Aunt Vadge: What to do if the capsule or liquid falls out of your vagina

Hello Aunt Vadge,

I got the yeast thrush blend and the capsules to insert into my vagina. I do it before bed, and I try to hold the capsule in, but the liquid seems to come out pretty soon after putting it in.

I’ve done the happy baby pose to try and prevent this but I’m wondering if there is another trick.

Thanks!
Fall Out Girl

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Hi Fall Out Girl,

Thanks for getting in touch! You shouldn’t have to hold the capsule in your vagina if you put it up far enough and your pelvic floor works normally (which there are no guarantees of!).

The happy baby pose is probably not the best way to put it in since it’s opening up and relaxing your pelvic floor, which is not really what we want. You want your pelvic floor to hold the pessary in place, and you should be able to walk around without the pessary falling out.

I advise inserting it like you would a tampon (though I realise not everyone uses tampons or tampons without applicators). In the USA, you have applicators for most of your tampons, but in most other countries, we have the option of non-applicator tampons that take a bit more getting used to!

Sit on the toilet or crouch and insert the capsule using a clean, dry finger or a thumb works well, right up as far as you can go. The angle of your vagina is towards your tailbone.

It might help to crouch, push the capsule back on the angle of your vagina, then once the capsule is inside, stand up and squeeze your pelvic floor a few times. If the capsule comes out, you’ve not gone high enough. If it doesn’t, congrats!

If the pessary doesn’t pass a certain point (your pelvic floor muscle), it’s still on the bottom half of the vagina and will fall right out/be pushed out by the pelvic floor muscle. It needs to pass up higher than the muscle so the muscle holds it in there.

Then, it’ll just dissolve, and the liquid will make its way out slowly, hopefully, while you’re asleep, to maximise contact time.

Let me know how you go, but if you’re still having trouble, let me know, and we can try to figure this out!

UPDATE!

Thank you so much for getting back to me! I tried what you suggested and got the capsule way up there and all of it sudden it disappeared haha so it worked! And I actually didn’t even have anything leak out.