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Normálna menštruácia? Kedy ide o bežné prejavy a kedy už ísť k lekárovi

Napísal TS 10. jún 2020

Menštruácia je neoddeliteľnou súčasťou života ženy. Pri každej však môže prebiehať odlišne, a tak sú pri stanovovaní "normálna" menštruácia trochu opatrní aj odborníci. To, že ženám občas mesiačiky vynechajú alebo že pri nich pocíti silnejšie kŕče.

menstruation_shutterstock

Kedy určite zbystriť a zveriť sa do rúk lekára?

Prvé mesiačiky, takzvaná menarche, u väčšiny dievčat nastáva medzi 12. a 14. rokom života. V súčasnosti sa priemerný vek nástupu menštruácie pohybuje okolo 12 rokov a 6 mesiacov. Hornú vekovú hranicu odborníci zvyčajne stanovujú na 15 rokov a 6 mesiacov. Hoci je každé dievčenské telo jedinečné, ak do tohto veku dievča menštruáciu nedostane, je vhodné navštíviť lekára a zistiť príčinu oneskorenia. "Hoci menštruáciu poznáme ako mesačnú periódu, v prvých rokoch vôbec nemusí byť pravidelná. K stabilizácii cyklu zvyčajne dochádza až po dvoch až troch rokoch po menarche. Ak je však aj po tejto dobe menštruácie ďalej nepravidelná, opäť je veľmi doporučované poradiť sa s odborníkom, "hovorí gynekológ a sexuológ Pavel Turčan.

Tak, ako je individuálny vek nástupu prvej menštruácie, je individuálny aj samotný priebeh: pravidelnosť, dĺžka, intenzita krvácania, sprievodné prejavy a tak ďalej. Napriek tomu však existujú určité hranice, podľa ktorých je posudzovaná "normálnosť" ženskej periódy. Menštruácia zvyčajne nastáva každých 21 až 35 dní, trvá od dvoch do siedmich dní a priemerne pri nej žena stratí 20 až 80 ml krvi. Toto rozpätie je pomerne široké, a tak sa pri posudzovaní normálnosti menštruácie musí prihliadať predovšetkým k tomu, čo je normálne pre danú ženu, prípadne s ohľadom na jej situáciu - teda napríklad na to, či začala či naopak prestala užívať hormonálnu antikoncepciu alebo prešla na jej iný typ alebo či nevstupuje do obdobia perimenopauzy, kedy cyklus vplyvom hormonálnych zmien začína byť viac či menej nepravidelný.

Vynechávanie menštruácie je bežné. Príčiny môžu byť nevinné aj vážne

Nepravidelná menštruácia je rozšíreným problémom, s ktorým sa počas svojich plodných rokov stretáva takmer každá žena. Vynechanie menštruácie sa odborne nazýva amenorea a je rozlišovať medzi amenoreou primárnu a sekundárnu. O primárne amenorei sa hovorí, ak dievča nezačne do 15. roku života spontánne menštruovať, napríklad kvôli hormonálnym problémom či problémom s vaječníkmi či maternicou. Ako sekundárna amenorea sa potom označuje trojmesačné a dlhší výpadok menštruácie u ženy, ktorá predtým už viacmenej pravidelne menštruovala a zároveň nie je tehotná ani v menopauze. "Príčiny sekundárnej amenorey môžu byť rôzne, zvyčajne sú to rôzne hormonálne výkyvy spôsobené stresom, náhlym úbytkom alebo nárastu váhy, ale napríklad tiež poruchami hypofýzy, štítnej žľazy alebo nadobličiek. A potom sú to rôzne choroby, napríklad syndróm polycistických ovárií či nádor na vaječníkoch. S vynechávaním menštruácie sa tiež často stretávajú aktívne športovkyne, pri ktorých za amenoreou stojí nadmerná fyzická záťaž, "vysvetľuje lekár Pavel Turčan.

Pozor na zosilnenie krvácanie, špinenie mimo menštruáciu či zrazeniny

Pre posúdenie, či s vašou menštruáciou nie je niečo v neporiadku, je potrebné mať prehľad nielen o pravidelnosti cyklu a jeho dĺžke, ale tiež napríklad o intenzite krvácania. Lekári sa zvyčajne zhodujú, že by pri bežnej menštruácii žena nemala krvácať dlhšie ako sedem dní a nemala by krvácať natoľko silno, aby jej vložka či tampón úplne nasiakli za menej ako tri hodiny. "Silné krvácanie môže značiť narušenie hormonálnej rovnováhy, ale aj problémy s maternicou, ako sú napríklad polypy či maternice, endometriózu, adenomyóza či ešte horšie rakovinu maternice. Preto by najmä ženy nad 35 rokov veku alebo s rizikovými faktormi mali zbystriť, ak začnú pri menštruácii krvácať výrazne viac než obvykle, a bez odkladu sa nechať vyšetriť, "varuje gynekológ. Rovnako tak by sa pri bežnej menštruácii nemali v menštruačnej krvi tvoriť väčšie krvné zrazeniny. Obvyklé potom nie je ani to, aby žena krvácala či takzvane špinila mimo menštruačné dni. Ak k nemu dochádza, môže to značiť celý rad problémov od poranenia vagíny cez polypy, maternice či pohlavné choroby ako chlamýdie alebo kvapavka až po rakovinu krčka maternice, maternice alebo vaječníkov.

Zmenila sa intenzita kŕčov? Zbystrite!

Menštruačné kŕče patria medzi jedny z najbežnejších prejavov menštruácie. Spôsobujú ich zvyčajne kontrakcie maternice, ktorá sa tak snaží vypudiť odlupujúcu sa výstelku maternice. Väčšinou sa dostavujú deň až dva dni pred začiatkom menštruačného krvácania a trvajú dva až štyri dni. Niektoré ženy pociťujú kŕče len mierne, iné kvôli nim doslova trpia. Ak sa zvýši u vás náhle bolestivosť inokedy miernych kŕčov, opäť to môže ukazovať na to, že vaša menštruácia neprebieha normálne. Bolestivé kŕče môžu indikovať fibroidy maternice, endometriózu, adenomyóza, panvové zápalovú choroba či niektoré pohlavné choroby. Častou príčinou však býva aj zvýšený stres.

Prvá pomoc? Nechajte sa vyšetriť a upokojte hormóny

Ako už bolo povedané, menštruácia je veľmi individuálnou záležitosťou, u ktorej nie je celkom jednoduché nastaviť mierky, čo je normálne a čo už vybočuje. Ženy by preto mali jej prejavy pozorne sledovať, a predovšetkým si viesť záznamy o pravidelnosti svojho cyklu. Pokiaľ na svojej menštruácii neskôr spozorujú výraznejšie zmeny, nemali by sa hanbiť navštíviť odborníka. Veľmi často môžu byť na vine ich hormóny, ktoré sa nejakým spôsobom dostali z rovnováhy. Lekár im tak buď môže predpísať hormonálnu liečbu, alebo im odporučiť zmeny v životnom štýle, ktoré rozbúrené hormóny upokoja. Práve to, ako žijeme, totiž naše hormóny často silne ovplyvňuje. Začať by sa pritom malo hlavne odbúraním stresu a úpravou stravy. Tá by mala obsahovať veľa čerstvého ovocia bohatého na flavonoidy, hodí sa aj zvýšiť prísun horčíka. Dodať telu potrebné prvky môžu aj kvalitné doplnky stravy, napríklad Sarapis Mensis. Ten okrem rady minerálov, vitamínu a ďalších dôležitých prvkov obsahuje tiež fytoestrogény, ktoré vďaka svojej podobnosti s hormóny estrogény pomáhajú harmonizovať ženskú hormonálnu sústavu, priaznivo pôsobí pri kŕčoch a napomáhajú porovnávať mesačné krvácanie.

Zdroj foto: Shutterstock

45 komentárov

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    The particular testosterone he used was Sustanon 250 and trenbolone
    acetate. However, he stated that he did not utilize
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    We discover the lean muscle features experienced on Anadrol are often permanent.

    Simply over half of the load a consumer positive aspects from Anadrol shall be lean muscle (the relaxation shall be
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    As Anadrol is a bulking steroid, customers are likely
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    nevertheless, is linked to the person’s diet and never directly
    related to Anadrol itself. Anadrol is a synthetic anabolic steroid that is
    used to stimulate muscle growth.
    Endeavor a strict calorie-deficit food regimen places you vulnerable to muscle catabolism
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    Naturally, your diet should help fats loss, which will all
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    However, it’s at all times advisable to begin with a decrease dosage and progressively enhance it to keep away from any potential side effects.

    Nonetheless, like all anabolic steroids, NPP does come with
    some potential risks and unwanted side effects.
    One factor in regards to the unwanted aspect effects that come from taking anabolic steroids is that they’re virtually inescapable.
    Because these medicine are so highly effective and take such a toll on your physique – the side effects
    are often unavoidable. Superdrol is a really highly effective drug as nicely and is considered to be one of many strongest oral steroids obtainable.


    With more oxygen, you probably can endure longer and recover quicker from powerful
    exercises. This article will dive into Anadrol’s benefits, risks, and
    alternate options. Whether Or Not you’re an experienced bodybuilder or just learning,
    understanding about Anadrol is necessary within the health world right now.

    Therefore, it is at all times advised to use under medical supervision and inside prescribed limits.
    For Anadrol, the beneficial cycle size is usually shorter,
    ranging from 4-6 weeks due to its potent impact on the liver and the chance
    of unwanted aspect effects. It is crucial to have an off-cycle
    interval equal to the on-cycle length to provide the physique time to recuperate.

    Protein synthesis performs a vital role in constructing muscle mass, as
    it's the course of by which the physique repairs and rebuilds
    damaged muscle fibers.
    As a precaution, our sufferers typically take TUDCA for liver support when taking orals.
    Alcohol must also be averted, and stacking hepatotoxic steroids together,
    similar to Dianabol and Anadrol, just isn't beneficial.
    Orals are also hepatotoxic, which means they will stress the liver, as indicated by ALT and AST liver enzymes
    capturing up (1). Some bodybuilders aren’t overly
    nervous about this side effect, contemplating the liver typically repairs itself post-cycle
    and has highly effective self-healing properties.
    Anvarol is a legal and secure alternative that delivers most
    (if not all!) of the same benefits, so there’s no cause to threat your well being with Anavar.

    Anadrol is a a lot stronger steroid, and
    it helps you gain plenty of muscle in a quick time. Oxymetholone will not
    be as extensively recognized for joint reduction as nandrolone.
    Nevertheless, studies have proven that it can aid in the synthesis of anti-inflammatory metabolites
    (9). I’m not a fan of 19-nors given the potential sexual and mental unwanted effects, however they are good mass builders.
    Don’t bother with the Mast if this may be a cycle for
    energy and your bf isn’t very low, Mast is mostly beauty
    in my experience. Legal Guidelines and rules will differ across the world in relation to buying and
    utilizing anabolic steroids like Anavar.
    Consequently, at moderate doses and within a wise cycle size, Anavar has been observed to solely minimally affect testosterone ranges.
    Whether one likes Anadrol or Dianabol better is actually up to the person and their personal expertise with each medicine.
    However, Dbol seems to generally be more popular among
    the bodybuilding lots. Perhaps a few of this
    has to due with history since Dianabol was heavily utilized by the greats like
    Arnold Schwarzenegger and Sergio Oliva. However Dbol is universally less harsh on athletes' organs
    when run at secure dosages.
    Steroid unwanted facet effects happen in 50% to 99%
    of customers – according to the latest anabolic steroid
    statistics. In follow, we see testosterone leading to slightly much less weight
    achieve than Dianabol, but it will construct an analogous quantity of lean muscle tissue.
    The different main difference is that testosterone has a stronger reaction with the 5α-reductase
    enzyme, resulting in heightened ranges of DHT (3). Anadrol will cause notable cardiac hypertrophy (enlargement of the heart), growing the
    danger of heart disease. This is possibly the most potent steroid, and essentially the
    most important threat comes from the consequences of Halotestin on the liver.


    Clenbuterol is utilized by bodybuilders due to its stimulating results on metabolism.

    We have found the danger of virilization to extend when stacking Anavar and Winstrol collectively.
    Thus, we solely see this tried in certain circumstances,
    corresponding to making ready for an necessary competition the place there's stress to place high.

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    Anavar, like other anabolic steroids, can have an effect
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    discount in high-density lipoprotein (HDL) cholesterol (considered "good"
    cholesterol) and an increase in low-density lipoprotein (LDL) cholesterol (considered "bad" cholesterol).
    Anavar is commonly stacked with other compounds to maximise outcomes and
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    Anavar is famend for its capacity to help a variety of fitness objectives.
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    The supplement is manufactured by CrazyBulk, a laboratory targeted
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    Anvarol is an natural supplement designed to attain the identical objective as steroids like
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    The different main objective when formulating Anavar was to create a mild drug with few unwanted effects
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    Originally developed to help sufferers get well from severe
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    retention, improves muscle definition, and enhances vascularity without causing important water retention. Anavar, scientifically often known as Oxandrolone,
    is considered one of the hottest anabolic steroids utilized by bodybuilders, athletes, and
    health fanatics worldwide. Recognized for its gentle but effective nature, Anavar is very wanted
    for those looking to improve energy, promote lean muscle mass, and speed up fat loss.

    Anavar 50 mg is known for maintaining lean muscle mass throughout
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    It has minimal androgenic effects, decreasing the chance of unwanted effects like
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    Anavar enhances energy and performance with out adding bulk, ideal
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    With the exception of Hi-Tech Prescribed Drugs, no different supplement firm
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    Hi-Tech utilizes ABH and BEC, the novel arginase inhibitors in Anavar®, to flank the excessive dosage of
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    This leaves an abundance of L-arginine uncompromised within the muscle pool
    to create a wealth of NO, resulting in maximum muscular
    vasodilation. Excess water retention makes you look puffy (fatter) than you actually are.
    Whereas taking Oxanivar™, the additional water flushes
    from your system, maintaining your pores and skin tight and lean. A descriptive study of antagonistic occasions from clenbuterol misuse
    and abuse for weight reduction and bodybuilding. (17) Malhotra, A., Poon, E.,
    Tse, W. Y., Pringle, P. J., Hindmarsh, P.
    C., & Brook, C. G.
    For ladies first treading into the world of AAS, Anavar is almost at all times the FIRST
    alternative – and infrequently the one selection for these eager to keep away from virilization. You should not anticipate vital muscle features – Anavar just isn't a bulking steroid, however it can promote some lean features while simultaneously
    shedding fats. Girls can gain within the 10lbs range, while men tend to see smaller positive aspects underneath 10lbs.


    To mitigate these results, incorporating omega-3 supplements
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    is strongly recommended throughout cycles. In Contrast To many
    anabolic brokers, Anavar has a comparatively delicate aspect
    effect profile, making it a viable choice for
    both women and men. It minimizes the risk of common androgenic effects, similar
    to excessive hair growth or voice deepening in girls, while nonetheless delivering noticeable benefits in power and body composition.
    This increase improves oxygen transportation to the muscle tissue, enabling greater endurance and enhanced
    energy throughout workouts.
    Nevertheless, it could be very important use Anavar responsibly and underneath the guidance of a professional skilled to keep away from potential well being risks.
    The possibility to buy Anavar on-line in UK brings your
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    Seize the chance to amplify your fitness potential by exploring our range
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    objectives. Anavar is a well known steroid, which is in style amongst
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    Correct Dosage and DurationAdhering to really helpful dosage tips and cycle period is significant for minimizing
    the chance of unwanted side effects. Starting with a decrease
    dose and steadily growing it over time permits the body to adapt to the compound.
    It is crucial never to exceed the really helpful dosage as it may considerably improve the
    possibilities of antagonistic effects. The addition of Testosterone will end in considerably
    bigger muscle and power features, with Testosterone
    typically getting used as a bulking compound. Nonetheless, natural testosterone
    suppression will be extra dramatic post-cycle, and blood stress will rise to higher levels with this mix.
    Their formulation are not exogenous testosterone; nevertheless, they
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    Thus, as a outcome of they're chemically completely different from anabolic steroids, they're
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    Official pharmaceutical corporations is not going to listing any merchandise on the market to most of the people.
    There are huge quantities of UGL Anavar offered on the black market because of few pharmaceutical companies producing it.
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    Anavar is the commonest counterfeit anabolic steroid we've encountered.
    This is because of an absence of pharmaceutical-grade
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    Furthermore, the worth of Anavar could be very excessive,
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    Anavar does not aromatize or convert to DHT, and has
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    It is an anticoagulant whose susceptibility is
    elevated by oxandrolone thus prothrombin time (PT) ought
    to be monitored intently.
    Anavar can contribute somewhat to some lean gains, but for male users,
    it’s impossible to be a reason for utilizing this steroid.
    As A Substitute, the anabolic properties of Anavar are most valuable for males in relation to MAINTAINING muscle
    when losing fats. As I mentioned, Anavar is certainly one of the few steroids ladies can confidently
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    Nonetheless, at excessive doses, Anavar nonetheless poses a danger for ladies, but at low doses,
    females are recognized to make use of this steroid
    with minimal and even no unwanted side effects in any respect.

    There are not many steroids that females can use without experiencing severe unwanted aspect effects that mostly contain the event of assorted masculine physical traits.
    This results from offering the physique with considerably greater quantities of male androgen hormones like testosterone and
    DHT than would in any other case be produced. Anavar will suppress your testosterone at just about any dosage,
    and the higher the dose, the extra suppression you can count on. The Hypothalamic
    Pituitary Testicular Axis (HPTA) can potentially become broken with extreme steroid use, possibly causing everlasting harm to your testosterone manufacturing in extreme cases.
    The anabolic and androgenic ratings of all steroids are in contrast against the standard rating of testosterone, which has
    a good one hundred for both.
    Nevertheless, it’s important to prioritize security and legality when incorporating Anavar into your routine.
    Understanding its legal standing, sourcing it from trusted
    suppliers, and adhering to recommended usage guidelines are crucial steps to
    ensure a responsible and efficient experience. Finding dependable sources
    for Anavar within the USA is crucial to ensure
    product authenticity and safeguard your health. With the proliferation of on-line marketplaces, buyers should approach their purchase cautiously and comply with specific guidelines to keep away from counterfeit merchandise.

    By approaching Anavar use responsibly, you can unlock its full potential as a device to support your health
    aspirations. Utilizing Anavar responsibly ensures optimum outcomes while defending your health, allowing
    you to achieve your health objectives safely. Insulin resistance and
    diminished glucose tolerance in powerlifters ingesting anabolic steroids.

    Dr. O’Connor has over 20 years of experience treating men and women with a history of anabolic steroid,
    SARM, and PED use. He has been a board-certified MD since 2005 and
    offers guidance on hurt discount methodologies.
    In this occasion, users may also expertise water retention and bloating,
    which Anavar does not cause, plus heightened anabolic effects.

    Doctors would prescribe it to folks wanting larger muscles, more
    power, or to burn excess fats. Finasteride (Propecia) is an FDA-approved treatment proven to
    be effective at blocking DHT levels within the body and lowering hair loss (19).

    Nevertheless, studies show that roughly 52% of males report
    muscle loss when taking it (20). We have additionally observed decreased
    muscle hypertrophy in sufferers utilizing Finasteride.

    Thus, taking this medicine may counteract the anabolic results of Anavar, inflicting bodybuilders to be unsatisfied with their outcomes.
    High doses of Anavar might cause some flushing to the
    face or body, inflicting users’ skin to look pink.

    This is an indication of elevated physique temperature and doubtlessly increased blood strain.
    Anavar stays in the body for 3-4 weeks and could
    be detected via checks. This is crucial for these planning to take part in competitions where athletes are examined for doping.
    Fitness trainers who've worked with influencers confess that at
    least half of them use steroids, although few admit it. Some are capitalizing on exercise
    and food plan routines without revealing that their
    outcomes were steroid-enhanced. Have misplaced money to online dealers from "in style boards"
    with out receiving your order or receiving counterfeit products.
    We’ve eradicated the need for a prescription to buy pharmaceutical-grade oxandrolone.


    Anavar’s formulation stimulates muscle protein synthesis and
    improves nitrogen retention, creating an optimal anabolic surroundings.

    This results in extra efficient muscle progress
    and recovery, even throughout caloric restriction. Its ability
    to reinforce energy with out significant weight gain makes Anavar 50 mg best for athletes
    with a aggressive edge. Anavar could be thought of
    the most effective oral steroid for each high-quality muscle positive aspects
    AND muscle retention while weight-reduction plan. Many guys reach straight for
    Dbol as a end result of it’s low-cost and rapidly delivers vital features.

    One of the utmost compelling causes to choose Anavar is its minimal androgenic aspect outcomes.

    It’s attainable to retain the features made through the cycle with a correct post-cycle regime and a disciplined diet and exercise routine.
    Stacking could be a game-changer in your health routine, providing
    a strategic strategy to enhancing results. When you combine Anavar
    with different substances, it could potentiate the results, helping you achieve
    that reduce, sturdy physique with precision. This structured strategy allows your physique to adapt
    to, benefit from, and recover from the usage of Oxandrolone.
    After each cycle, it’s extremely recommended to have an equal interval of rest.
    For instance, if you’ve simply accomplished a 6-week
    cycle, take a 6-week break earlier than embarking
    on the following cycle. Anecdotal evidence suggests that people love how Anavar helps
    them feel sturdy and look good without the additional bulk.


    The improve in nitrogen retention will promote the anabolic environment as decreased ranges often result in a catabolic
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