{"id":3530,"count":12,"description":"A modern kombin\u00e1lt or\u00e1lis fogamz\u00e1sg\u00e1tl\u00f3 tablett\u00e1k (COCP) \u00e9s a progesztog\u00e9n-only tablett\u00e1k (POP) 99% feletti hat\u00e9konys\u00e1got biztos\u00edtanak k\u00f6vetkezetes napi szed\u00e9s mellett. A MedsBase Alternat\u00edv Fogamz\u00e1sg\u00e1tl\u00f3k katal\u00f3gus\u00e1ban megtal\u00e1lhat\u00f3k a f\u0151bb COCP \u00e9s POP m\u00e1rk\u00e1k, valamint v\u00e9szhelyzeti fogamz\u00e1sg\u00e1tl\u00f3k. (L\u00e1sd m\u00e9g a Fogamz\u00e1sg\u00e1tl\u00f3 Tabletta<\/a> alkateg\u00f3ri\u00e1t.) Minden term\u00e9ket a WHO-GMP tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmazik<\/strong>.\n\nKombin\u00e1lt or\u00e1lis fogamz\u00e1sg\u00e1tl\u00f3 tablett\u00e1k (COCP).<\/strong> A COCP-k etinil\u00f6sztradiolt (\u00f6sztrog\u00e9nt) kombin\u00e1lnak progesztog\u00e9nnel, megb\u00edzhat\u00f3 fogamz\u00e1sg\u00e1tl\u00e1st ny\u00fajtva, valamint olyan el\u0151ny\u00f6ket, mint k\u00f6nnyebb menstru\u00e1ci\u00f3, kisz\u00e1m\u00edthat\u00f3 ciklus, cs\u00f6kkentett akn\u00e9, alacsonyabb petef\u00e9szek- \u00e9s m\u00e9hny\u00e1lkah\u00e1rtya r\u00e1kkock\u00e1zat, valamint elfogadhat\u00f3 biztons\u00e1gi profil eg\u00e9szs\u00e9ges, nem doh\u00e1nyz\u00f3 fiatalokn\u00e1l. M\u00e1rk\u00e1k progesztog\u00e9n t\u00edpus szerint: Levonorgestrel-alap\u00fa (legtiszt\u00e1bb sz\u00edv-\u00e9rrendszeri profil, kiss\u00e9 magasabb androgen mell\u00e9khat\u00e1sok) \u2014 Loette<\/a> (alacsony d\u00f3zis\u00fa 20 mcg EE), Ovral-L<\/a> (30 mcg EE), Ovral G<\/a> (50 mcg EE \u2013 r\u00e9gi, magas d\u00f3zis\u00fa opci\u00f3), Duoluton L<\/a>, Triquilar<\/a> (trikv\u00e1zis). Drospirenon-alap\u00fa (antimineralokortikoid, seg\u00edthet a puffad\u00e1s \u00e9s PMS enyh\u00edt\u00e9s\u00e9ben, de kiss\u00e9 magasabb VTE ar\u00e1ny) \u2014 Yaz<\/a> \u00e9s Yasmin<\/a>. Desogestrel-alap\u00fa (alacsonyabb androgen mell\u00e9khat\u00e1sok) \u2014 Femilon<\/a>.\n\nProgestogen-only pills (POPs \/ \"mini-pill\").<\/strong> A POP-ok nem tartalmaznak \u00f6sztrog\u00e9nt \u00e9s olyan n\u0151k sz\u00e1m\u00e1ra megfelel\u0151ek, akik nem vehetnek be \u00f6sztrog\u00e9nt (35 \u00e9v feletti doh\u00e1nyosok, szoptat\u00f3 any\u00e1k, migr\u00e9n aur\u00e1val, VTE vagy stroke el\u0151zm\u00e9ny, hypertonia). A modern dezogestrel POP-ok tov\u00e1bbra is g\u00e1tolj\u00e1k az ovul\u00e1ci\u00f3t, \u00e9s 12 \u00f3r\u00e1s elfelejtett tabletta ablakkal rendelkeznek (a r\u00e9gebbi noretiszteron POP-ok 3 \u00f3r\u00e1s ablak\u00e1val szemben). K\u00e9szleten: Cerazette<\/a> (dezogestrel 75 mcg).\n\nV\u00e9szhelyzeti fogamz\u00e1sg\u00e1tl\u00e1s.<\/strong> A levonorgestrel 1,5 mg egyd\u00f3zis\u00fa tabletta a vil\u00e1gon a legelterjedtebb v\u00e9szhelyzeti fogamz\u00e1sg\u00e1tl\u00f3 \u2014 a legink\u00e1bb hat\u00e9kony a nem v\u00e9dekezett k\u00f6z\u00f6s\u00fcl\u00e9s ut\u00e1ni 12 \u00f3r\u00e1n bel\u00fcl, kev\u00e9sb\u00e9 hat\u00e9kony 72 \u00f3r\u00e1n t\u00fal. K\u00e9szleten: i-pill<\/a> \u00e9s Postpone 72<\/a>. L\u00e1sd m\u00e9g a dedik\u00e1lt Menza ut\u00e1ni tabletta<\/a> kateg\u00f3ri\u00e1nkat.\n\nHogyan v\u00e1lasszunk.<\/strong> Els\u0151 alkalommal COCP-t haszn\u00e1l\u00f3, kock\u00e1zati t\u00e9nyez\u0151k n\u00e9lk\u00fcl \u2192 szabv\u00e1nyos alacsony d\u00f3zis\u00fa levonorgestrel + etinil\u00f6sztradiol (Loette, Ovral-L). Felf\u00fav\u00f3d\u00e1s, PMS, pattan\u00e1sok \u2192 drospirenon alap\u00fa (Yaz, Yasmin). Nem toler\u00e1lja az \u00f6sztrog\u00e9nt (35 \u00e9v feletti doh\u00e1nyos, migr\u00e9n aur\u00e1val, VTE el\u0151zm\u00e9ny, szoptat\u00e1s) \u2192 dezogestrel POP (Cerazette). Elfelejtett tabletta 72 \u00f3r\u00e1n bel\u00fcl \u2192 v\u00e9szhelyzeti fogamz\u00e1sg\u00e1tl\u00e1s (i-pill, Postpone 72), majd folytassa a szok\u00e1sos tablett\u00e1kat a betegt\u00e1j\u00e9koztat\u00f3ban le\u00edrtak szerint.\n\nFontos.<\/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 tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmazik<\/strong> diszkr\u00e9t csomagol\u00e1sban t\u00f6rt\u00e9nik, \u00e9s a \u00dajrak\u00fcld\u00e9si Garancia<\/a>.","link":"https:\/\/medsbase.com\/hu\/alternative-contraceptives\/","name":"Alternat\u00edv fogamz\u00e1sg\u00e1tl\u00f3 m\u00f3dszerek","slug":"alternative-contraceptives","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat\/3530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product?product_cat=3530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}