Evvy is a vaginal healthcare company that specializes in at-home vaginal microbiome testing and clinical care.

Often, treatments for common vaginal health conditions like bacterial vaginosis (BV) or yeast infections can include a suppository. We know that inserting vaginal suppositories can feel a little bit intimidating, but it doesn't have to be!

What do vaginal suppositories include?

Vaginal suppositories can include lots of different things, such as:

You should always talk to your health care provider before using any treatment in a vaginal suppository because it's very important to know exactly what's happening in your vaginal microbiome before you put anything in there, whether it's prescription or over the counter.

How to insert a vaginal suppository

Inserting a vaginal suppository can be done either with your fingers or with an applicator. 

Always start with a clean space and make sure you wash your hands with soap and water beforehand—you are dealing with your vagina so you want to keep things sanitary!

Using your fingers

Find a comfortable position. You can stand with one foot on a chair, lie on your back with your knees bent, or squat down. Carefully unwrap the suppository and remove the plastic wrap.

Hold the suppository between your fingers on the flat end of the suppository and gently push the suppository into your vagina with your dominant hand's index finger (or middle finger). Aim towards the lower back, not straight up. It should go in about as far as your finger can comfortably reach.

Once you have finished inserting your vaginal suppository, wash your hands thoroughly with soap and water. 

Using an applicator (as shown in video) 

Some suppositories are easier to insert into an applicator if they are kept refrigerated, which is the case in the demonstration in the video.

Open the suppository packaging and place the supplement into the applicator. Sometimes you can stand up like this and put your leg on a toilet seat or a chair or a table to open your vulva a little bit so that it's easier to insert the applicator (just like a tampon).

Then, slowly press the applicator until the suppository gets into the vaginal canal. Gently remove the applicator and with soap and water as well to avoid contamination. 

(If you prefer using an applicator: Dr. Jill Krapf, one of Evvy’s medical advisors, recommends using the ones in this link!)

How far should you insert a vaginal suppository?

Typically, suppositories should be inserted approximately 1 inch deep in the vaginal canal.

Is it safe to use a panty-liner after inserting a vaginal suppository?

Yes! Some people will use a panty liner after they've put their suppository in, in case there's any leakage.

What to expect during vaginal suppository treatments

It's helpful to keep in mind when using any vaginal treatments (creams or suppositories) that not all of the medication may be absorbed in your vagina and you may experience some discharge that is either suppository residue or byproduct- this is completely normal!

It can also be normal for our bodies to respond to vaginal medications by producing more of our own discharge- this can also be normal!

Typical side effects from using vaginal suppositories besides suppository residue or increased discharge can include the following: mild irritation or itching of the vaginal/vulvar area.

If you experience any moderate to severe reactions to vaginal suppositories such as intense burning or irritation, please seek medical attention.

General tips for using vaginal suppositories

  • Relax: We know that trying a new treatment can be stressful, but the more relaxed you are, the easier the insertion will be!
  • Use cold water or the fridge to prevent suppository melting:  If the suppository starts to melt in your hand, rinse it under cold water for a few seconds to harden it back up or put it back in the fridge for a couple minutes prior to insertion.
  • Lie down and/or avoid exercise after insertion: It's advisable to lie down for about 15 minutes after inserting the suppository to allow it to dissolve properly. We recommend using suppositories at bedtime! If you don't use them at bedtime, try to avoid exercise or excessive movement for approximately one hour after insertion.
  • Trim your fingernails: Some people choose to trim fingernails short and round to help prevent scratches or cuts while inserting the suppository.
  • Avoid tampons: Don’t use tampons when using a vaginal suppository. Tampons can absorb some of the medication, and this can prevent the suppository from working well.
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