A pessary tablet is medication designed for direct administration into the vagina. These tablets are formulated to dissolve within the body cavity, releasing active ingredients like antifungals, antibiotics, or hormones directly to the affected area. This delivery method ensures the medication is concentrated at the site of need, which is highly effective for localized conditions such as yeast infections or atrophic vaginitis. Understanding the proper technique for insertion is important to ensure the full therapeutic benefit is achieved.
Preparing for Insertion
Start by thoroughly washing your hands with soap and water to minimize the introduction of external bacteria into the vaginal environment. Unwrap the pessary tablet completely from its packaging, inspecting the medication to ensure it is intact and not past its expiration date. If the tablet feels soft or is difficult to handle, chilling it in the refrigerator for a few minutes can make it firmer and easier to insert.
Finding a comfortable body position helps relax the pelvic muscles, which makes the insertion process smoother. Many individuals lie on their back with their knees bent and legs spread slightly apart, similar to a gynecological examination position. Alternatively, standing with one foot propped up on a chair or bathtub edge provides a stable stance and opens the vaginal canal. Squatting is a third option, which naturally shortens the vaginal canal, making the target area easier to reach.
Step-by-Step Insertion Guide
The insertion process depends on whether your medication package includes an applicator. If an applicator is provided, pull the plunger back until it stops, and then securely place the pessary tablet into the applicator’s open end. Gently open the labia with one hand to expose the vaginal opening, which helps guide the applicator accurately. Insert the applicator carefully into the vagina, aiming slightly backward toward the lower back, following the natural curve of the canal.
Push the applicator in as far as it will comfortably go, or until you feel a slight resistance, before using your index finger to slowly push the plunger. Pushing the plunger releases the tablet high into the vagina, where the medication can dissolve effectively and avoid falling out. Once the tablet is released, gently remove the empty applicator, keeping your hand steady to avoid dislodging the newly placed medication. If you are not using an applicator, hold the tablet between your thumb and index finger and insert it directly into the vagina.
Using your middle finger, gently push the tablet as high as you can comfortably reach, ensuring it rests against the deepest part of the canal. Pushing the tablet deep enough is important for proper absorption and to reduce the likelihood of it slipping out when standing or moving. If the pessary is oblong, inserting the narrow end first may provide a smoother entry. After the tablet is securely in place, wash your hands again to remove any residue.
Post-Insertion Care and Common Issues
After the tablet has been inserted, remaining reclined for 10 to 15 minutes helps the tablet begin to dissolve and absorb effectively before resuming normal activity. Many healthcare providers suggest inserting the pessary at bedtime to allow the medication to work overnight. It is common to notice some discharge or leakage over the next few hours as the tablet’s base melts and the medicine is released.
This residual discharge is normal and is simply the inactive ingredients leaving the body. A sanitary napkin or panty liner can be worn to protect clothing from minor staining, but you should not use a tampon, as it may absorb the medication and decrease its effectiveness. Contact a healthcare provider if you experience severe irritation, burning, or pain that persists after the first application. Also seek advice if you notice an offensive odor or a change in discharge color, as this could indicate a new infection or adverse reaction.