Vaginal Suppositories: What to Expect After Treatment - Obstetrics and Gynecology

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Vaginal suppository


Hello, doctor.
Last week, I visited the gynecology department due to bleeding and pain during intercourse.
After the internal examination, the doctor noted some discharge and that the cervix was not eroded.
I was prescribed Polymyxin B, to be used every two days for a total of six days.
I used the last dose the day before yesterday, but the amount of discharge has been quite large these past few days.
Today, I noticed a significant amount of white, crumbly substance in the vagina and at the vaginal opening.
Could this be the medication that has not yet been expelled?

CH, 20~29 year old female. Ask Date: 2020/10/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is possible that the medication has not been fully absorbed yet.
Please observe for a while, and if you still experience discomfort, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2020/10/19

More Info


After undergoing treatment with vaginal suppositories, such as the one you received (保理寧), it is not uncommon to experience changes in vaginal discharge. The white, crumbly discharge you are observing could indeed be remnants of the medication that have not yet been fully absorbed or expelled from your body. Here’s a breakdown of what you might expect after using vaginal suppositories and some additional insights into their effects and the healing process.


What to Expect After Using Vaginal Suppositories
1. Increased Discharge: It is typical to notice an increase in vaginal discharge during and after the use of vaginal suppositories. This can be due to the medication itself, as well as the body's natural response to the treatment. The discharge may vary in color and consistency, and it can sometimes appear thick or clumpy, resembling cottage cheese or having a white, flaky texture.

2. Timing of Discharge: After the last application, it may take some time for your body to completely expel the remaining medication. This can lead to noticeable discharge for several days post-treatment. If the discharge is primarily white and does not have a foul odor, it is likely just the medication being expelled.

3. Potential Side Effects: While vaginal suppositories are generally well-tolerated, some individuals may experience side effects such as irritation, increased sensitivity, or mild discomfort. If you notice any severe pain, itching, or a strong odor accompanying the discharge, it could indicate an adverse reaction or infection, and you should consult your healthcare provider.

4. Follow-Up Care: It’s essential to monitor your symptoms after completing the treatment. If you continue to experience significant discomfort, unusual discharge, or any other concerning symptoms, it’s advisable to follow up with your healthcare provider. They may want to perform an examination to ensure that the treatment was effective and that no further issues are present.

5. Hygiene Practices: Maintaining good hygiene during this time is crucial. You may want to wear breathable cotton underwear and avoid douching or using scented products in the vaginal area, as these can disrupt the natural flora and potentially lead to infections.


Additional Considerations
- Understanding the Medication: The active ingredients in vaginal suppositories can vary, and understanding how they work can help you manage your expectations. For instance, some suppositories are designed to treat infections, while others may help with hormonal imbalances or lubrication.

- Consultation with Your Provider: If you have any lingering concerns about the discharge or your overall vaginal health, don’t hesitate to reach out to your healthcare provider. They can provide tailored advice based on your specific situation and medical history.

- Future Sexual Activity: If you are experiencing discomfort during intercourse or have concerns about resuming sexual activity, discuss this with your provider. They can offer guidance on when it might be safe to resume sexual relations and how to manage any discomfort.

In summary, the white discharge you are experiencing after using the vaginal suppositories is likely a normal response as your body expels the medication. However, keep an eye on your symptoms and consult your healthcare provider if you have any concerns or if the discharge changes in character. Your health and comfort are paramount, and your provider is there to support you through your recovery.

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