 mg denn\u011b po 10\u201314 dn\u00ed na za\u010d\u00e1tku ka\u017ed\u00e9ho cyklu k vyvol\u00e1n\u00ed menstrua\u010dn\u00edho krv\u00e1cen\u00ed ka\u017ed\u00e9 1\u20133 m\u011bs\u00edce a ochran\u011b endometria p\u0159ed nekontrolovan\u00fdm \u00fa\u010dinkem estrogenu) je skladem jako <a href=\"https:\/\/medsbase.com\/cs\/deviry\/\">Deviry<\/a>.\n\n<strong>Pro dal\u0161\u00ed c\u00edle l\u00e9\u010dby PCOS \u2014 viz souvisej\u00edc\u00ed kategorie.<\/strong> Kombinovan\u00e9 peror\u00e1ln\u00ed antikoncep\u010dn\u00ed pilulky (COCPs) pro regulaci cyklu + akn\u00e9 \/ hirsutismus + antikoncepci \u2192 <a href=\"https:\/\/medsbase.com\/cs\/contraceptive-pill-the-pill\/\">Antikoncep\u010dn\u00ed pilulky<\/a> (pilulky na b\u00e1zi drospirenonu jako Yaz nebo Yasmin jako prvn\u00ed volba; Diane 35 obsahuj\u00edc\u00ed cyproteron-acet\u00e1t pro st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 akn\u00e9 \/ hirsutismus). Metformin pro inzulinovou rezistenci + regulaci cyklu + m\u00edrn\u00fd \u00fa\u010dinek na hmotnost \u2192 <a href=\"https:\/\/medsbase.com\/cs\/diabetes-medication\/\">L\u00e9ky na diabetes<\/a>. Antiandrogeny (spironolakton, cyproteron) pro hirsutismus \u2014 konzultujte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em. Indukce ovulace pro neplodnost p\u0159i PCOS (klomifen, letrozol, gonadotropiny) \u2192 <a href=\"https:\/\/medsbase.com\/cs\/fertility-supplements-for-women\/\">Dopl\u0148ky stravy pro \u017eenskou plodnost<\/a>. Lok\u00e1ln\u00ed l\u00e9\u010dba akn\u00e9 \u2192 <a href=\"https:\/\/medsbase.com\/cs\/acne-treatment\/\">L\u00e9\u010dba akn\u00e9<\/a>.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> PCOS is a clinical diagnosis (Rotterdam criteria \u2014 2 of 3: oligo-\/anovulation, hyperandrogenism, polycystic ovaries) \u2014 exclude pregnancy, thyroid dysfunction, hyperprolactinaemia, congenital adrenal hyperplasia, Cushing's syndrome before diagnosis. Long-term cardiovascular and metabolic risk (type 2 diabetes, hypertension, sleep apnoea, NAFLD, endometrial cancer) is increased \u2014 annual review of weight, BP, lipids, HbA1c recommended. Weight loss of 5\u201310% (where applicable) restores ovulation in many women. Endometrial protection (regular withdrawal bleeds at least every 3 months) matters in women with prolonged amenorrhoea. All MedsBase 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\/pcos-treatment\/","name":"L\u00e9\u010dba PCOS","slug":"pcos-treatment","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3547","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=3547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}