What Should I Do If Progesterone Suppositories Come Out with Urine?
After inserting progesterone vaginally, some patients may experience the drug being expelled with urine. This phenomenon can be addressed through temporary observation, cleaning the genital area, changing body position, re-inserting the medication, adjusting the timing of insertion, and other methods. If symptoms persist or worsen, it is recommended to seek medical attention promptly and receive targeted treatment under the guidance of a physician. Detailed analysis is as follows:
1. Temporary Observation
When progesterone is inserted vaginally, it is typically administered once every 12 to 24 hours. Over time, the medication gradually gets absorbed by the vagina and exerts its therapeutic effects. Residual medication may be expelled with urine during physical activity. If the insertion occurred more than 12 hours ago and only a small amount of medication was expelled, no special treatment is necessary. Temporary observation is sufficient, as it generally does not compromise treatment outcomes.
2. Cleaning the Genital Area
If a significant amount of medication is expelled, it is advisable to cleanse the external genitalia with running warm water to remove any residual medication from the urethra. This prevents prolonged accumulation, which could irritate the external genitalia, causing itching, redness, or swelling.
3. Changing Body Position
If improper body positioning during insertion results in medication expulsion with urine, patients can lie flat and elevate their hips during insertion. This allows the medication to be placed deeper into the vaginal fornix, reducing the risk of expulsion. Resting for 20 to 30 minutes after insertion can further enhance medication absorption.
4. Re-inserting Medication
If medication is expelled within 12 hours of insertion and appears relatively intact, this indicates that most of the medication has been expelled, resulting in minimal absorption. In such cases, it is recommended to re-insert the medication and minimize physical activity to prevent further expulsion.
5. Adjusting Timing of Insertion
Due to increased daytime activity, patients may opt to insert the medication before bedtime. During sleep, the body is relatively stationary, reducing physical activity and allowing for better medication absorption.
When undergoing medication treatment, it is crucial to follow the doctor's instructions and refrain from altering the treatment plan without consultation. Should any discomfort or unusual symptoms arise, it is advised to promptly seek medical advice for optimal treatment recommendations. Additionally, maintaining a positive mindset and engaging in activities like communication or gaming can help alleviate negative emotions.
