{"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\/nl\/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 Snel antwoord<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Susten Vaginal Gel<\/strong> is <strong>natural progesterone 8% vaginal gel<\/strong>, gebruikt voor <strong>luteal phase support in IVF<\/strong>, <strong>endometrial preparation for frozen embryo transfer (FET)<\/strong>, en <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>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/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 Waarom bestellen bij MedsBase:<\/strong> Geverifieerde echte fabrikantlevering \u00b7 Discrete wereldwijde verzending \u00b7 Veilig afrekenen (creditcard, crypto) \u00b7 Beoordeeld met 4.9\u2605 door 1.400+ klanten\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>Genitale herpes (eerste episode):<\/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>Secundaire amenorroe<\/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>Hoe aan te brengen<\/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>Bijwerkingen<\/strong><\/h2>\n<p><strong>Vaak voorkomend:<\/strong> vaginal discharge, leakage, mild burning at insertion, breast tenderness, breakthrough bleeding or spotting.<\/p>\n<p><strong>Minder vaak:<\/strong> headache, fatigue (less than oral), abdominal cramping.<\/p>\n<p><strong>Zeldzaam:<\/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>Actieve leverziekte<\/li>\n<li>Onverklaard vaginaal bloedverlies<\/li>\n<li>Missed abortion \/ incomplete abortion (seek medical review)<\/li>\n<\/ul>\n<h2><strong>Opslag<\/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\">Veelgestelde vragen<\/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\">Wat als ik een dosis vergeet?<\/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\">Gerelateerde producten voor vrouwen gezondheid<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/tamodex\/\">Tamodex (Tamoxifen 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/tamilong\/\">Tamilong (Tamoxifen 20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/letroheal\/\">Letroheal (Letrozol 2.5 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/etibo\/\">Etibo (Lapatinib 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/duphaston\/\">Duphaston (Dydrogesteron 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/deviry\/\">Deviry (Medroxyprogesteron 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/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 Medische disclaimer:<\/strong> De informatie is educatief en vervangt geen medisch advies. Raadpleeg een arts voordat u begint, stopt of een medicatie wijzigt, met name voor kankerbehandeling, hormonale therapie\u00ebn en voorgeschreven producten.<\/p>\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Gerelateerde alternatieven<\/h3>\n<p>Andere producten in <strong>Vrouwengezondheid<\/strong> die klanten ook bekijken:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/premarin-cream\/\">Premarin Cr\u00e8me<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/evalon-cream\/\">Evalon Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/ovral-l\/\">Ovral-L<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/proluton-depot\/\">Proluton Depot<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/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\/nl\/wp-json\/wp\/v2\/product\/59002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=59002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/59003"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=59002"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=59002"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=59002"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=59002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}