{"id":59002,"date":"2024-02-28T05:37:45","date_gmt":"2024-02-28T05:37:45","guid":{"rendered":"https:\/\/medsname.com\/susten-vaginal-gel\/"},"modified":"2026-04-30T10:16:43","modified_gmt":"2026-04-30T10:16:43","slug":"susten-vaginal-gel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/susten-vaginal-gel\/","title":{"rendered":"Susten Vaginal Gel"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Susten Vaginal Gel<\/strong> je <strong>natural progesterone 8% vaginal gel<\/strong>, pou\u017e\u00edv\u00e1 se p\u0159i <strong>luteal phase support in IVF<\/strong>, <strong>endometrial preparation for frozen embryo transfer (FET)<\/strong>, a <strong>threatened\/recurrent miscarriage prevention<\/strong> (in specific subgroups per PRISM trial). Vaginal route provides high uterine bioavailability while bypassing hepatic first-pass, with less drowsiness and nausea than oral micronized progesterone.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Pro\u010d nakupovat na MedsBase:<\/strong> Ov\u011b\u0159en\u00e9 dod\u00e1vky p\u0159\u00edmo od v\u00fdrobce \u00b7 Diskr\u00e9tn\u00ed celosv\u011btov\u00e1 doprava \u00b7 Bezpe\u010dn\u00e9 platby (kreditn\u00ed karta, kryptom\u011bny) \u00b7 Hodnocen\u00ed 4.9\u2605 od 1 400+ z\u00e1kazn\u00edk\u016f\n<\/div>\n<h2><strong>What Is Susten Vaginal Gel?<\/strong><\/h2>\n<p>Susten Vaginal Gel is a <strong>natural progesterone vaginal gel at 8% concentration<\/strong>, delivered by single-use applicator sachet. The vaginal route achieves <strong>high local uterine concentration<\/strong> by preferential uterine uptake (the &#8220;first uterine pass&#8221; effect) while delivering less drug systemically \u2014 reducing drowsiness and GI side effects vs oral progesterone. Manufactured by Sun Pharma.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Luteal phase support in IVF cycles:<\/strong> 90 mg gel daily starting at embryo transfer, continued through week 10\u201312 of confirmed pregnancy.<\/li>\n<li><strong>Endometrial preparation for frozen embryo transfer (FET):<\/strong> programmed cycles using estradiol + vaginal progesterone.<\/li>\n<li><strong>Threatened miscarriage in women with prior recurrent loss<\/strong> (PRISM trial subgroup with active bleeding and \u22653 prior miscarriages).<\/li>\n<li><strong>Sekund\u00e1rn\u00ed amenorea<\/strong> \u2014 off-label.<\/li>\n<li><strong>Progesterone-deficient luteal phase<\/strong> in natural conception attempts \u2014 selected cases.<\/li>\n<\/ul>\n<h2><strong>Jak aplikovat<\/strong><\/h2>\n<ol>\n<li>Wash hands. Twist off the cap of the single-use applicator. Lie on your back.<\/li>\n<li>Insert the applicator into the vagina and squeeze the body to expel the gel. Discard the applicator.<\/li>\n<li><strong>IVF\/FET luteal support:<\/strong> 90 mg daily (one applicator) starting at embryo transfer; continue through week 10\u201312 of confirmed pregnancy.<\/li>\n<li>Best timing: same time daily, at bedtime is common \u2014 reduces leakage from upright activity.<\/li>\n<li>Some leakage is normal; use a panty liner. Do not douche.<\/li>\n<li>Avoid intercourse immediately after application; wait 6+ hours for best retention.<\/li>\n<\/ol>\n<h2><strong>Vaginal vs Oral vs IM Progesterone<\/strong><\/h2>\n<ul>\n<li><strong>Vaginal (this product):<\/strong> high uterine delivery, less drowsiness, convenient self-administration, some leakage.<\/li>\n<li><strong>Oral micronized:<\/strong> convenient, sleep benefit, but low bioavailability and more GI effects.<\/li>\n<li><strong>IM (susten-injection):<\/strong> highest and most reliable uterine levels, but painful injection site lumps.<\/li>\n<\/ul>\n<p>Most IVF clinics use vaginal or IM progesterone for luteal support. Choice depends on convenience, cost, patient preference, and clinic protocol.<\/p>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> vaginal discharge, leakage, mild burning at insertion, breast tenderness, breakthrough bleeding or spotting.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> headache, fatigue (less than oral), abdominal cramping.<\/p>\n<p><strong>Vz\u00e1cn\u00e9:<\/strong> allergic reaction, cholestasis.<\/p>\n<h2><strong>Who Should Not Use Susten Vaginal Gel<\/strong><\/h2>\n<ul>\n<li>Known hypersensitivity to progesterone or excipients<\/li>\n<li>Active VTE, DVT, PE<\/li>\n<li>History of breast or genital malignancy<\/li>\n<li>Aktivn\u00ed jatern\u00ed onemocn\u011bn\u00ed<\/li>\n<li>Nediagnostikovan\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>Missed abortion \/ incomplete abortion (seek medical review)<\/li>\n<\/ul>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Store at room temperature (below 25 \u00b0C). Do not freeze. Keep applicator sealed until ready to use. Keep out of reach of children.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">How long does leakage last?<\/h3>\n<p>Leakage for a few hours after application is normal. Use a panty liner. Applying at bedtime minimises visible leakage.<\/p>\n<h3 class=\"wp-block-heading\">Can I use a tampon with Susten Vaginal Gel?<\/h3>\n<p>No \u2014 a tampon absorbs the drug. Use panty liners.<\/p>\n<h3 class=\"wp-block-heading\">When do I stop during pregnancy?<\/h3>\n<p>Typically around week 10\u201312, when the placenta takes over progesterone production. Exact timing per your fertility specialist.<\/p>\n<h3 class=\"wp-block-heading\">Is vaginal progesterone the same as oral?<\/h3>\n<p>Same molecule but different delivery. Vaginal achieves higher uterine concentration with less systemic exposure \u2014 better tolerated for daily use in luteal support.<\/p>\n<h3 class=\"wp-block-heading\">Can I have intercourse while using Susten Vaginal Gel?<\/h3>\n<p>Yes, but avoid in the 6 hours after application to allow proper absorption.<\/p>\n<h3 class=\"wp-block-heading\">Does vaginal progesterone work as well as IM?<\/h3>\n<p>Yes \u2014 modern IVF trials show comparable pregnancy rates with vaginal vs IM progesterone. Vaginal is generally better tolerated (no painful injections).<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Apply as soon as you remember; continue normal schedule. Do not double-dose. Contact your fertility clinic for missed-dose protocol in IVF cycles \u2014 consistency matters for implantation.<\/p>\n<h3 class=\"wp-block-heading\">Can my partner absorb progesterone from contact?<\/h3>\n<p>Minor exposure possible via vaginal secretions during intercourse. Not clinically significant at standard doses.<\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed produkty pro zdrav\u00ed \u017een<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamodex\/\">Tamodex (Tamoxifen 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamilong\/\">Tamilong (Tamoxifen 20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/letroheal\/\">Letroheal (Letrozol 2,5 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/etibo\/\">Etibo (Lapatinib 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duphaston\/\">Duphaston (Dydrogesteron 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/deviry\/\">Deviry (Medroxyprogesteron 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/naprosyn\/\">Naprosyn (Naproxen 250 mg)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed:<\/strong> Informace maj\u00ed vzd\u011bl\u00e1vac\u00ed charakter a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli l\u00e9ku, zejm\u00e9na p\u0159i l\u00e9\u010db\u011b rakoviny, hormon\u00e1ln\u00ed terapii a p\u0159edepsan\u00fdch p\u0159\u00edpravc\u00edch, se pora\u010fte s l\u00e9ka\u0159em.<\/p>\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Zdrav\u00ed \u017een<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/premarin-cream\/\">Premarin kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/evalon-cream\/\">Evalon kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ovral-l\/\">Ovral-L<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/proluton-depot\/\">Proluton Depot<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/candifem-vaginal-cream\/\">Candifem Vaginal Cream<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Hormonal balance support<br \/>\n\u2705 Vaginal health maintenance<br \/>\n\u2705 Menopausal symptom relief<br \/>\n\u2705 Fertility enhancement<br \/>\n\u2705 Pregnancy support<\/p>\n<p>Susten Vaginal Gel contains Progesterone.<\/p>","protected":false},"featured_media":59003,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3971,3502],"product_tag":[3523,4609],"class_list":{"0":"post-59002","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-feminine-hygiene-vaginal-health","8":"product_cat-womens-health","9":"product_tag-progesterone","10":"product_tag-susten-vaginal-gel","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/59002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=59002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59003"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59002"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59002"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59002"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}