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  1. #1
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    Default Progesterone pessaries timing

    I just have a question about the progesterone suppositories. I'm using 1x 200mg pessary at night and I've only been using them the last couple of days. What I didn't think about was night shift. Instructions say to lay down for 30min post insertion to allow them to melt and absorb. I've been doing them at bedtime, so 10-10:30pm. I'm on a 12hr night tonight and will leave home around 6pm. Can I do it before I go? Or should I take it to work and just deal with the leakage? I can't lay down and I'll be lucky if I can sit. Anyone have any advice?

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    Have you been using vaginally or rectally?

    Rectally gives much less leakage, just wear a strategically placed liner but should be fine. If possible I would do it before you're at least sitting down for a period rather than standing / walking, so maybe before the drive in or on a break?

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    Vaginally. I did wear a pad last night after and found leakage much less, but I also think I got the pessary a bit further up too (not sure if it makes a difference). The hard part about doing it at work is that I don't actually know when I'll get a break. Does timing matter too much? Because if not I'll do it before I go to work, it will just be 5ish hours earlier than when I have been doing it.

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    Back bum is soooo much easier as you don't have to lay down.

  5. #5
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    Does it make much of a difference? The only experience I've ever had with them (my own short experience and those of antenatal patients) has always been vaginally.

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    @theoneandonlyem

    I used progesterone pessaries for both my pregnancies after having IUI. I also work 12hr day shifts then 12hr night shifts and I would use the pessaries that I would normally have at night when I went to bed that morning. It didn't have any effect on my progesterone levels and I have a 15month old and currently 14weeks with number two.

    If you are still concerned give your fertility nurse a call.

  7. #7
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    No fertility nurse. FS isn't in his rooms on a thurs so I can't call him either. If timing isn't so much of an issue I'll take it before work. Seems the least complicated given my roster is all over the place (12hr night tonight, off tomorrow, 8hr night Saturday... Ugh).

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    It was my FS dr Wazza that suggested it. Was working in a mine and he said it would be much easier and it makes no difference in levels of not more effective as it doesn't all run put as soon as you stand up.

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    M'LadyEm  (30-10-2014)

  10. #9
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    Back bum is the answer! They absorb much better thay way too. Use a bit of lube to push them right in. They can give you stomach cramps this way but if you can handle that, it's so much more convenient than having to lie down afterwards.

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    I never got the stomach cramps. Luck me


 

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