Progesterone suppositories are a form of medication designed to deliver the hormone progesterone directly to the body. While many come with applicators to facilitate insertion, understanding how to administer them manually is also a straightforward process. This guide details the steps for inserting progesterone suppositories without an applicator.
Preparing for Safe Insertion
Before handling any medication, thorough hand hygiene is a primary step to prevent the introduction of bacteria. Wash your hands thoroughly with soap and warm water. This simple action significantly reduces the risk of irritation or infection during the insertion process.
Once your hands are clean, prepare the suppository itself by unwrapping it from its packaging. Some suppositories may be stored in a refrigerator and feel firm, while others are designed to be softer at room temperature. No special preparation, such as warming or cooling, is typically needed for most vaginal suppositories before insertion.
Finding a comfortable body position is important for ease of insertion. Many individuals find it helpful to lie on their back with knees bent and feet flat on the bed, allowing for relaxed pelvic muscles. Alternatively, standing with one leg elevated on a chair or toilet seat can also provide good access and stability.
Step-by-Step Manual Insertion
Gently hold the unwrapped suppository between your thumb and index finger. Ensure your grip is firm enough to control the suppository but not so tight that it crushes or deforms the medication. The suppository’s shape, often ovular or cylindrical, is designed for smooth entry.
Using your dominant hand, carefully insert the suppository into the vaginal canal. It is often easiest to use your index or middle finger to guide it. Begin by gently pushing the suppository past the vaginal opening, aiming slightly upwards and backwards towards the tailbone.
Continue to push the suppository with your finger until it is well inside the vagina, typically about one to two finger-lengths deep, or as far as it can comfortably go. This depth helps ensure the suppository is placed beyond the vaginal opening, allowing it to dissolve and absorb effectively without immediate expulsion. The goal is to place it high enough that it does not easily fall out with movement.
Post-Insertion Guidance and Tips
After insertion, remaining in a reclined position for 15 to 30 minutes can help with absorption and minimize any immediate leakage. This allows the suppository sufficient time to begin dissolving and for the active ingredient, progesterone, to start being absorbed by the vaginal tissues. Gravity can otherwise cause some of the dissolved medication to exit the vagina prematurely.
It is common to experience some discharge or leakage of the suppository’s base material as it dissolves. This is normal. Wearing a panty liner can help manage this discharge and protect clothing throughout the day.
For individuals concerned about leakage or discomfort during daily activities, inserting the suppository at bedtime can be a practical approach. This allows for an extended period of lying down, which may enhance absorption and reduce awareness of any discharge. Consistency in administration, as prescribed by a healthcare provider, is important for the medication’s efficacy.
If unusual discomfort, irritation, or signs of an infection, such as itching, burning, or a foul odor, develop after insertion, contact a healthcare provider. These symptoms could indicate a reaction to the suppository or another condition that requires medical attention. Regular communication with your healthcare team ensures proper management of your treatment.