{"id":56443,"date":"2025-04-16T15:29:37","date_gmt":"2025-04-16T13:29:37","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=56443"},"modified":"2025-04-16T15:29:50","modified_gmt":"2025-04-16T13:29:50","slug":"nepravidelna-a-bolestiva-menstruace-muze-znacit-neplodnost","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=56443","title":{"rendered":"Nepravideln\u00e1 a bolestiv\u00e1 menstruace m\u016f\u017ee zna\u010dit neplodnost"},"content":{"rendered":"\n

\u0158ada \u017een ale pot\u00ed\u017ee podce\u0148uje<\/em><\/p>\n\n\n\n

Praha, 16. 4. 2025 \u2013 Za \u017eenskou neplodnost\u00ed stoj\u00ed ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f gynekologick\u00e9 pot\u00ed\u017ee, kter\u00e9 \u017eeny roky p\u0159ehl\u00ed\u017e\u00ed. Mezi ty nej\u010dast\u011bj\u0161\u00ed pat\u0159\u00ed syndrom polycystick\u00fdch ovari\u00ed (PCOS) a endometri\u00f3za. Projevuj\u00ed se bolestivou nebo nepravidelnou menstruac\u00ed. Tyto symptomy mnoho pacientek vn\u00edm\u00e1 jako b\u011b\u017enou sou\u010d\u00e1st cyklu. Jen\u017ee pr\u00e1v\u011b ony mohou b\u00fdt sign\u00e1lem, \u017ee t\u011blo nefunguje, jak m\u00e1, a \u017ee se po\u010det\u00ed miminka neobejde bez asistovan\u00e9 reprodukce.<\/strong><\/p>\n\n\n\n

Podle odhad\u016f odborn\u00edk\u016f tr\u00e1p\u00ed syndrom polycystick\u00fdch ovari\u00ed (PCOS) zhruba 13 % \u017een v\u00a0reproduk\u010dn\u00edm v\u011bku. Onemocn\u011bn\u00ed zp\u016fsobuje hormon\u00e1ln\u00ed nerovnov\u00e1hu, kter\u00e1 vede k nepravideln\u00e9 nebo zcela chyb\u011bj\u00edc\u00ed ovulaci, a t\u00edm p\u00e1dem i k probl\u00e9m\u016fm s plodnost\u00ed. \u201e\u010casto se na klinice setk\u00e1v\u00e1me s t\u00edm, \u017ee \u017eeny o sv\u00e9 diagn\u00f3ze sice v\u011bd\u00ed, ale netu\u0161\u00ed, jak z\u00e1va\u017en\u00e1 m\u016f\u017ee b\u00fdt. Teprve a\u017e p\u0159i ne\u00fasp\u011b\u0161n\u00e9 snaze o po\u010det\u00ed zji\u0161\u0165uj\u00ed, co v\u0161echno jejich nemoc ovliv\u0148uje,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Marcel \u0160telcl, vedouc\u00ed l\u00e9ka\u0159 reproduk\u010dn\u00ed kliniky ReproGenesis. <\/p>\n\n\n\n

Vedle PCOS pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed gynekologick\u00e1 onemocn\u011bn\u00ed ovliv\u0148uj\u00edc\u00ed plodnost tak\u00e9 endometri\u00f3za, kterou podle statistik trp\u00ed ka\u017ed\u00e1 des\u00e1t\u00e1 \u017eena. Nemoc obvykle prov\u00e1z\u00ed bolest v\u00a0podb\u0159i\u0161ku, siln\u00e1 a bolestiv\u00e1 menstruace nebo nep\u0159\u00edjemn\u00e9 pocity p\u0159i pohlavn\u00edm styku. P\u0159esto\u017ee jsou symptomy pom\u011brn\u011b v\u00fdrazn\u00e9, \u0159ada \u017een je vn\u00edm\u00e1 jako obvyklou sou\u010d\u00e1st menstrua\u010dn\u00edho cyklu a l\u00e9ka\u0159skou pomoc nevyhled\u00e1.<\/p>\n\n\n\n

\u201eKa\u017ed\u00e1 \u017eena m\u00e1 nav\u00edc jinak nastaven\u00fd pr\u00e1h bolesti<\/em>, a proto je vn\u00edm\u00e1n\u00ed pot\u00ed\u017e\u00ed velmi individu\u00e1ln\u00ed. Potvrzen\u00ed endometri\u00f3zy vy\u017eaduje laparoskopickou operaci, kter\u00e9 se spousta pacientek boj\u00ed,\u201c<\/em> vysv\u011btluje\u00a0MUDr. Leopold Rotter, vedouc\u00ed l\u00e9ka\u0159 gynekologick\u00e9ho centra Gynmeda. M\u00edsto d\u016fkladn\u00e9ho vy\u0161et\u0159en\u00ed proto \u017eeny rad\u011bji vol\u00ed analgetika a doufaj\u00ed, \u017ee pot\u00ed\u017ee \u010dasem samy odezn\u00ed.<\/p>\n\n\n\n

Mnoho z\u00a0nich se tak k p\u0159esn\u00e9 diagn\u00f3ze dost\u00e1v\u00e1 a\u017e ve chv\u00edli, kdy se jim del\u0161\u00ed dobu neda\u0159\u00ed ot\u011bhotn\u011bt. Na rozd\u00edl od p\u00e1r\u016f, kter\u00e9 \u0159e\u0161\u00ed neplodnost kv\u016fli vy\u0161\u0161\u00edmu v\u011bku, p\u0159ich\u00e1zej\u00ed \u017eeny s t\u011bmito nemocemi na reproduk\u010dn\u00ed kliniku \u010dasto u\u017e p\u0159ed t\u0159ic\u00edtkou. L\u00e9\u010dba pak obvykle vede cestou asistovan\u00e9 reprodukce. \u201e\u017deny p\u0159i n\u00ed podstupuj\u00ed komplexn\u00ed vy\u0161et\u0159en\u00ed, p\u0159i kter\u00e9m se odhal\u00ed skute\u010dn\u00e1 p\u0159\u00ed\u010dina neplodnosti. \u010c\u00edm d\u0159\u00edve k tomu dojde, t\u00edm v\u011bt\u0161\u00ed m\u00e1me \u0161anci zvolit vhodnou terapii a dos\u00e1hnout \u00fasp\u011b\u0161n\u00e9ho t\u011bhotenstv\u00ed,\u201c<\/em> popisuje MUDr. \u0160telcl. Podle n\u011bj vy\u017eaduje ka\u017ed\u00e1 diagn\u00f3za jin\u00fd p\u0159\u00edstup.<\/p>\n\n\n\n

\u201eU \u017een s endometri\u00f3zou jsme sp\u00ed\u0161e radik\u00e1ln\u011bj\u0161\u00ed a vol\u00edme rovnou um\u011bl\u00e9 oplodn\u011bn\u00ed, kde\u017eto u PCOS se zprvu sna\u017e\u00edme stimulovat vaje\u010dn\u00edky a vyvolat ovulaci, aby se p\u00e1r mohl o miminko pokusit spont\u00e1nn\u011b. A\u017e kdy\u017e je tahle f\u00e1ze ne\u00fasp\u011b\u0161n\u00e1, p\u0159ech\u00e1z\u00edme k\u00a0IVF,\u201c <\/em>vysv\u011btluje MUDr. \u0160telcl.<\/p>\n\n\n\n

Nepravideln\u00fd cyklus nebo bolesti p\u0159i menstruaci nemus\u00ed v\u017edy znamenat z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, i tak se za t\u00edmto projevem m\u016f\u017ee skr\u00fdvat hormon\u00e1ln\u00ed nerovnov\u00e1ha. Ta sice nevy\u017eaduje okam\u017eitou l\u00e9\u010dbu, ale i ona m\u016f\u017ee plodnost do jist\u00e9 m\u00edry negativn\u011b ovlivnit. \u201eCyklus bez ovulace nen\u00ed nic v\u00fdjime\u010dn\u00e9ho. \u017dena m\u016f\u017ee menstruovat pravideln\u011b, ale p\u0159esto nemus\u00ed b\u00fdt schopn\u00e1 ot\u011bhotn\u011bt. Pr\u00e1v\u011b ovulace je kl\u00ed\u010dov\u00e1 a bez jej\u00ed p\u0159\u00edtomnosti p\u0159irozen\u00e9 po\u010det\u00ed jednodu\u0161e mo\u017en\u00e9 nen\u00ed,\u201c<\/em> uzav\u00edr\u00e1 MUDr. \u0160telcl.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0158ada \u017een ale pot\u00ed\u017ee podce\u0148uje Praha, 16. 4. 2025 \u2013 Za \u017eenskou neplodnost\u00ed stoj\u00ed ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f gynekologick\u00e9 pot\u00ed\u017ee, kter\u00e9 \u017eeny roky p\u0159ehl\u00ed\u017e\u00ed. Mezi ty […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":39890,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-56443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=56443"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56443\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/39890"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}