Progesterone suppositories deliver the naturally occurring hormone progesterone directly into the body. This hormone plays a role in the menstrual cycle and early pregnancy. These suppositories are often prescribed to support fertility treatments, aid in pregnancy, and address certain hormonal imbalances. This article guides you on proper use.
Preparing and Administering Progesterone Suppositories
Before handling the suppository, thoroughly wash your hands with soap and water to prevent infection. Next, remove the suppository from its individual packaging. If the suppository feels too soft to insert, you can briefly hold it under cold water or place it in the refrigerator for a few minutes to firm it up.
For vaginal administration, find a comfortable position, such as lying on your back with knees bent and pulled towards your chest, or squatting. Gently insert the suppository into the vagina as far as it can comfortably go, similar to inserting a tampon. Some suppositories come with an applicator, which should be used according to the package instructions. After insertion, it is recommended to remain lying down for 10 to 15 minutes to allow the suppository to melt and absorb, minimizing leakage.
For rectal administration, consider having a bowel movement beforehand if possible. You can moisten the tip of the suppository with a water-based lubricating jelly or a small amount of water to aid insertion. Insert the suppository, narrow end first, gently but firmly into the rectum, pushing it about 1 to 3 inches past the sphincter. The rectal muscles should hold it in place. Always adhere to your healthcare provider’s specific instructions regarding the route and frequency of administration.
After Administration: What to Expect
After inserting a progesterone suppository, it is common to experience some vaginal discharge. This whitish discharge is normal. Wearing a panty liner can help manage this discharge and protect your clothing.
You might also experience mild local irritation or discomfort, such as itching or burning. While mild, if these symptoms become severe or persistent, it is advisable to contact your healthcare provider. To ensure proper absorption and avoid interference, avoid douching or using tampons immediately after vaginal administration.
Wait at least 30 minutes before urinating and an hour before having a bowel movement after insertion. Continuing your prescribed treatment as directed by your healthcare professional is important for effectiveness.
Storage and Important Considerations
Proper storage of progesterone suppositories helps maintain their effectiveness. Many suppositories should be stored at room temperature, between 59 and 86 degrees Fahrenheit (15 and 30 degrees Celsius), away from moisture, heat, and direct light. Some formulations may require refrigeration, so always check the manufacturer’s instructions or consult your pharmacist. Keep all medications out of the reach of children and pets.
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, it is advised to skip the missed dose and continue with your regular dosing schedule. Do not double your dose to make up for a missed one. If you frequently miss doses or have concerns, contact your doctor or pharmacist for personalized advice.
Contact a healthcare provider if you experience severe side effects, such as unusual vaginal bleeding, severe mental or mood changes, swelling in your ankles or feet, yellowing of the eyes or skin, or breast lumps. Seek immediate medical attention for signs of an allergic reaction, including hives, difficulty breathing, or swelling of the face, lips, or throat. Additionally, report any signs of a blood clot, such as chest pain, sudden shortness of breath, or pain and swelling in a leg.