怎么在没有阴道给药器的情况下塞入黄体酮栓

黄体酮栓通常用于体外人工授精（IVF），或者用于治疗围绝经期妇女因黄体酮水平较低而引起的月经推迟。黄体酮栓由药剂师配制，既可在阴道给药器的配合下推入阴道，也能徒手塞入阴道。塞入黄体酮栓前，确保把双手和私处清洗干净。栓剂的使用和储存都务必遵循医生的指示。

步骤

清洗双手和私处

1. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/5\/58\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-1.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-1.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/5\/58\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-1.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 1 用无香沐浴液和温水清洗私处。站在淋浴房或浴缸中，将私处打湿。用手或干净的毛巾将沐浴露抹在私处，摩擦出泡沫，然后用温水将泡沫冲洗干净。
   • 女性私处容易滋生细菌。清洗私处是为了避免送药时细菌进入阴道。^[1]
   • 务必使用无香沐浴液，因为香精可能导致宫颈感染。^[2]
2. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/b\/b0\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-2.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-2.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/b\/b0\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-2.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 2 用洗手液和温水洗手。用温水把手淋湿，然后抹上洗手液。持续揉搓双手20秒，搓出泡沫。接着用温水冲洗双手，将泡沫全部冲掉。
   • 手上也可能有细菌，所以小心别让细菌进入阴道。^[3]
3. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/4\/4a\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-3.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-3.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/4\/4a\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-3.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-3.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 3 黄体酮栓可能融化，接触时要小心。黄体酮栓就是含有悬浮黄体酮的基质。栓剂进入人体后会融化，释放出黄体酮。为避免栓剂在手中融化，尽量少用手接触栓剂。^[4]
   • 你最好用两只手指轻轻夹住栓剂。绝对不能把栓剂握在手里。^[5]

将黄体酮栓推入阴道

1. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/d\/db\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-4.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-4.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/d\/db\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-4.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-4.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 1 平躺在床上，膝盖弯曲向胸前靠拢。这个姿势能让阴道口尽可能保持张开，从而使栓剂更容易塞入体内。以这种姿势塞入栓剂比其它方式塞入得更深，所以药物也能更好地发挥作用。^[6]
   • 不要只弯曲膝盖，双腿要尽量贴近身体。
2. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/a\/a3\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-5.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-5.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/a\/a3\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-5.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-5.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 2 用指尖夹住栓剂。尽量让栓剂粘在指尖上。如果粘不住，试着把栓剂放在阴道开口处，然后再用指尖把它推入阴道。^[7]
   • 接触栓剂时动作一定要轻，因为栓剂很容易被手的温度融化。
3. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/6\/65\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-6.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-6.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/6\/65\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-6.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-6.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 3 只要没有不适的感觉，尽量将栓剂往阴道深处推。也许你能一直推到手指再也进不去为止。如果感到有阻力就停下来，让栓剂留在目前的位置。^[8]
   • 塞入栓剂照理说不会引起任何的不适或疼痛。如果你感到不舒服，立即停下来，抽出手指。
4. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/0\/03\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-7.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-7.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/0\/03\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-7.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-7.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 4 将手指从阴道内抽出。抽出手指，将栓剂留在阴道内。抽出手指时注意不要将药物一同带出。^[9]
   • 抽出手指时，栓剂不太可能粘在手指上。但要是遇到这种情况，那就重新把栓剂塞入阴道。把栓剂往阴道侧壁上推可以帮助栓剂留在阴道内。
5. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/1\/18\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-8.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-8.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/1\/18\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-8.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-8.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 5 将两腿在床上放平。平躺放松片刻再起身。栓剂一旦进入阴道就会开始融化。^[10]
   • 上药完成后你不必一直躺在床上。
6. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/2\/2a\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-9.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-9.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/2\/2a\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-9.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-9.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 6 接触过黄体酮栓后别忘了洗手。用洗手液将手揉搓20秒，然后用温水冲洗干净。洗手可防止黄体酮被手指或手上其它部位的皮肤吸收。^[11]

根据指示用药

1. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/3\/36\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-10.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-10.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/3\/36\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-10.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-10.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 1 仔细阅读黄体酮栓包装里的所有信息。用药时你必须遵循医生和药剂师的指示。黄体酮栓的使用方法可能基于个人需求的不同而有所变化，所以你要按照医生的指示用药。^[12]
   • 黄体酮栓的外观呈椭圆形或子弹形。黄体酮栓通常是由药剂师配制的，如果有疑问，你可以咨询他们。
2. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/6\/6a\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-11.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-11.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/6\/6a\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-11.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-11.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 2 除非距离下次给药的时间非常近，否则遗忘掉的栓剂要立即补上。如果你有次忘记给药，想起来的时候就马上补上。你必须按照指示给药，一次也不能落下，但不能同时塞入两粒栓剂。^[13]
   • 如果你想起来的时候已经离下次给药的时间非常近了，那漏掉的这次就只有放弃了。
3. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/6\/6c\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-12.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-12.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/6\/6c\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-12.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-12.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 3 用药期间穿着宽松、透气的布料。黄体酮栓会导致阴道潮湿，因为融化的药物会慢慢流出阴道。停止用药前，你最好穿着棉质内裤和宽松的裙子或裤子。
   • 使用黄体酮栓期间不要穿紧身裤，尼龙内裤或者紧身裤袜。这些面料不透气，很容易诱发宫颈炎症。^[14]
4. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/6\/67\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-13.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-13.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/6\/67\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-13.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-13.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 4 使用卫生护垫，防止内裤被药物渗出液浸湿。栓剂会在体内融化，慢慢渗出阴道。只要在内裤上贴卫生护垫，你就不用担心内裤被打湿了。^[15]
   • 记住每两三个小时换一次卫生护垫。保持私处干爽可防止宫颈感染。
   • 如果睡前塞入栓剂，从阴道渗出的液体会比白天四处走动的时候少一些。
5. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/7\/78\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-14.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-14.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/7\/78\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-14.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-14.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 5 如果阴道内已经有黄体酮栓，就不要再使用卫生棉条。卫生棉条会吸收黄体酮，影响药物的有效性。如果想保持私处干爽，贴上卫生巾就够了。^[16]
   • 使用黄体酮栓剂的过程中你可能会来月经。如果这种情况发生，不要选择卫生棉条，而应继续使用卫生巾。
6. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/f\/f9\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-15.jpg\/v4-460px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-15.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/f\/f9\/Insert-Progesterone-Suppositories-Without-an-Applicator-Step-15.jpg\/v4-728px-Insert-Progesterone-Suppositories-Without-an-Applicator-Step-15.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 6 黄体酮栓要储放在冰箱里，以免融化。干燥低温的冰箱最适合用来储存黄体酮栓剂。黄体酮栓剂容易融化，所以上述储存环境下的栓剂状态不会发生改变，能更轻松地塞入体内。^[17]
   • 有些黄体酮栓剂能在室温下存储。如果你不确定，就检查包装上的说明。
   • 不要将栓剂冷冻。^[18]
7. 7 与医生讨论使用黄体酮栓的风险。虽然黄体酮栓被认为是一种安全无害的药物，但是所有药物都存在风险。医生会帮助你理解你以往的病史与使用黄体酮栓的风险有什么联系。医生可能会和你讨论下面的风险： ^[19]
   • 除非医生将黄体酮栓作为生育治疗方法中的一种，否则孕期不要使用黄体酮栓。
   • 黄体酮栓会增大病人患上血管阻塞、心脏病或者乳腺癌的可能性。如果你曾经患过上述疾病，或家族中存在上述病史，你患病风险会更大。

小提示

• 为严格按照指示用药，每天在相同的时间塞入黄体酮栓。
• 你如果在使用黄体酮栓的过程中怀孕了，立即通知医生。除非医生有所指示，否则不要停止用药。大多数情况下，你需要连续10周使用黄体酮栓。^[20]

警告

• 黄体酮栓绝对不能口服。^[21]
• 黄体酮栓会让人犯困。用药期间不要驾驶或操作重型机器。用药的最好时间是在睡前。^[22]
• 使用黄体酮栓期间不要使用其它阴道清洁产品，因为黄体酮栓的有效性可能会降低。^[23]
• 阴道给药器通常是一次性的。除非包装上说明可以重复使用，否则阴道给药器用过一次后就要扔掉。^[24]