Vaginal Suppository Use: Bleeding and Discomfort

Vaginal suppository bleeding?

Hello, I would like to ask about a previous vaginal infection.
The doctor prescribed Huangjia Fuzheng vaginal suppositories, and during the first use, I experienced an orange-pink watery discharge.
For the next two weeks, the doctor prescribed different suppositories, and this week he prescribed Fuzheng suppositories again.
On the first day, I had orange-pink discharge, but for the past two days, I have been experiencing bleeding that is not watery.
Inserting the suppositories has also been very painful.
Is it possible that I am causing the bleeding issue by inserting them too roughly? I have had a Pap smear, and it showed no issues.

lisa, 20~29 year old female. Ask Date: 2021/04/04

Dr. Wu Xianghui reply Obstetrics and Gynecology

It is recommended to return to the outpatient clinic for a pelvic examination assessment.

Reply Date: 2021/04/04

More Info

When it comes to the use of vaginal suppositories, particularly in the context of treating infections or other gynecological issues, it's essential to understand both the expected effects and potential side effects. The symptoms you describe—orange-pink discharge and bleeding—can be concerning and warrant further investigation.

Firstly, it is not uncommon for some vaginal suppositories to cause a change in discharge color. The orange-pink color you observed could be due to the ingredients in the suppository itself, which may contain dyes or other compounds that can alter the color of the discharge. However, persistent bleeding, especially if it is not just spotting but rather a more significant flow, is something that should be addressed with your healthcare provider.

The discomfort you experience when inserting the suppository could indeed be due to several factors. If the suppository is being inserted too forcefully or incorrectly, it can cause trauma to the vaginal walls, leading to bleeding. The vaginal mucosa is delicate, and any rough handling can result in irritation or injury. It is crucial to ensure that the suppository is inserted gently and at the correct angle to minimize discomfort.

In addition to the method of insertion, other factors could contribute to your symptoms. For instance, if there is an underlying infection or inflammation, the vaginal tissues may be more sensitive and prone to bleeding. If you have a history of vaginal infections, it is possible that the tissues are inflamed, making them more susceptible to injury during the insertion of the suppository.

Given that you have had a Pap smear and it came back normal, this is reassuring regarding cervical health. However, if you continue to experience bleeding and discomfort, it is essential to consult with your healthcare provider. They may want to perform a physical examination to assess the vaginal walls for any signs of trauma, infection, or other abnormalities. They might also consider alternative treatments or different formulations of suppositories that may be less irritating.

In summary, while some discharge changes can be expected with the use of vaginal suppositories, persistent bleeding and pain are not typical and should be evaluated by a healthcare professional. It is essential to communicate openly with your doctor about your symptoms and any concerns you have regarding the use of these medications. They can provide guidance tailored to your specific situation and help ensure that you receive the most effective and comfortable treatment possible.

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