Misoprostol administered vaginally is more effective than when administered orally. Misoprostol taken vaginally tends to have fewer gastrointestinal side effects. Instead, he raped her vaginally and anally with implements. Jones says that while she was unconscious, several men anally and vaginally gang raped her. The perineum and cervix are further flattened and the head may be felt vaginally. Some treatments can interfere with the mother's ability to give birth vaginally or to breastfeed. Local antifungals are usually administered topically or vaginally, depending on the condition being treated. Simone then pleasures herself by vaginally inserting these taurine testicles. D&E is performed vaginally and does not require an incision. Tablets are inserted vaginally, or a gel is applied, resulting in local spermicidal contraception. The hormone treatment was administered vaginally every day during the second half of a pregnancy. She was forced to bend over and the boys took turns vaginally penetrating her. Some speculate the ointment was applied to the end of the Besom and administered vaginally. If this is the case, the babies can be born vaginally. In cases of a head first-presenting first twin, twins can often be delivered vaginally.