A vaginal tablet, also known as a pessary, is a solid dosage form designed to deliver medication directly to the vaginal environment. This method allows for highly concentrated local treatment, commonly used for conditions like yeast infections, bacterial vaginosis, or hormonal deficiencies. Proper insertion ensures the medication reaches the upper vaginal vault, where it can dissolve and be absorbed effectively, maximizing therapeutic benefit.
Essential Preparation Steps
Before beginning, hygiene is necessary to prevent the introduction of external bacteria. Wash your hands thoroughly with soap and warm water, paying attention to the nail beds, and ensure they are completely dry. Inspect the medication packaging, verifying the expiration date and checking the tablet’s appearance for any signs of damage or distortion. Some manufacturers recommend briefly moistening the tablet with a few drops of water for about ten seconds to slightly soften its surface, which can aid in dissolution.
Gather any necessary supplies, including the tablet, its provided applicator, and a panty liner to manage post-insertion discharge. Establishing a comfortable position is important, as muscle relaxation facilitates easier insertion. You may choose to lie on your back with your knees bent and legs slightly apart. Alternatively, stand with one foot raised on a firm surface like a chair or toilet.
Step-by-Step Insertion Guidance
If your medication includes an applicator, first pull the plunger out until it stops and place the tablet firmly into the basket end. Holding the applicator by the barrel, gently separate the labia with your non-dominant hand to expose the vaginal opening. Insert the applicator into the vagina, aiming slightly backward toward the lower back, following the natural angle of the canal. Insert the device as far as it will comfortably go, or until you feel a slight resistance.
Once positioned, use your index finger or thumb to slowly and completely push the plunger until the tablet is released. Gently remove the empty applicator, keeping your body relaxed throughout the process. If inserting the tablet without an applicator, hold the tablet between your thumb and forefinger. Use your index finger to push the tablet high into the vagina, aiming for a depth of approximately one finger-length past the entrance.
Post-Insertion Considerations
Immediately following insertion, attend to the applicator for hygiene. If the applicator is single-use, discard it according to local guidelines. Reusable applicators should be disassembled by separating the plunger from the barrel. Wash both pieces thoroughly with warm water and mild soap, and allow them to air-dry completely before storing.
It is recommended to administer the vaginal tablet just before going to sleep at night. Lying down for several hours minimizes the effect of gravity, reducing the potential for the dissolved medication to leak out. This extended contact time maximizes drug absorption. Some discharge or chalky residue is expected as the tablet dissolves, so wearing a panty liner is advised to protect clothing and bedding. If you experience severe burning, swelling, or an allergic reaction, stop using the medication and contact a healthcare professional immediately.