INTRODUCTION ABOUT MICHELLE VAGINAL GEL

MICHELLE VAGINAL GEL contains Progesterone which belongs to the group of medicines called Steroid hormones. It is used to provide extra progesterone to manage infertility due to imbalance of progesterone levels during the menstrual cycle or when you are having an assisted fertility procedure.     

MICHELLE VAGINAL GEL is not recommended for use in patients with unusual vaginal bleeding, known or suspected cancer of the breast or genital organs, blood clots or porphyria disorder and missed abortion (intrauterine death of the embryo or fetus).

Before using MICHELLE VAGINAL GEL, inform your doctor if you have liver, heart or kidney problems, fits, asthma, migraine, diabetes or depression.

Prior to management with MICHELLE VAGINAL GEL, your doctor might do a smear test and check your breasts and pelvic area. During your management, your doctor will check for any problems with your womb or any signs of blood clots in your blood vessels.     

It is usually not recommended for use during pregnancy, but your doctor might give it to you to support your new pregnancy and it is not recommended for use in breast-feeding women, children and adolescents (below 18 years of age).

The most common side effect of using MICHELLE VAGINAL GEL is breast tenderness. Consult your doctor if the side effect worsens.

USES OF MICHELLE VAGINAL GEL

• Manage female infertility

HOW MICHELLE VAGINAL GEL WORKS

MICHELLE VAGINAL GEL helps you to become pregnant and to stay pregnant by increasing uterine wall receptivity for implantation of an embryo and maintaining the pregnancy after an embryo is implanted.

DIRECTIONS FOR USE

Use MICHELLE VAGINAL GEL as advised by your physician. It is for vaginal use only. Before applying the gel wash the genital area. Get the applicator ready and then lean back or lie down with your knees bent and spread apart. Carefully insert the applicator well into your vagina, until your hand touches your body and gently press the air tank at the thick end of the applicator firmly to deliver the gel into your vagina. Your doctor will decide the dose and duration of management for you depending upon the condition.

SIDE EFFECTS OF MICHELLE VAGINAL GEL

WARNING & PRECAUTIONS

PREGNANCY

MICHELLE VAGINAL GEL is generally not recommended for use during pregnancy but your doctor may advice you to continue using it to support your new pregnancy (in case of corpus luteum deficiency and it can be used during the first month of pregnancy). Consult your doctor before using it.

BREASTFEEDING

MICHELLE VAGINAL GEL is not recommended for use during breast-feeding. Consult your doctor before using it.

DRIVING AND USING MACHINES

MICHELLE VAGINAL GEL does not affect your ability to drive or use any machines.

KIDNEY

MICHELLE VAGINAL GEL should be used with caution in patients with kidney problems. Consult your doctor before using it.

LIVER

MICHELLE VAGINAL GEL should be used with caution in patients with liver problems. Consult your doctor before using it.

ALLERGY

Do not use MICHELLE VAGINAL GEL if you are allergic to Progesterone or any other ingredients of this medicine.

LUNGS

MICHELLE VAGINAL GEL should be used with caution in patients with asthma. Consult your doctor before using it.

HEART DISEASE

MICHELLE VAGINAL GEL should be used with caution in patients with heart problems. Consult your doctor before using it.

INTERACTIONS

A. Drug-Drug interactions:

Before using MICHELLE VAGINAL GEL, inform your doctor if you are taking, have taken or might take any other medicines including prescription, non-prescription or any herbal medicine. Do not use any other vaginal preparation with this medicine.

Overdosage:

If you or anyone else accidentally use too much of MICHELLE VAGINAL GEL, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

MORE INFORMATION

• Keep MICHELLE VAGINAL GEL out of reach of children
• Store at room temperature

FAQs ABOUT MICHELLE VAGINAL GEL

Can MICHELLE VAGINAL GEL be used in adolescents?

No, MICHELLE VAGINAL GEL is used for adults and not recommended for use in children and adolescents (below 18 years of age) due to lack of safety and effectiveness.

What if I forget to use a dose of MICHELLE VAGINAL GEL?

If you forget to use a dose of MICHELLE VAGINAL GEL, use it as soon as you remember. However, omit the missed dose if it is almost time for the next one. Do not use it two times to make up for the forgotten dose.

Can MICHELLE VAGINAL GEL delay periods?

Yes, MICHELLE VAGINAL GEL can delay periods in some individuals. Your doctor might perform a pregnancy test to assess the use of this medicine further. Consult your doctor before using MICHELLE VAGINAL GEL.

Can MICHELLE VAGINAL GEL be stopped using on my own?

Continue using MICHELLE VAGINAL GEL until your doctor tells you to stop, unless you experience any unwanted effects, worsening of your condition or any new symptoms. Consult your doctor in case of any unusual effects.

What precautions do I need to follow while using MICHELLE VAGINAL GEL?

Patients using MICHELLE VAGINAL GEL must inform their doctor about their pre-existing conditions like unusual vaginal bleeding, miscarriage with suspected tissue still in the womb, known or suspected cancer of the breast or genital organs, blood clots or porphyria disorder (inherited blood disorder), any liver, heart or kidney problems, fits, asthma, diabetes or depression. Patients should also inform if they are pregnant, breast-feeding or allergic to any medicine. Consult your doctor if you experience any unusual effects.

REFERENCES

1. KD. Tripathi. Estrogens, Progestins, and Contraceptives. Essentials of Medical Pharmacology. Eighth edition. 2013. Page – 340.

2. Walter Ciampaglia, Graciela E Cognigni. Clinical Use of Progesterone in Infertility and Assisted Reproduction. Obstetrics and Gynaecology. September 2015. [Accessed on 25th July 2022] https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.12770

3. IBSA Institut Biochimique SA. Subcutaneous Progesterone Versus Vaginal Progesterone Gel for Luteal Phase Support in Patients Undergoing In-Vitro Fertilization (IVF). NIH U.S. National Library of Medicine ClinicalTrials.gov. [Revised in January 2013] [Accessed on 25th July 2022] https://clinicaltrials.gov/ct2/show/NCT00827983

4. Millmount Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in December 2020] [Accessed on 25th July 2022] https://www.medicines.org.uk/emc/files/pil.1283.pdf

USEFUL DIAGNOSTIC TESTS

• Saline-infusion sonography
• Ultrasound
• Anti-mullerian hormone

AUTHOR DETAILS

Written By Dr. R. Dinesh John Rajkumar, Pharm.D
Last updated on 13 Oct 2022 | 05:57 PM(IST)