A vaginal suppository is a solid, typically oval or cone-shaped medication designed for insertion into the vaginal canal, where it dissolves at body temperature to release its active ingredients. This method delivers treatment directly to the target area for localized conditions like yeast infections, bacterial vaginosis, or vaginal dryness, often minimizing systemic side effects compared to oral medication. While many suppositories include a plastic applicator for easy use, manual insertion may be necessary if an applicator is not provided, is broken, or if personal preference dictates using a finger. The medication, often encased in a base of gelatin or cocoa butter, is absorbed by the vaginal wall to provide targeted relief or deliver hormones.
Preparing for Manual Insertion
Before handling the suppository, thoroughly wash your hands and the external genital area with mild soap and warm water to prevent introducing bacteria into the vagina. This initial step of meticulous hygiene is important for maintaining the natural balance of the vaginal microbiome and ensuring treatment effectiveness. Pat the area dry with a clean towel after washing, and then gather any needed supplies, such as a panty liner or sanitary pad, which will be necessary later to manage leakage.
If the suppository feels too soft, which can happen if it has been stored in a warm environment, place it in the refrigerator or run it under cold water while still in its wrapper for a few minutes to firm it up. A firmer suppository is significantly easier to handle and insert without it melting prematurely. Next, determine a comfortable body position for the insertion process, as muscle tension can make the procedure more difficult. You can lie on your back with your knees bent and legs slightly apart, stand with one foot elevated on a stable surface, or squat slightly.
Detailed Steps for Suppository Insertion
Once in a comfortable position, unwrap the suppository completely, taking care to avoid excessive handling that could cause the medication to melt. If the suppository’s tip is dry, you can moisten it slightly with a small amount of water or a water-based lubricant, which can help facilitate a smoother entry. Using your non-dominant hand, gently separate the labia to clearly expose the vaginal opening.
Hold the suppository with the tip pointing toward the vagina, placing it on the pad of your dominant hand’s index or middle finger. Carefully insert the suppository into the vagina, aiming slightly toward the tailbone rather than straight upward. Use your finger to push the suppository as far as it can comfortably reach, which is typically about one or two inches, or roughly the length of the finger.
The goal is to place the suppository high up in the vaginal canal, past the muscles of the entrance. Proper depth is important because it prevents the suppository from slipping out and allows the medication to dissolve effectively near the cervix, maximizing absorption. If you feel any resistance or discomfort, pause and try to relax your pelvic floor muscles, as tension can restrict the vaginal opening. A relaxed body makes the insertion process much easier and less uncomfortable.
Aftercare and Medication Storage
Immediately after successfully inserting the suppository, wash your hands thoroughly with soap and warm water to remove any residual medication. It is recommended to remain in a reclined or lying down position for at least 15 to 30 minutes following insertion to allow the suppository base to melt and the medication to begin absorbing into the vaginal walls. This period of rest minimizes the chance of the suppository being expelled before it has fully dissolved.
Vaginal suppositories are designed to dissolve, and some leakage of the melted base material or medication is a common and expected occurrence. To protect clothing and bedding from this discharge, it is advisable to wear a panty liner or sanitary pad after insertion. For optimal results, many healthcare providers recommend inserting the suppository at night just before bed, as the extended time spent lying down further supports retention and absorption.
Unused vaginal suppositories should be stored according to the manufacturer’s instructions, which often means keeping them in a cool, dry place away from direct sunlight. Many suppositories, particularly those with a soft, melting base, require refrigeration or storage at a temperature below 77°F (25°C) to prevent premature melting and maintain the integrity of the medication. Always check the expiration date on the packaging, as using expired medication can compromise the effectiveness of the treatment.