 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  understood how it works to lessen painful intercourse, but prasterone is changed in the body to certain hormones (androgens and estrogens). How to use Intrarosa Insert Read the Patient Information Leaflet and Instructions for Use if available from your pharmacist before you start using prasterone and each time you get a refill. If you have any questions, ask your doctor or pharmacist. This medication is for vaginal use only. Empty your bladder and wash your hands before handling the vaginal insert and applicator. Unwrap one vaginal insert and follow the instructions to use the applicator to insert this medication into the vagina as directed by your doctor, usually once daily at bedtime. Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day. Tell your doctor if your condition does not get better or if it gets worse.The side effects of Intrarosa Vaginal: Vaginal discharge may occur. If this effect lasts or gets worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. You may have an abnormal Pap </s>