{"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\/ro\/product\/susten-vaginal-gel\/","title":{"rendered":"Susten Gel Vaginal"},"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 R\u0103spuns rapid<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Susten Gel Vaginal<\/strong> este <strong>gel vaginal cu progesteron natural 8%<\/strong>, utilizat pentru <strong>suport luteal \u00een FIV<\/strong>, <strong>preg\u0103tire endometrial\u0103 pentru transferul de embrioni congela\u021bi (FET)<\/strong>, \u0219i <strong>prevenirea avortului spontan amenin\u021bat\/recurent<\/strong> (\u00een subgrupuri specifice conform studiului PRISM). Administrarea vaginal\u0103 asigur\u0103 biodisponibilitate uterin\u0103 ridicat\u0103, ocolind metabolismul hepatic de prim\u0103 trecere, cu mai pu\u021bine efecte secundare somnolen\u021b\u0103 \u0219i grea\u021b\u0103 comparativ cu progesteronul micronizat oral.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/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 De ce s\u0103 comanzi de la MedsBase:<\/strong> Aprovizionare verificat\u0103 direct de la produc\u0103tor \u00b7 Livrare discret\u0103 \u00een \u00eentreaga lume \u00b7 Plat\u0103 securizat\u0103 (card de credit, crypto) \u00b7 Evaluat 4,9\u2605 de peste 1.400 de clien\u021bi\n<\/div>\n<h2><strong>Ce este Susten Gel Vaginal?<\/strong><\/h2>\n<p>Susten Vaginal Gel este un <strong>gel vaginal cu progesteron natural la concentra\u021bia de 8%<\/strong>, administrat prin pachete aplicator de unic\u0103 folosin\u021b\u0103. Ruta vaginal\u0103 realizeaz\u0103 <strong>o concentra\u021bie uterin\u0103 local\u0103 ridicat\u0103<\/strong> prin absorb\u021bie uterin\u0103 preferen\u021bial\u0103 (efectul \u201cprimului trecere uterin\u0103\u201d), administr\u00e2nd mai pu\u021bin medicament sistemic \u2014 reduc\u00e2nd somnolen\u021ba \u0219i efectele adverse gastrointestinale fa\u021b\u0103 de progesteronul oral. Fabricat de Sun Pharma.<\/p>\n<h2><strong>Utiliz\u0103ri clinice<\/strong><\/h2>\n<ul>\n<li><strong>Suportul fazei luteale \u00een ciclurile de FIV:<\/strong> 90 mg gel zilnic \u00eencep\u00e2nd cu transferul embrionar, continu\u00e2nd p\u00e2n\u0103 \u00een s\u0103pt\u0103m\u00e2na 10\u201312 de sarcin\u0103 confirmat\u0103.<\/li>\n<li><strong>Preg\u0103tirea endometrial\u0103 pentru transferul de embrioni congela\u021bi (FET):<\/strong> cicluri programate folosind estradiol + progesteron vaginal.<\/li>\n<li><strong>Avortament amenin\u021bat la femeile cu pierderi recurente anterioare<\/strong> (subgrupul PRISM trial cu s\u00e2ngerare activ\u0103 \u0219i \u22653 avorturi anterioare).<\/li>\n<li><strong>Amenoree secundar\u0103<\/strong> \u2014 off-label.<\/li>\n<li><strong>Faza luteal\u0103 deficitar\u0103 \u00een progesteron<\/strong> \u00een \u00eencerc\u0103rile de concep\u021bie natural\u0103 \u2014 cazuri selectate.<\/li>\n<\/ul>\n<h2><strong>Cum se aplic\u0103<\/strong><\/h2>\n<ol>\n<li>Sp\u0103la\u021bi-v\u0103 m\u00e2inile. Desface\u021bi capacul aplicatorului de unic\u0103 folosin\u021b\u0103. \u00centinde\u021bi-v\u0103 pe spate.<\/li>\n<li>Introduce\u021bi aplicatorul \u00een vagin \u0219i ap\u0103sa\u021bi corpul pentru a elimina gelul. Arunca\u021bi aplicatorul.<\/li>\n<li><strong>Suport luteal FIV\/FET:<\/strong> 90 mg zilnic (un aplicator) \u00eencep\u00e2nd cu transferul embrionar; continua\u021bi p\u00e2n\u0103 \u00een s\u0103pt\u0103m\u00e2na 10\u201312 de sarcin\u0103 confirmat\u0103.<\/li>\n<li>Cel mai bun moment: acela\u0219i timp zilnic, la culcare este frecvent \u2014 reduce scurgerile din activit\u0103\u021bile \u00een pozi\u021bie vertical\u0103.<\/li>\n<li>Unele scurgeri sunt normale; folosi\u021bi un protec\u021bi slip. Nu face\u021bi iriga\u021bii vaginale.<\/li>\n<li>Evita\u021bi contactul sexual imediat dup\u0103 aplicare; a\u0219tepta\u021bi minim 6 ore pentru cea mai bun\u0103 reten\u021bie.<\/li>\n<\/ol>\n<h2><strong>Progesteron vaginal vs oral vs intramuscular<\/strong><\/h2>\n<ul>\n<li><strong>Vaginal (acest produs):<\/strong> livrare ridicat\u0103 la nivel uterin, somnolen\u021b\u0103 redus\u0103, administrare convenabil\u0103, posibil\u0103 scurgere.<\/li>\n<li><strong>Oral micronizat:<\/strong> convenabil, benefic pentru somn, dar biodisponibilitate sc\u0103zut\u0103 \u0219i mai multe efecte gastrointestinale.<\/li>\n<li><strong>Intramuscular (injectie susten):<\/strong> niveluri uterine maxime \u0219i cele mai fiabile, dar formarea de noduli durero\u0219i la locul inject\u0103rii.<\/li>\n<\/ul>\n<p>Majoritatea clinicilor de FIV utilizeaz\u0103 progesteron vaginal sau intramuscular pentru suportul luteal. Alegerea depinde de convenien\u021b\u0103, cost, preferin\u021ba pacientului \u0219i protocolul clinicii.<\/p>\n<h2><strong>Efecte Secundare<\/strong><\/h2>\n<p><strong>Frecvente:<\/strong> secre\u021bii vaginale, scurgeri, arsur\u0103 u\u0219oar\u0103 la inserare, sensibilitate mamar\u0103, s\u00e2nger\u0103ri sau spotting.<\/p>\n<p><strong>Mai pu\u021bin frecvente:<\/strong> cefalee, oboseal\u0103 (mai pu\u021bin dec\u00e2t la administrarea oral\u0103), crampe abdominale.<\/p>\n<p><strong>Rare:<\/strong> reac\u021bie alergic\u0103, colestaz\u0103.<\/p>\n<h2><strong>Cine nu ar trebui s\u0103 foloseasc\u0103 Susten Vaginal Gel<\/strong><\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la progesteron sau excipien\u021bi<\/li>\n<li>TVP activ\u0103, TEP, tromboz\u0103 venoas\u0103 profund\u0103<\/li>\n<li>Istoric de malignitate mamar\u0103 sau genital\u0103<\/li>\n<li>Boal\u0103 hepatic\u0103 activ\u0103<\/li>\n<li>S\u00e2ngerare vaginal\u0103 nediagnosticat\u0103<\/li>\n<li>Avort ratat \/ avort incomplet (consulta\u021bi un medic)<\/li>\n<\/ul>\n<h2><strong>Depozitare<\/strong><\/h2>\n<p>P\u0103stra\u021bi la temperatura camerei (sub 25 \u00b0C). Nu congela\u021bi. P\u0103stra\u021bi aplicatorul sigilat p\u00e2n\u0103 la utilizare. Depozita\u021bi \u00een afara accesului copiilor.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 scurgerea?<\/h3>\n<p>Scurgerea timp de c\u00e2teva ore dup\u0103 aplicare este normal\u0103. Folosi\u021bi absorbante intime. Aplicarea la ora de culcare minimizeaz\u0103 scurgerea vizibil\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot folosi tampon cu Susten Vaginal Gel?<\/h3>\n<p>Nu \u2014 tamponul absoarbe medicamentul. Folosi\u021bi absorbante intime.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2nd trebuie s\u0103 \u00eencetez \u00een timpul sarcinii?<\/h3>\n<p>De obicei \u00een jurul s\u0103pt\u0103m\u00e2nii 10\u201312, c\u00e2nd placenta preia produc\u021bia de progesteron. Momentul exact conform recomand\u0103rii specialistului \u00een fertilitate.<\/p>\n<h3 class=\"wp-block-heading\">Progesteronul vaginal este acela\u0219i cu cel oral?<\/h3>\n<p>Aceea\u0219i molecul\u0103, dar cu administrare diferit\u0103. Forma vaginal\u0103 atinge concentra\u021bii uterine mai mari cu expunere sistemic\u0103 redus\u0103 \u2014 mai bine tolerat\u0103 pentru uz zilnic \u00een suportul luteal.<\/p>\n<h3 class=\"wp-block-heading\">Pot avea rela\u021bii sexuale \u00een timp ce folosesc Gelul Vaginal Susten?<\/h3>\n<p>Da, dar evita\u021bi \u00een primele 6 ore dup\u0103 aplicare pentru a permite absorb\u021bia corespunz\u0103toare.<\/p>\n<h3 class=\"wp-block-heading\">Progesteronul vaginal este la fel de eficient ca cel intramuscular?<\/h3>\n<p>Da \u2014 studiile moderne de FIV arat\u0103 rate de sarcin\u0103 comparabile \u00eentre progesteronul vaginal \u0219i cel intramuscular. Forma vaginal\u0103 este \u00een general mai bine tolerat\u0103 (f\u0103r\u0103 injec\u021bii dureroase).<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Aplica\u021bi imediat ce v\u0103 aminti\u021bi; continua\u021bi conform programului normal. Nu dubla\u021bi doza. Contacta\u021bi clinica de fertilitate pentru protocolul de doz\u0103 omis\u0103 \u00een ciclurile de FIV \u2014 consecven\u021ba este important\u0103 pentru implantare.<\/p>\n<h3 class=\"wp-block-heading\">Partenerul meu poate absorbi progesteron prin contact?<\/h3>\n<p>Expunere minor\u0103 posibil\u0103 prin secre\u021biile vaginale \u00een timpul actului sexual. Nu este semnificativ\u0103 clinic la dozele standard.<\/p>\n<h3 class=\"wp-block-heading\">Produse conexe pentru s\u0103n\u0103tatea femeilor<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tamodex\/\">Tamodex (Tamoxifen 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tamilong\/\">Tamilong (Tamoxifen 20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/letroheal\/\">Letroheal (Letrozole 2.5 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/etibo\/\">Etibo (Lapatinib 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/duphaston\/\">Duphaston (Dydrogesteron\u0103 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/deviry\/\">Deviry (Medroxyprogesteron\u0103 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/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 Disclaimer medical:<\/strong> Informa\u021biile au caracter educativ \u0219i nu \u00eenlocuiesc sfatul medical. Consulta\u021bi un medic \u00eenainte de a \u00eencepe, \u00eentrerupe sau modifica orice tratament, \u00een special pentru terapii oncologice, tratamente hormonale \u0219i produse cu prescrip\u021bie.<\/p>\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Women's Health<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/premarin-cream\/\">Premarin Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/evalon-cream\/\">Crem\u0103 Evalon<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ovral-l\/\">Ovral-L<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/proluton-depot\/\">Proluton Depot<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/candifem-vaginal-cream\/\">Candifem Crem\u0103 Vaginal\u0103<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sus\u021binere a echilibrului hormonal<br \/>\n\u2705 \u00centre\u021binerea s\u0103n\u0103t\u0103\u021bii vaginale<br \/>\n\u2705 Alinarea simptomelor menopauzale<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021bire a fertilit\u0103\u021bii<br \/>\n\u2705 Sus\u021binere \u00een timpul sarcinii<\/p>\n<p>Gelul vaginal Susten con\u021bine 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\/ro\/wp-json\/wp\/v2\/product\/59002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=59002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/59003"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=59002"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=59002"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=59002"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=59002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}