Aunt Vadge: why won’t my treatment capsule stay in my vagina?

  • Jessica Lloyd Lead Naturopath and founder of My Vagina clinic
    Author: Jessica Lloyd
    Senior Vulvovaginal Speciliast Naturopath | BHSc(N) | ISSVD, ISSWSH, BSSM, ATMS

Hello Aunt Vadge,

I got the yeast thrush blend and the capsules to insert into my vagina. I do it before bed and 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’s another trick.

Thanks!
Fall Out Girl


Hi Fall Out Girl,

Good news: you shouldn’t have to hold it in at all. If a vaginal capsule or suppository keeps falling out, it’s almost always because it’s sitting too low – in the bottom third of your vagina, below your pelvic floor muscle. Get it up past that muscle and the muscle itself holds it in place. You should be able to stand up and walk around without it budging.

In our clinic, this is one of the most common reasons a treatment seems to ‘fail’ – the capsule is fine and your body is fine, it just hasn’t gone up high enough to stay put. It’s a technique thing, and it’s very fixable.

A few pointers from us:

  • Skip the happy baby pose for inserting – it relaxes and opens the pelvic floor, which is the opposite of what you want. You want that muscle toned and holding the capsule up.
  • Insert it much like a tampon. Sit on the toilet or crouch, and use a clean, dry finger or thumb to push the capsule up as far as you comfortably can.
  • Aim towards your tailbone – that’s the natural angle of your vagina, not straight up.
  • Once it’s in, stand up and squeeze your pelvic floor a few times. If it falls out, you haven’t gone high enough; pop it back up higher. If it stays, you’ve nailed it.

Once it’s sitting above the pelvic floor muscle, it’ll dissolve slowly and the liquid makes its way out gradually – ideally overnight while you’re asleep, which gives the longest contact time and the best result.

If you’ve genuinely got it up high and it still won’t stay, or insertion is painful, that’s worth a proper look – occasionally there’s a pelvic floor or anatomy reason behind it, and that’s something we can help you sort out.

Let me know how you go!

Warmly,
Aunt Vadge

This is general information based on our clinical experience, not a substitute for personalised medical advice. If something doesn’t feel right, check in with your practitioner.

Update from Fall Out Girl

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

More free help

If you’re working through a stubborn yeast or BV issue, our free guides walk you through it step by step – the Killing BV guide for vaginas and the Killing BV guide for penises. And if you’d like a hand tailoring things to your own situation, you can book an appointment with our clinic.



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