Progesterone capsules are a prescribed medication. This article provides guidance on how to correctly insert them.
Understanding Progesterone Capsules for Insertion
Progesterone capsules are prescribed for direct insertion, typically via vaginal or rectal routes, rather than being swallowed. This method allows the medication to be absorbed directly into local tissues or the bloodstream, bypassing the digestive system and initial liver metabolism. These routes are beneficial when a localized effect is desired or if oral administration is unsuitable. The capsule’s design facilitates effective dissolution and absorption through mucous membranes.
Step-by-Step Insertion Guide
Before insertion, thoroughly wash your hands with soap and water to prevent infection. Unpack the progesterone capsule from its wrapper, handling it minimally to prevent softening from body heat.
For vaginal insertion, find a comfortable position, such as lying on your back with knees bent or standing with one foot on a chair. Gently insert the capsule into the vagina using your finger, pushing it about 2 inches (5 cm). If an applicator is provided, place the capsule into it, insert as directed, and press the plunger to release. After insertion, remove your finger or the applicator.
For rectal insertion, lie on your side with the lower leg straight and the upper leg bent, or squat. Gently insert the pointed end of the capsule into the rectum, past the anal sphincter. A small amount of water-based lubricant on your finger or the capsule can aid insertion. Insert the capsule about 1 inch into adults.
After vaginal insertion, remain lying down for 10 to 15 minutes to reduce leakage and promote absorption. For rectal insertion, squeeze buttocks together for a few seconds to hold the capsule in place. After either method, wash your hands again with soap and water.
Important Considerations After Insertion
Some whitish discharge is common after vaginal progesterone insertion as the capsule dissolves and the medication absorbs. A panty liner can help manage it. Avoid using tampons, as they might interfere with medication absorption.
Follow your prescribed dosing schedule, using the medication at the same time each day. If a dose is missed, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed one and continue your regular schedule; do not double doses. Consult your doctor or pharmacist if you have questions about missed doses.
Store progesterone capsules at room temperature, typically 68°F to 77°F (20°C to 25°C), away from heat, moisture, and direct light. Some formulations require refrigeration; always follow specific storage instructions on your packaging. Keep all medications out of children’s reach.
Contact your healthcare provider if you experience severe irritation, allergic reactions (hives, difficulty breathing), unusual vaginal bleeding, or significant pain after insertion. Seek medical attention for sudden, severe headache, vision changes, or symptoms resembling a blood clot (leg pain, swelling).