Často kladené otázky gynekológom

Návšteva gynekológa nesmie byť stresom pre ženu, ale prirodzenou súčasťou jej zdravého životného štýlu. Kedy  navštíviť prvýkrát gynekológa, aké otázky majú nastávajúce mamičky  a prečo dodržiavať kontroly aj po radikálnom gynekologickom zákroku, nám zodpovedala MUDr. Radmila Sládičeková, MPH.

dievca v triede

1. Kedy je najvhodnejší vek na absolvovanie prvého gynekologického vyšetrenia?
Prvé gynekologické vyšetrenie by žena mala absolvovať v 18 rokoch a potom pravidelné prehliadky raz ročne.

2. Ako sa treba pripraviť na prvé gynekologické vyšetrenie?
Pred prvou gynekologickou prehliadkou sa treba pripraviť na dôležité otázky, ktoré bude gynekológ klásť:

- Kedy ste mali prvú menštruáciu?
- Je menštruačný cyklus pravidelný?
- Aké ochorenia sa vyskytujú vo vašej rodine – rodinná anamnéza (rakovina prsníkov, vaječníkov a ostatný výskyt onkologických ochorení v rodine, výskyt trombózy a embólie, mozgové príhody, infarkt, cukrovka, prekonané operácie, detské ochorenia – najmä osýpky, príjem transfúzie a fajčenie)?

3. Aký je stupeň ochrany prezervatívu pred otehotnením, ktorý je asi najvhodnejší pre tínedžerov?
Prezervatív je bariérová ochrana a je jediná spoľahlivá pred možným nakazením sa pohlavnými chorobami. Typ prezervatívu si musí vybrať každý muž sám podľa svojich preferencií.

4. Aký máte názor na hormonálnu antikoncepciu pre dievčatá mladšie 18 rokov? Čo by ste im poradili?
Vo všeobecnosti sa nedá radiť. Mladým dievčatám sa predpisuje HAK aj z iných ako z liečebných dôvodov, nielen ako ochrana pred nechceným otehotnením. Sú to napríklad problémy s menštruáciou sprevádzanou silnými bolesťami, nepravidelným cyklom alebo aknóznou pleťou. Vtedy hľadáme spoločne riešenia a volíme najvhodnejší variant, aby bola pacientka spokojná.

 

1. Kedy je najvhodnejší vek na počatie prvého dieťaťa?
Nemožno určiť presný vek, u každej ženy je to individuálne a podmienky sú rozličné. Dôležité je povedať, že na počatie musí byť žena gynekologicky dospelá, dozretá a s pravidelným menštruačným cyklom.

2. Je pravda, že keď je žena tehotná, nesmie prísť do kontaktu s mačkou?
Mačky sú pre tehotné ženy nebezpečné, pretože prenášajú ochorenie nazývané toxoplazmóza. Vplyvom toxoplazmózy môžu u tehotnej ženy nastať vrodené vývojové poruchy plodu. Našťastie, u nás na Slovensku každá tehotná žene absolvuje počas poradne vyšetrenia na toxoplazmózu.
Treba však povedať, že domáce očkované mačky by toto ochorenie nemali mať. Väčšie riziko plynie z domácej neumytej zeleniny a ovocia kvôli výkalom vlastných domácich zvierat. Najlepšie je kontaktovať sa s domácimi zvieratami ešte pred plánovanou graviditou, keď si telo v prípade prekonania toxoplazmózy vytvorí protilátky proti tomuto ochoreniu. Nie je vhodné hladkať cudzie mačky počas gravidity.

3. Ktoré vnútromaternicové teliesko je vhodné pre ženu, ktorá ešte plánuje mať deti?
Novinkou na trhu je vnútromaternicová loptička IUB, ktorá sa vďaka tvaru loptičky prirodzene dobre umiestni v maternici. Je vyrobená z nitinolu, ktorý telo dobre prijíma, keďže sa z neho vyrábajú napríklad aj srdcové chlopne. Táto loptička má ultra tenký aplikátor, vďaka čomu je vhodná aj pre ženy, ktoré ešte nerodili.

4. Podarí sa mi ešte otehotnieť po odstránení nehormonálnej loptičky?
Pokiaľ je žena zdravá a pravidelne absolvuje preventívne gynekologické prehliadky, jej plodnosť bude obnovená po vysadení antikoncepcie – či už pôjde o HAK alebo odstránenie loptičky.

5. Musím sa počas tehotenstva vyhnúť fitnescentru a cvičeniu so závažiami?
Ak je žena zvyknutá na pravidelnú telesnú aktivitu, v tehotenstve sa odporúča 1/3 zaťaženia oproti aktivite netehotnej ženy. Počas návštevy fitnescentra v gravidite nie je vhodné zdvíhanie závaží ani pestovať športy ako bicyklovanie a lyžovanie z dôvodu rizika úrazu. Vhodné sú aktivity typu strečing, dlhá chôdza či gravid joga.

 

1. Pred začatím menštruácie ma vždy pobolieva vpravo v podbrušku. Je to normálne?
Pri bolesti v podbrušku je nutné ženu gynekologicky vyšetriť. Pokiaľ lekár nenachádza žiadnu patológiu, vyšetrovací proces pokračuje u gastroenterológa. Ďalej sa uberá podľa nálezov špecialistov.

2. V prípade, že žena neplánuje deti alebo ich z nejakého dôvodu nemôže mať, je lepšie si dať vybrať maternicu, aby sa v budúcnosti vyhla zdravotným problémom?
Jednoznačne nie. Maternicu nemožno odstrániť len tak. Každý orgán v tele človeka má viacero funkcií, ktoré sú prospešné pre celý organizmus. Ak je aj nejaký orgán chorý, lekári ho liečia a snažia sa ho vždy zachrániť. Aby sa žena udržala zdravá a vyhla sa zdravotným problémom, mala by dbať na pravidelné preventívne gynekologické prehliadky.

3. Moja gynekologička mi odporučila vnútromaternicové teliesko, je to bezpečné, keď už mám dve deti?
Áno, je bezpečné a prináša najmä komfort pre užívateľku, keďže je vhodné ho ponechať v maternici až po dobu piatich rokov. Vaša gynekologička pozná najlepšie váš zdravotný stav a na základe vyšetrení vie správne vybrať aj vhodný typ antikoncepcie šitej na mieru práve pre vás.

4. Môžem používať kalíšky a tampóny, ak mám zavedené v maternici nehormonálne teliesko?
Ak máte v maternici zavedený akýkoľvek typ hormonálneho či nehormonálneho telieska, či už v tvare T alebo loptičky, môžete používať všetky pomôcky ako doteraz.

5. Aká antikoncepcia je pre mňa vhodná, keď mám poruchu štítnej žľazy a ešte som nerodila?
Akákoľvek porucha štítnej žľazy nie je prekážkou indikácie antikoncepcie, konkrétny typ posúdi váš gynekológ podľa nálezu.

6. Ako často treba robiť samovyšetrenie pŕs? Stačí samovyšetrenie alebo je lepšie navštevovať preto gynekológa?
Vplyvom hormónov môžu byť pred menzesom prsné žľazy zdurené, a preto sa odporúča samovyšetrovanie prsníkov realizovať 1-krát mesačne, vždy po menštruácii. Ak je žena zdravá, sonografiu prsníkov stačí absolvovať raz ročne.

7. Z akých dôvodov musia chodiť na preventívne vyšetrenia ženy po radikálnej hysterektómii (odstránenie maternice a vaječníkov)?
Ženy aj po hysterektómii musia absolvovať gynekologické prehliadky kvôli predchádzaniu nádorových ochorení. U týchto žien lekár sleduje, či nenastala progresia nádorového procesu.

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    Regardless of price, Trenbolone continues to be one of many
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    Suppose you’re shopping for a Trenbolone
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    Thus, we don't have our patients take anastrozole when their blood stress is already excessive.
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    An ester is a carbon chain attached to the testosterone molecule
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    Because Anavar has a relatively quick half-life,
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    For essentially the most part, when coping with AAS, you can figure that the energetic life is roughly double the half-life.

    (17) Malhotra, A., Poon, E., Tse, W. Y., Pringle, P. J.,
    Hindmarsh, P. C., & Brook, C. G. The effects of oxandrolone on the growth hormone and gonadal
    axes in boys with constitutional delay of growth and puberty.
    (2) Schimrigk, Häusler, G., Blümel, P., Plöchl, E., Waldhör, T., &
    Frisch, H. The influence of progress hormone monotherapy and
    development hormone in combination with oxandrolone or testosterone
    on thyroxid hormone parameters and thyrxine binding globulin in patients with Ullrich- Turner syndrome.
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  • Komentár Randy %AM, %13 %271 %2025 %05:%apr napísal Randy

    Anavar is a controlled substance, so it’s solely legally available by way of prescription. Many people buy it
    on the black market, but this comes with dangers of counterfeit merchandise.
    Women typically take Anavar at a low dose of 5-10mg
    per day, preserving cycles brief (4-6 weeks) to attenuate side effects.

    Periods can turn into late on Anavar (even on low doses), because the steroid
    interferes with the natural production of estrogen/progesterone.
    The reverse also can happen, with steroids being capable of causing early menstruation in ladies (9).
    Nevertheless, it would be clever for girls to watch their levels of cholesterol, so their blood strain doesn’t rise too excessive.

    D-Bal is our beneficial Dianabol alternative due to its ability to imitate
    the anabolic properties of methandrostenolone with none cardiotoxicity or hepatotoxicity.
    Thus, Dianabol is more probably to produce comparable,
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    strength and hypertrophy. Cypionate and enanthate injections could be less irritating to the pores and skin than different testosterone
    variations, based on our experience. Steroids
    include dangers, and as an grownup, you need to concentrate
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    By following the beneficial dosages, monitoring your progress,
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    of Anavar whereas minimizing the risks. When it involves
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    powerlifting, or endurance, it’s necessary to understand the
    suitable dosage in your particular needs and goals.

    While Anavar is usually thought of a secure and effective steroid, it can nonetheless
    pose dangers if not used responsibly. Notify your physician if you’re on blood thinners or diabetes medications, as Anavar online can work together with these.
    Being a managed substance, it must be saved securely to
    prevent misuse. Ladies could experience unwanted effects corresponding
    to elevated facial hair and a deeper voice; report these signs to your doctor instantly.
    Prior to using Anavar, it's critical to seek the advice of with
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    Those who aren’t skilled steroid users could have outstanding positive aspects in regard to muscle
    mass. Whereas skilled steroid users shall be much
    less delicate by way of years of cycles and will experience
    milder features. If you’re an endurance athlete seeking to enhance your efficiency,
    Anavar can provide a number of advantages. It’s a mild
    steroid that can improve your cardiovascular endurance, enhance oxygen supply to your muscle
    tissue, and enhance your purple blood cell rely.
    These are all derivatives of dihydrotestosterone with a comparatively low
    risk of aromatization (conversion to estrogen) in comparison with testosterone-based steroids.
    Nonetheless, they nonetheless carry risks of unwanted
    effects like liver toxicity, zits, hair loss and cardiovascular strain.
    In the latter case, the anti-doping business has been enhancing its strategies of detecting oxandrolone metabolites in athletes (20).
    These using oxandrolone may expertise emotions of nausea, which might lead to vomiting.

    This is doubtless considered one of the least-serious potential Anavar side effects, however nonetheless one price noting.

    Proper Dosage and DurationAdhering to beneficial
    dosage tips and cycle duration is important for minimizing the danger of unwanted effects.

    Starting with a decrease dose and steadily increasing it over time permits the body to adapt to
    the compound. It is crucial by no means to exceed the recommended dosage as it
    may considerably enhance the chances of adverse results.

    There is proof that ATP when taken in doses of
    400mg per day, can result in increased energy and muscle thickness (4).
    It remains as one of many few anabolic steroids nonetheless permitted by the FDA.
    Nonetheless, like with something in life you’ll always get some sensitive people
    or those who select to overdose.
    Anavar’s one of the best steroids for maintaining your natural
    testosterone levels as excessive as possible after a cycle.
    However, Anavar nonetheless has the potential to scale back your male hormone manufacturing, even when it’s to a
    small diploma. Anavar is especially in style in bodybuilding, with it considered the most popular steroid on the market right
    now.
    Only run this cycle if you’ve used Tren earlier than and understand the
    means to deal with its side effects. Although it’s an injectable steroid, Tren is understood to be extra liver-toxic than Anavar, so we keep this as a
    short cycle. This is more of a sophisticated cycle as we’re stacking two
    oral AAS, which comes with dangers. I wouldn’t run this cycle for greater
    than six weeks or eight at the most.
    For men it's not as in style because of its gentle nature,
    however, if used under certain situations and stacked with different steroids it can be efficient.
    If the beneficial dosage is three capsules per day, then it’s in all
    probability best to split the dosage into two and take it with breakfast and lunch.
    If you’re utilizing Anavar based on the recommended dosage and for a minimal of two months, you must begin seeing
    results within the first few weeks. As you might
    know, ATP (adenosine triphosphate) is the power source for your muscles.

  • Komentár Chau %PM, %07 %734 %2025 %16:%apr napísal Chau

    Using Anavar without a proper PCT regimen can result in a variety of unwanted side effects,
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    Vital outcomes from Anavar use typically become extra evident after an extended duration, corresponding
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    be increased. By growing pink blood cell rely in the blood, Anavar carries
    extra oxygen all through the body without creating a clump of a muscle
    mass. Anavar is expounded with the dihydrotestosterone also identified as DHT derived
    from the anabolic steroid Oxandrolone.
    It can also be possible that users will expertise some androgenic opposed results, such as benign prostatic hyperplasia,
    male sample baldness, seborrhea, or zits vulgaris.
    Tauroursodeoxycholic acid (TUDCA) is a naturally occurring substance in bile
    that aids restoration of the liver. The complement type supplies steroid users with higher
    quantities of this pure, liver-protecting substance (2).
    Gynecomastia is a concern when cycling testosterone due to its high aromatization, that means a significant quantity of exogenous
    testosterone will convert into estrogen. Although not deleterious in nature, manboobs can have a unfavorable psychological influence as properly as being bodily undesirable for some users.
    In our testing, trenbolone just isn't significantly liver toxic (being an injectable steroid).
    Anavar also has diuretic effects, eradicating extracellular fluid that obscures muscle definition. Nonetheless,
    Anavar is a spinoff of dihydrotestosterone (DHT), the hormone responsible
    for hair follicle miniaturization on the scalp.

    We hope that with extra research and somewhat experimentation, you can find the Deca Durabolin mix that works perfectly
    for you and keeps you secure during and after the most
    effective Deca cycle. Gynectrol has been specifically formulated to naturally melt away undesirable chest fat.
    These are only a few of the many natural alternatives to Anavar which are obtainable in the marketplace today.

    Food Plan and present body weight will decide how far your fats loss can go, but a 5lbs
    loss of fat over a cycle when you’re already lean will improve
    the physique. The other crucial factor when dosing
    Anavar is whether or not or not you’re stacking it with
    different AAS at performance doses and simply how strong
    of a job you need Anavar to play within the cycle.
    Most males won’t use Anavar as a sole compound as
    a result of its weaker effects, but it is widespread for girls to run Anavar-only cycles.
    Anavar additionally increases nitrogen retention in the muscle17 – it is a prime function of Anavar and is important in preserving the body in an optimal
    anabolic state. The consequence is retaining muscle mass while slicing fat by preventing the physique from going into a catabolic
    state where muscle tissue is lost, as is when nitrogen balance becomes negative18.

    Anavar would have to be one of the two most well-known oral steroids – the other being the well-known Dianabol.

    An hour flies by, and you’re soaked in sweat when it’s all mentioned and done (you should be, anyway).

    I feel like the mixture of various elements in Clenbutrol is extra
    synergistic than other fats loss dietary supplements however not overkill in a single particular ingredient.
    That is a fine line to stroll as a result of generally
    getting lean can fatigue you. I know guys who are shredded
    to the bone, however after 20 minutes in the health club, they’re able to go home as a outcome of they’re tapped
    out. Moreover, breastfeeding and pregnant ladies
    should avoid any use of Clenbuterol. Lack of sleep will
    impact your outcomes negatively and make it harder for you to recover from intensive workouts.
    The fact that Clenbuterol is a stimulant means you probably can anticipate a spread of side effects
    that can impression each individual to a unique extent.

    Oxandrolone, generally referred to as Anavar, is usually called the 'girls's steroid' because of its
    effectiveness and recognition among feminine shoppers at our clinic, a lot of
    whom report constructive outcomes. They embody all the benefits we are in a
    position to expect from progress hormone optimization, including helping to reverse the pure
    lower resulting from growing older. Liver harm also can become a long-term adverse impact after sustained HGH use.

    Keep in thoughts that Anavar alone just isn't a weight reduction answer;
    combining it with a healthy diet and regular train program
    is important for optimum results. This intermediate Anavar cycle introduces Testosterone run at
    a TRT (Testosterone Substitute Therapy) dose of 100mg weekly, simply to maintain regular physiological operate.
    Testosterone in this case is run as a supportive compound somewhat than as a main muscle constructing agent
    of the cycle. In such a case, Anavar’s dose is
    increased to have the ability to choose up the job of performing as the
    primary anabolic agent within the cycle. The dose right here is 70mg
    every day, popping out to 490mg weekly which is a hefty dose contemplating Anavar’s strength of a minimal of three occasions that of Testosterone.
    To provide you with a serving to hand, we’ve selected the
    most common anabolic steroids and PEDs and will discuss, in turn, if (and if that's
    the case, how) Anavar should be stacked with each of these compounds.

    It's essential to remember that chronic use of AAS can result in long-term joint points.

    Regular check-ups with a healthcare supplier, including monitoring
    of joint health, are crucial for these utilizing AAS over prolonged
    intervals. Recognizing the signs of joint problems early and taking proactive measures can help
    mitigate the chance of long-term injury. Fish Oil at 6g daily or Krill Oil at 3g every day
    is crucial for every AAS user.
    One Other potential aspect impact of Anavar is its influence
    on levels of cholesterol. It has been shown to extend LDL (bad cholesterol) and decrease HDL
    (good cholesterol), which may necessitate monitoring and taking cardiovascular precautions.

    Moreover, Anavar has been found to have positive effects on bone density.

    It can help improve bone mineral content, which is crucial for ladies, especially as they age and turn into more prone to osteoporosis.
    Anavar can also improve restoration and reduce muscle
    soreness, allowing girls to train harder and more
    frequently.
    Testosterone propionate is another fast-acting ester, albeit
    slower than suspension. Some bodybuilders view propionate as cost-effective
    as a outcome of its price is decrease; nevertheless,
    propionate is dosed at 100 mg/mL as an alternative of 250 mg/mL (the usual testosterone dosage).

    The adjustments in levels of cholesterol attributable to Anavar can lead to an increased
    threat of coronary heart illness, heart attacks, and strokes.
    Men who already have cardiovascular points or are at risk for them must be significantly cautious
    when contemplating Anavar use. To guarantee
    your safety and minimize potential unwanted effects, it's essential to think about the optimum period of an Anavar
    cycle for ladies.

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