Instructions on how to use Intrarosa: How you should use Intrarosa: Insert one prasterone pessary in your vagina once a day at bedtime with an applicator or your finger.
Before you start: Empty your bladder and wash your hands before handling the pessary and applicator; Tear off one wrapped pessary from the 7-pessary strip.
A. Using the applicator: STEP 1: 1A. Remove 1 applicator from the package.
1B. Pull back on the plunger until it stops to activate the applicator. The applicator must be activated before use. Place the applicator on a clean surface.
STEP 2: Slowly pull the plastic tabs on the pessary away from each other while keeping the pessary still between your fingers.
Carefully remove the pessary from the plastic wrap.
If a pessary falls on an unsanitary surface, replace it with a new one.
STEP 3: Place the flat end of the pessary into the open end of the activated applicator. You are now ready to insert the pessary into your vagina.
STEP 4: Hold the applicator between your thumb and middle finger.
Leave your index (pointer) finger free to press the applicator plunger after the applicator is inserted into your vagina.
STEP 5: Select the position for insertion of the pessary that is most comfortable for you.
5a. Lying position.
5b. Standing position.
STEP 6: Gently slide the pessary end of the applicator into your vagina as far as it will comfortably go.
Do not use force.
STEP 7: Press the applicator plunger with your index (pointer) finger to release the pessary.
Remove the applicator. Wash it or throw it away after using for one week (two extra applicators are provided).
To wash the applicator: Take it to pieces; Rinse the 2 pieces for 30 seconds under running water; Wipe with a paper towel and reassemble; Keep it in a clean place.
B. Using the finger: Follow the previous instructions of STEP 2, and then insert the pessary into the vagina with your finger as far as it can comfortably go. Do not use force.