📋 Product Overview Table

🌐 Specification	🧾 Details
💊 Product Name	Susten 8% Vaginal Gel
🧬 Active Ingredient	Natural Micronized Progesterone
🏭 Manufacturer	Sun Pharmaceutical Industries Ltd
💡 Indication	Luteal phase support, IVF protocols, threatened miscarriage, hormonal therapy
🇺🇸 US Brand	Crinone, Endometrin
📦 Packaging	1 applicator tube (typically 1.35 gm gel per applicator)
🌍 Country of Origin	India
⏱️ Delivery Time	6 to 15 business days

🧬 Introduction – What is Susten 8% Vaginal Gel?

Susten 8% Vaginal Gel contains natural micronized progesterone in a highly bioavailable gel formulation, designed for vaginal application. It delivers a local, sustained hormonal release directly to the uterus, maximizing endometrial receptivity and implantation success in ART (Assisted Reproductive Technology).

Produced by Sun Pharmaceutical Industries Ltd, this product is widely recommended for fertility treatments, luteal phase insufficiency, and support during early pregnancy.

🎥 Educational Video Section

📺 “Vaginal Progesterone in Fertility Support”
🎬 Video Placeholder – Mode of action, insertion technique, and patient experience

💬 Reviewed by: Dr. Smita Rawat, MD (OB/GYN, Fertility Specialist)

🧪 Mechanism of Action

🔬 Function	💡 Outcome
Endometrial transformation	Supports implantation and embryo maintenance
Uterine-targeted drug delivery	Higher local concentrations with minimal systemic side effects
Hormone replacement	Treats luteal insufficiency in HRT and natural cycle protocols

💊 Indications & Dosage

🩺 Indication	💊 Recommended Usage
IVF or ART cycle	1 applicator (1.35 gm) vaginally once or twice daily
Threatened miscarriage	1 applicator daily or as prescribed
HRT with estrogen	Combined with estradiol in endometrial preparation protocols

Note: To be used under medical guidance only.

⚠️ Side Effects & Contraindications

💥 Common Side Effects	❗ Serious Concerns
Vaginal irritation or discharge	Allergic reactions (rare)
Abdominal cramps	Thrombosis in predisposed individuals
Bloating, nausea	Severe hepatic dysfunction (rare)

🚫 Avoid in patients with a history of thromboembolic disorders, liver disease, or hormone-sensitive cancers.

🧃 Storage Guidelines

Store below 25°C (77°F)
Keep in original packaging
Avoid exposure to heat and direct sunlight
Do not freeze

🌍 Global Buying Guide – Shipping & Regulations

🌎 Region	🚚 Import Guidelines	📜 Prescription Required
🇺🇸 USA	Permissible for personal use with prescription under FDA policy	✅ Yes
🇬🇧 UK	Import allowed under MHRA personal use clause	✅ Yes
🇦🇺 Australia	TGA-compliant import accepted with prescription	✅ Yes

Estimated delivery: 6–15 business days internationally.

🔗 Related Indian Alternatives (Internal Links)

💊 Product	🏭 Manufacturer	📘 Usage Description
Crinone Gel 8%	Merck Serono	Vaginal gel for progesterone support in ART
Endogest 400 mg	Cipla Ltd	High-dose oral/vaginal soft capsule for luteal phase support
Gestoford 400 mg	Cipla Ltd	Ideal for implantation and hormone replacement
Gestone Injection	Ferring Pharmaceuticals	Injectable form of progesterone for systemic support
Susten 200 mg	Sun Pharma	Intermediate-dose capsule for oral or vaginal use

📚 References & External Medical Resources

🩺 Expert Commentary – Dr. Smita Rawat, MD

“Vaginal progesterone gel like Susten 8% is a gold-standard option in IVF and hormonal therapy. It ensures direct absorption where it’s needed most — the uterus.”