{"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>p\u0159\u00edrodn\u00ed progesteron 8% vagin\u00e1ln\u00ed gel<\/strong>, pou\u017e\u00edv\u00e1 se p\u0159i <strong>podpora lute\u00e1ln\u00ed f\u00e1ze p\u0159i IVF<\/strong>, <strong>p\u0159\u00edprava endometria pro zmrazen\u00fd embryotransfer (FET)<\/strong>, a <strong>prevence hroz\u00edc\u00edho\/opakovan\u00e9ho potratu<\/strong> (v ur\u010dit\u00fdch podskupin\u00e1ch podle studie PRISM). Vagin\u00e1ln\u00ed pod\u00e1n\u00ed zaji\u0161\u0165uje vysokou d\u011blo\u017en\u00ed biologickou dostupnost a obch\u00e1z\u00ed jatern\u00ed prvopr\u016fchodov\u00fd efekt, s men\u0161\u00ed ospalost\u00ed a nevolnost\u00ed ne\u017e peror\u00e1ln\u00ed mikronizovan\u00fd progesteron.<\/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>Co je Susten vagin\u00e1ln\u00ed gel?<\/strong><\/h2>\n<p>Susten vagin\u00e1ln\u00ed gel je <strong>p\u0159\u00edrodn\u00ed progesteronov\u00fd vagin\u00e1ln\u00ed gel v 8% koncentraci<\/strong>, pod\u00e1van\u00fd jednor\u00e1zov\u00fdmi aplika\u010dn\u00edmi s\u00e1\u010dky. Vagin\u00e1ln\u00ed cesta dosahuje <strong>vysok\u00e9 lok\u00e1ln\u00ed koncentrace v d\u011bloze<\/strong> d\u00edky preferen\u010dn\u00edmu d\u011blo\u017en\u00edmu vst\u0159eb\u00e1v\u00e1n\u00ed (efekt \u201cprvn\u00edho d\u011blo\u017en\u00edho pr\u016fchodu\u201d) p\u0159i ni\u017e\u0161\u00ed syst\u00e9mov\u00e9 expozici l\u00e9ku \u2013 co\u017e sni\u017euje ospalost a gastrointestin\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky oproti peror\u00e1ln\u00edmu progesteronu. V\u00fdrobce: Sun Pharma.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Podpora lute\u00e1ln\u00ed f\u00e1ze v IVF cyklech:<\/strong> 90 mg gelu denn\u011b od transferu embrya, pokra\u010dujte do 10.\u201312. t\u00fddne potvrzen\u00e9ho t\u011bhotenstv\u00ed.<\/li>\n<li><strong>P\u0159\u00edprava endometria pro transfer zmra\u017een\u00e9ho embrya (FET):<\/strong> programovan\u00e9 cykly s pou\u017eit\u00edm estradiolu + vagin\u00e1ln\u00edho progesteronu.<\/li>\n<li><strong>Hroz\u00edc\u00ed potrat u \u017een s p\u0159edchoz\u00edmi opakovan\u00fdmi ztr\u00e1tami<\/strong> (podskupina studie PRISM s aktivn\u00edm krv\u00e1cen\u00edm a \u22653 p\u0159edchoz\u00edmi potraty).<\/li>\n<li><strong>Sekund\u00e1rn\u00ed amenorea<\/strong> \u2014 mimo schv\u00e1lenou indikaci.<\/li>\n<li><strong>Progesteron-deficientn\u00ed lute\u00e1ln\u00ed f\u00e1ze<\/strong> p\u0159i p\u0159irozen\u00fdch pokusech o po\u010det\u00ed \u2014 vybran\u00e9 p\u0159\u00edpady.<\/li>\n<\/ul>\n<h2><strong>Jak aplikovat<\/strong><\/h2>\n<ol>\n<li>Umyjte si ruce. Od\u0161roubujte v\u00ed\u010dko jednor\u00e1zov\u00e9ho aplik\u00e1toru. Lehn\u011bte si na z\u00e1da.<\/li>\n<li>Zavedete aplik\u00e1tor do pochvy a stla\u010dte t\u011blo aplik\u00e1toru, aby se gel vytla\u010dil. Aplik\u00e1tor zlikvidujte.<\/li>\n<li><strong>IVF\/FET lute\u00e1ln\u00ed podpora:<\/strong> 90 mg denn\u011b (jeden aplik\u00e1tor) za\u010d\u00ednaje v den transferu embrya; pokra\u010dujte do 10.\u201312. t\u00fddne potvrzen\u00e9ho t\u011bhotenstv\u00ed.<\/li>\n<li>Nejlep\u0161\u00ed \u010dasov\u00e1n\u00ed: ve stejnou denn\u00ed dobu, b\u011b\u017en\u011b p\u0159ed span\u00edm \u2014 sni\u017euje \u00fanik gelu p\u0159i vzp\u0159\u00edmen\u00e9 \u010dinnosti.<\/li>\n<li>Ur\u010dit\u00fd \u00fanik je norm\u00e1ln\u00ed; pou\u017eijte vlo\u017eku. Nesprchujte se.<\/li>\n<li>Vyhn\u011bte se pohlavn\u00edmu styku bezprost\u0159edn\u011b po aplikaci; pro nejlep\u0161\u00ed retenci po\u010dkejte 6+ hodin.<\/li>\n<\/ol>\n<h2><strong>Vagin\u00e1ln\u00ed vs Or\u00e1ln\u00ed vs IM Progesteron<\/strong><\/h2>\n<ul>\n<li><strong>Vagin\u00e1ln\u00ed (tento produkt):<\/strong> vysok\u00e1 d\u011blo\u017en\u00ed hladina, men\u0161\u00ed ospalost, pohodln\u00e9 samopod\u00e1n\u00ed, ur\u010dit\u00e9 prosakov\u00e1n\u00ed.<\/li>\n<li><strong>Or\u00e1ln\u00ed mikronizovan\u00fd:<\/strong> pohodln\u00fd, prosp\u011b\u0161n\u00fd pro sp\u00e1nek, ale n\u00edzk\u00e1 biologick\u00e1 dostupnost a v\u00edce gastrointestin\u00e1ln\u00edch \u00fa\u010dink\u016f.<\/li>\n<li><strong>IM (susten-injekce):<\/strong> nejvy\u0161\u0161\u00ed a nejspolehliv\u011bj\u0161\u00ed d\u011blo\u017en\u00ed hladiny, ale bolestiv\u00e9 zatvrdliny v m\u00edst\u011b vpichu.<\/li>\n<\/ul>\n<p>V\u011bt\u0161ina IVF klinik pou\u017e\u00edv\u00e1 vagin\u00e1ln\u00ed nebo IM progesteron pro lute\u00e1ln\u00ed podporu. Volba z\u00e1vis\u00ed na pohodl\u00ed, n\u00e1kladech, preferenci pacienta a protokolu kliniky.<\/p>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> vagin\u00e1ln\u00ed v\u00fdtok, prosakov\u00e1n\u00ed, m\u00edrn\u00e9 p\u00e1len\u00ed p\u0159i aplikaci, citlivost prsou, pr\u016flomov\u00e9 krv\u00e1cen\u00ed nebo \u0161pin\u011bn\u00ed.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> bolest hlavy, \u00fanava (m\u00e9n\u011b ne\u017e u or\u00e1ln\u00ed formy), b\u0159i\u0161n\u00ed k\u0159e\u010de.<\/p>\n<p><strong>Vz\u00e1cn\u00e9:<\/strong> alergick\u00e1 reakce, cholest\u00e1za.<\/p>\n<h2><strong>Kdo by nem\u011bl pou\u017e\u00edvat Susten vagin\u00e1ln\u00ed gel<\/strong><\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na progesteron nebo pomocn\u00e9 l\u00e1tky<\/li>\n<li>Aktivn\u00ed VTE, DVT, PE<\/li>\n<li>Historie malignity prsu nebo genit\u00e1li\u00ed<\/li>\n<li>Aktivn\u00ed jatern\u00ed onemocn\u011bn\u00ed<\/li>\n<li>Nediagnostikovan\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>Zme\u0161kan\u00fd potrat \/ ne\u00fapln\u00fd potrat (vyhledejte l\u00e9ka\u0159skou kontrolu)<\/li>\n<\/ul>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b (pod 25 \u00b0C). Nemrazte. Aplik\u00e1tor udr\u017eujte uzav\u0159en\u00fd, dokud nen\u00ed p\u0159ipraven k pou\u017eit\u00ed. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1 vyt\u00e9k\u00e1n\u00ed?<\/h3>\n<p>Vyt\u00e9k\u00e1n\u00ed po dobu n\u011bkolika hodin po aplikaci je norm\u00e1ln\u00ed. Pou\u017e\u00edvejte vlo\u017eku. Aplikace p\u0159ed span\u00edm minimalizuje viditeln\u00e9 vyt\u00e9k\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat tampon s Susten Vaginal Gelem?<\/h3>\n<p>Ne \u2014 tampon absorbuje l\u00e9k. Pou\u017e\u00edvejte vlo\u017eky.<\/p>\n<h3 class=\"wp-block-heading\">Kdy m\u00e1m p\u0159estat b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Obvykle kolem 10.\u201312. t\u00fddne, kdy placenta p\u0159eb\u00edr\u00e1 produkci progesteronu. P\u0159esn\u00e9 na\u010dasov\u00e1n\u00ed konzultujte se sv\u00fdm specialistou na fertilitu.<\/p>\n<h3 class=\"wp-block-heading\">Je vagin\u00e1ln\u00ed progesteron stejn\u00fd jako peror\u00e1ln\u00ed?<\/h3>\n<p>Stejn\u00e1 molekula, ale jin\u00e9 pod\u00e1n\u00ed. Vagin\u00e1ln\u00ed forma dosahuje vy\u0161\u0161\u00ed koncentrace v d\u011bloze s men\u0161\u00ed syst\u00e9movou expozic\u00ed \u2014 l\u00e9pe sn\u00e1\u0161ena p\u0159i denn\u00edm u\u017e\u00edv\u00e1n\u00ed pro lute\u00e1ln\u00ed podporu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu m\u00edt pohlavn\u00ed styk p\u0159i u\u017e\u00edv\u00e1n\u00ed Susten Vaginal Gelu?<\/h3>\n<p>Ano, ale vyhn\u011bte se pohlavn\u00edmu styku do 6 hodin po aplikaci, aby do\u0161lo k \u0159\u00e1dn\u00e9mu vst\u0159eb\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Funguje vagin\u00e1ln\u00ed progesteron stejn\u011b dob\u0159e jako intramuskul\u00e1rn\u00ed?<\/h3>\n<p>Ano \u2014 modern\u00ed studie IVF ukazuj\u00ed srovnateln\u00e9 m\u00edry t\u011bhotenstv\u00ed u vagin\u00e1ln\u00edho a IM progesteronu. Vagin\u00e1ln\u00ed forma je obecn\u011b l\u00e9pe sn\u00e1\u0161ena (\u017e\u00e1dn\u00e9 bolestiv\u00e9 injekce).<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Aplikujte, jakmile si vzpomenete; pokra\u010dujte v b\u011b\u017en\u00e9m re\u017eimu. Ned\u00e1vejte dvojitou d\u00e1vku. V p\u0159\u00edpad\u011b vynech\u00e1n\u00ed d\u00e1vky v IVF cyklech kontaktujte svou fertiln\u00ed kliniku \u2014 konzistence je d\u016fle\u017eit\u00e1 pro implantaci.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee m\u016fj partner absorbovat progesteron p\u0159i kontaktu?<\/h3>\n<p>Men\u0161\u00ed expozice je mo\u017en\u00e1 prost\u0159ednictv\u00edm vagin\u00e1ln\u00edch sekret\u016f b\u011bhem pohlavn\u00edho styku. P\u0159i standardn\u00edch d\u00e1vk\u00e1ch to nen\u00ed klinicky v\u00fdznamn\u00e9.<\/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 Podpora hormon\u00e1ln\u00ed rovnov\u00e1hy<br \/>\n\u2705 Udr\u017eov\u00e1n\u00ed vagin\u00e1ln\u00edho zdrav\u00ed<br \/>\n\u2705 \u00daleva od menopauz\u00e1ln\u00edch p\u0159\u00edznak\u016f<br \/>\n\u2705 Zv\u00fd\u0161en\u00ed fertility<br \/>\n\u2705 Podpora v t\u011bhotenstv\u00ed<\/p>\n<p>Susten Vaginal Gel obsahuje progesteron.<\/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}]}}