{"id":5344,"count":2,"description":"Mu\u017esk\u00fd hypogonadismus je diagnostikov\u00e1n p\u0159i n\u00edzk\u00e9 hladin\u011b testosteronu \u2014 potvrzeno rann\u00edm s\u00e9rov\u00fdm testosteronem &lt; 8,0 nmol\/l alespo\u0148 ve dvou m\u011b\u0159en\u00edch, s charakteristick\u00fdmi p\u0159\u00edznaky (\u00fanava, n\u00edzk\u00e9 libido, erektiln\u00ed dysfunkce, depresivn\u00ed n\u00e1lada, \u00fabytek svalov\u00e9 hmoty, an\u00e9mie, \u00fabytek kostn\u00ed denzity). Substitu\u010dn\u00ed terapie testosteronem (TRT) obnovuje fyziologick\u00e9 hladiny a zlep\u0161uje tyto projevy. Alternativy zachov\u00e1vaj\u00edc\u00ed plodnost (klomifen\/enklomifen\/hCG) se vyh\u00fdbaj\u00ed utlumen\u00ed funkce varlat a neplodnosti zp\u016fsoben\u00e9 exogenn\u00edm testosteronem \u2014 relevantn\u00ed pro mlad\u0161\u00ed mu\u017ee, kte\u0159\u00ed si je\u0161t\u011b p\u0159ej\u00ed m\u00edt d\u011bti. Katalog Hypogonadismus na MedsBase nab\u00edz\u00ed topick\u00e9 TRT p\u0159\u00edpravky, dod\u00e1van\u00e9 spole\u010dnostmi <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>Topick\u00fd testosteronov\u00fd gel.<\/strong> Topick\u00fd 1% testosteronov\u00fd gel aplikovan\u00fd denn\u011b na \u010distou suchou poko\u017eku (ramena, horn\u00ed \u010d\u00e1st pa\u017e\u00ed, b\u0159icho) \u2014 obvykle 50\u2013100 mg gelu denn\u011b v z\u00e1vislosti na v\u00fdchoz\u00ed hladin\u011b a c\u00edlov\u00e9m s\u00e9rov\u00e9m testosteronu. Stabiln\u00ed s\u00e9rov\u00e9 hladiny jsou dosa\u017eeny za 7\u201314 dn\u00ed; minim\u00e1ln\u00ed hladina se kontroluje 2\u20134 hodiny po aplikaci nebo o 24 hodin pozd\u011bji (podle protokolu), aby se potvrdila adekv\u00e1tn\u00ed substituce. Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/androtas-gel-75gm\/\">Androtas Gel 75 g<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/androtas-gel-5gm\/\">Androtas Gel 5 g<\/a>.\n\n<strong>Pokyny pro aplikaci a bezpe\u010dnostn\u00ed opat\u0159en\u00ed.<\/strong> Aplikujte jednou denn\u011b, nechte 5\u201310 minut zaschnout, d\u016fkladn\u011b si umyjte ruce. Zakryjte m\u00edsto aplikace, abyste zabr\u00e1nili p\u0159enosu na \u017eeny nebo d\u011bti \u2014 ne\u00famysln\u00fd p\u0159enos na \u017eeny m\u016f\u017ee zp\u016fsobit virilizaci; p\u0159enos na d\u011bti m\u016f\u017ee zp\u016fsobit p\u0159ed\u010dasnou pubertu. Vyhn\u011bte se plav\u00e1n\u00ed nebo sprchov\u00e1n\u00ed po dobu 4\u20136 hodin po aplikaci.\n\n<strong>Alternativy zachov\u00e1vaj\u00edc\u00ed plodnost \u2014 viz souvisej\u00edc\u00ed kategorie.<\/strong> Mlad\u0161\u00ed mu\u017ei, kte\u0159\u00ed si je\u0161t\u011b p\u0159ej\u00ed m\u00edt d\u011bti, by m\u011bli zv\u00e1\u017eit hCG (HUCOG, Puretrig, Eutrig HP \u2014 viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/fertility-supplements-for-men\/\">Dopl\u0148ky stravy pro mu\u017eskou plodnost<\/a> kategorie) nebo klomifen\/enklomifen (Clomiford, Clomisign, Enclomisign) m\u00edsto TRT \u2014 tyto stimuluj\u00ed endogenn\u00ed produkci testosteronu bez utlumen\u00ed funkce varlat a spermatogeneze.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> TRT je vhodn\u00e9 pouze pro dokumentovan\u00fd hypogonadismus s potvrzenou n\u00edzkou hladinou testosteronu a charakteristick\u00fdmi p\u0159\u00edznaky \u2014 nikoli pro norm\u00e1ln\u00ed hladinu testosteronu s nespecifick\u00fdmi p\u0159\u00edznaky nebo pro zv\u00fd\u0161en\u00ed v\u00fdkonnosti. Z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed p\u0159ed zah\u00e1jen\u00edm: s\u00e9rov\u00fd testosteron (r\u00e1no, nala\u010dno, ide\u00e1ln\u011b opakovan\u011b v jin\u00fd den), LH\/FSH (k rozli\u0161en\u00ed prim\u00e1rn\u00edho a sekund\u00e1rn\u00edho hypogonadismu), prolaktin (vylou\u010den\u00ed prolaktinomu), PSA (v\u00fdchoz\u00ed hodnota), hematokrit (TRT zvy\u0161uje Hct \u2014 riziko polycyt\u00e9mie), DEXA scan ve vybran\u00fdch p\u0159\u00edpadech. Monitorov\u00e1n\u00ed: hladina testosteronu + Hct + PSA po 3 a 6 m\u011bs\u00edc\u00edch, pot\u00e9 ro\u010dn\u011b. Kontraindikace: karcinom prostaty (aktivn\u00ed nebo l\u00e9\u010den\u00fd v posledn\u00edch 5 letech), karcinom prsu u mu\u017e\u016f, t\u011b\u017ek\u00e1 nel\u00e9\u010den\u00e1 sp\u00e1nkov\u00e1 apnoe, nekontrolovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed, polycyt\u00e9mie (Hct &gt; 54%), pl\u00e1nov\u00e1n\u00ed otcovstv\u00ed (m\u00edsto toho pou\u017eijte hCG \/ klomifen). Sign\u00e1ly kardiovaskul\u00e1rn\u00ed bezpe\u010dnosti ze star\u0161\u00edch studi\u00ed byly uklid\u0148uj\u00edc\u00ed podle nov\u011bj\u0161\u00ed metaanal\u00fdzy \u2014 ale prodiskutujte rizika se sv\u00fdm endokrinologem.\n\nV\u0161echny produkty MedsBase pro hypogonadismus jsou odes\u00edl\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\/hypogonadism\/","name":"Hypogonadismus","slug":"hypogonadism","taxonomy":"product_cat","parent":3142,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/5344","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\/3142"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=5344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}