Michelle Vaginal gel

Michelle Vaginal gel is a progesterone vaginal gel used to support the uterus with progesterone when the body needs extra hormonal support. Each tube contains progesterone as labelled in a gel form that is inserted into the vagina, where it can deliver local hormone support with less effect on the stomach than oral progesterone. It belongs to the progestogen class and is used in infertility therapy and other situations where progesterone support is prescribed by a clinician. Michelle Vaginal gel should only be used exactly as directed because the dose and timing matter.

How it works: Progesterone helps prepare and maintain the lining of the uterus so it can better support pregnancy-related hormone needs. As a vaginal gel, Michelle Vaginal gel is absorbed through the vaginal tissue to provide progesterone where it is needed for reproductive support.

This is a vaginal gel strength meant for people whose doctor has chosen progesterone in gel form rather than tablets or injections. Compared with oral progesterone, Michelle Vaginal gel is placed directly in the vagina, which may help some patients tolerate it better and may be preferred for uterine support in fertility treatment. Because the exact labeled amount per tube is the prescribed strength, a doctor may choose this form based on your treatment plan, not on self-adjusting symptoms.

• Progesterone support in infertility therapy
• Luteal phase support
• Support after assisted reproductive treatment
• Replacement of low progesterone when prescribed
• Support of the uterine lining as directed by a doctor

• Use Michelle Vaginal gel exactly as prescribed and only by the vaginal route.
• Wash your hands before and after inserting the gel tube.
• Insert the full contents of one tube into the vagina as directed, usually with an applicator if provided.
• Use it at the same time each day if your doctor prescribes regular dosing.
• Do not take it by mouth or use it as a topical skin gel.
• If you miss a dose, follow your prescriber’s instructions; do not double up unless told to do so.

Michelle Vaginal gel provides progesterone as labelled in each tube, and the exact number of tubes and timing are set by your doctor. Depending on your fertility plan, it may be used once daily or more than once daily, but the maximum per day should only be what your prescriber has specifically ordered. Do not change the dose or frequency on your own, especially because vaginal progesterone dosing is individualized.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Progesterone may include:

• Vaginal discharge or leakage after use
• Mild vaginal irritation or burning
• Headache
• Breast tenderness
• Bloating
• Nausea
• Drowsiness or tiredness

• Use only if your clinician has confirmed that progesterone is appropriate for you.
• Michelle Vaginal gel may cause drowsiness or dizziness in some people, so use caution with driving until you know how you respond.
• Tell your doctor if you have a history of blood clots, stroke, liver disease, breast cancer, unexplained vaginal bleeding, or hormone-sensitive conditions.
• Avoid using other vaginal products unless your prescriber says they are okay, because they may affect absorption or comfort.
• If you are pregnant or trying to conceive, use this medicine only under medical supervision for the exact time period prescribed.
• Do not start, stop, or change the schedule without asking your fertility specialist or OB-GYN.

• Other hormone medicines, including estrogen or additional progestins
• Blood thinners such as warfarin, which may require monitoring
• Enzyme-inducing medicines such as rifampin, carbamazepine, or phenytoin
• Herbal products like St. John’s wort, which may reduce hormone levels
• Alcohol, which can worsen drowsiness or dizziness

Store Michelle Vaginal gel at room temperature in its original strip/box of 10 tubes, away from excess heat, moisture, and direct light, and keep it out of reach of children.