{"id":5895,"count":2,"description":"<strong>\u017densk\u00e1 sexu\u00e1ln\u00ed dysfunkce (FSD)<\/strong> je zast\u0159e\u0161uj\u00edc\u00ed term\u00edn zahrnuj\u00edc\u00ed n\u00edzkou sexu\u00e1ln\u00ed touhu (hypoaktivn\u00ed porucha sexu\u00e1ln\u00ed touhy, HSDD), poruchy vzru\u0161en\u00ed (sn\u00ed\u017een\u00e1 lubrikace, omezen\u00e1 fyzick\u00e1 reakce navzdory ment\u00e1ln\u00edmu z\u00e1jmu), obt\u00ed\u017ee s orgasmem a bolestiv\u00e9 poruchy. Klinick\u00fd obraz je heterogenn\u00ed a d\u016fkazn\u00ed z\u00e1kladna pro farmakoterapii je mnohem slab\u0161\u00ed ne\u017e u mu\u017esk\u00e9 erektiln\u00ed dysfunkce. <strong>Toto NEN\u00cd vagin\u00e1ln\u00ed suchost zp\u016fsoben\u00e1 menopauzou<\/strong> \u2014 pro tuto fyzickou zm\u011bnu tk\u00e1n\u011b viz na\u0161e <a href=\"\/cs\/vaginal-dryness-treatment\/\">L\u00e9\u010dba vagin\u00e1ln\u00ed suchosti<\/a> kategorie.\n\n<strong>Co m\u00e1me skladem.<\/strong> Dva inhibitory PDE5 uv\u00e1d\u011bn\u00e9 na trh pro off-label pou\u017eit\u00ed u \u017eensk\u00e9 poruchy vzru\u0161en\u00ed:\n\n<a href=\"https:\/\/medsbase.com\/cs\/cenforce-fm\/\">Cenforce FM (sildenafil 100 mg)<\/a> \u2014 Centurion Laboratories. Inhibice PDE5 zvy\u0161uje vazokongesci ve vagin\u00e1ln\u00ed a klitorid\u00e1ln\u00ed tk\u00e1ni, co\u017e m\u016f\u017ee u n\u011bkter\u00fdch \u017een zlep\u0161it lubrikaci a pocity souvisej\u00edc\u00ed se vzru\u0161en\u00edm.\n<a href=\"https:\/\/medsbase.com\/cs\/femalefil\/\">Femalefil (tadalafil 10 mg)<\/a> \u2014 stejn\u00fd mechanismus s del\u0161\u00edm \u00fa\u010dinkem tadalafilu.\n\n\n<strong>D\u016fle\u017eit\u00e9 upozorn\u011bn\u00ed.<\/strong> Klinick\u00e9 d\u016fkazy pro PDE5 inhibitory u \u017een jsou sm\u00ed\u0161en\u00e9. Studie prok\u00e1zaly p\u0159\u00ednos u n\u011bkter\u00fdch podskupin (\u017eeny s poruchou vzru\u0161en\u00ed po l\u00e9\u010db\u011b SSRI, \u017eeny s autonomn\u00ed neuropati\u00ed, postmenopauz\u00e1ln\u00ed \u017eeny se st\u00ed\u017enostmi na vzru\u0161en\u00ed), ale ani sildenafil ani tadalafil nejsou schv\u00e1leny FDA pro FSD v obecn\u00e9 populaci. Pou\u017eit\u00ed je skute\u010dn\u011b mimo indikaci. Nezv\u00fd\u0161\u00ed touhu \u2014 ovliv\u0148uj\u00ed pouze fyzick\u00e9 vzru\u0161en\u00ed. Pokud je v\u00e1\u0161 hlavn\u00ed probl\u00e9m n\u00edzk\u00e9 libido, PDE5 inhibitory pravd\u011bpodobn\u011b nepomohou.\n\n<strong>FDA-schv\u00e1len\u00e9 alternativy, kter\u00e9 nenab\u00edz\u00edme.<\/strong> Flibanserin (Addyi) a bremelanotid (Vyleesi) jsou schv\u00e1leny v USA pro premenopauz\u00e1ln\u00ed HSDD. Ani jeden z nich moment\u00e1ln\u011b nem\u00e1me skladem na MedsBase. Pokud trp\u00edte konkr\u00e9tn\u011b HSDD, doporu\u010dujeme poradit se s odborn\u00edkem na \u017eensk\u00e9 zdrav\u00ed ohledn\u011b t\u011bchto mo\u017enost\u00ed.\n\n<strong>Jak za\u010d\u00edt (pokud je to vhodn\u00e9).<\/strong> Jedna d\u00e1vka 25-50 mg sildenafilu nebo 5-10 mg tadalafilu 30-60 minut p\u0159ed sexu\u00e1ln\u00ed aktivitou. Ni\u017e\u0161\u00ed d\u00e1vky obvykle sta\u010d\u00ed pro \u017eeny \u2014 typick\u00e1 d\u00e1vka 100 mg sildenafilu je ur\u010dena pro mu\u017eskou ED. Vedlej\u0161\u00ed \u00fa\u010dinky (bolest hlavy, n\u00e1valy horka, nosn\u00ed kongesce, m\u00edrn\u00e9 za\u017e\u00edvac\u00ed pot\u00ed\u017ee) odpov\u00eddaj\u00ed standardn\u00edmu profilu PDE5 inhibitor\u016f. <strong>Nekombinujte s nitr\u00e1ty<\/strong> (nitroglycerin, isosorbid). Vyhn\u011bte se pou\u017eit\u00ed p\u0159i nestabiln\u00edm kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00ed.\n\n<strong>Kdy vyhledat odbornou p\u00e9\u010di.<\/strong> Bolest p\u0159i pohlavn\u00edm styku, kter\u00e1 za\u010dala po menopauze, po porodu nebo s nov\u00fdm partnerem. \u00dapln\u00e1 absence touhy, kter\u00e1 p\u0159i\u0161la n\u00e1hle. P\u0159\u00edznaky, kter\u00e9 za\u010daly po u\u017e\u00edv\u00e1n\u00ed nov\u00e9ho l\u00e9ku (zejm\u00e9na SSRI, SNRI, antihypertenziv) \u2014 p\u0159\u00ed\u010dinou m\u016f\u017ee b\u00fdt samotn\u00fd l\u00e9k. Vztahov\u00e9 faktory, deprese a chronick\u00fd stres jsou \u010dast\u00fdmi spou\u0161t\u011b\u010di a l\u00e9pe reaguj\u00ed na terapii ne\u017e na l\u00e9ky.\n\n<strong>Pro\u010d objedn\u00e1vat z MedsBase.<\/strong> Generick\u00e9 l\u00e9ky z Indie certifikovan\u00e9 WHO-GMP, diskr\u00e9tn\u00ed balen\u00ed a fakturace, celosv\u011btov\u00e1 doprava, ka\u017ed\u00e1 objedn\u00e1vka je pokryta 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\/female-sexual-dysfunction\/","name":"\u017densk\u00e1 sexu\u00e1ln\u00ed dysfunkce","slug":"female-sexual-dysfunction","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/5895","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=5895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}