Why Choose a Pessary?
Did you know pelvic organ prolapse (POP) affects almost 50% of women and people with uteruses worldwide? If you’re one of the many people living with POP, you know how uncomfortable it can be. Perhaps you’ve even tried pelvic floor exercises and physical therapy but are still living with symptoms of prolapse, discomfort, or leaking. If so, surgery is not the only option available to you. The good news is that non-surgical solutions are available to help—one of the most effective being a pessary.
What is a Pessary?
A pessary is a small and flexible device that is inserted into the vagina to support the pelvic organs (bladder, uterus, and urethra) if they are putting pressure on the pelvic floor or falling out of the body (prolapse). You can think of it like a removable internal brace that helps hold things in place. Pessaries are also used to provide relief from stress incontinence if you experience leaking when coughing or sneezing. Often, pessaries can fully relieve the symptoms of prolapse or stress incontinence.
Specific conditions pessaries are used for include:
Stress urinary incontinence
Vaginal vault prolapse
Cystocele (bladder prolapse)
Rectocele
Uterine prolapse
Preoperative preparation
Getting Fit for a Vaginal Pessary
Vaginal pessaries come in different shapes and sizes, the most common being the ring pessary. A healthcare professional, such as a pelvic floor physical therapist trained to fit pessaries, can help you find the one that best fits your anatomy and lifestyle. Here is what you can expect:
Your provider will do an informed pelvic exam and select the best type of pessary for your symptoms.
They will gently insert the pessary using lubrication.
You will test the pessary during your appointment by doing simple movements and coughing.
Remember that you may need to try a few sizes during your appointment before finding the best fit for you.
When is a Pessary NOT Recommended?
A pessary can be an excellent solution for those who don’t want to get surgery for their prolapse symptoms. However, there are circumstances where a pessary may not be a good idea for you. These include:
You have an active or recurring UTI, yeast infection, or other pelvic inflammatory condition.
You cannot schedule consistent follow-up visits with your healthcare provider.
You don’t feel comfortable inserting and removing your pessary on your own.
You are allergic to silicone.
Is a Pessary Right for Me?
A vaginal pessary can be an excellent option if:
You’re dealing with pelvic organ prolapse and want relief from symptoms like pressure, bulging, or leaking.
You’ve tried pelvic floor exercises or physical therapy without seeing enough improvement.
You’re not ready for surgery or prefer a non-surgical option.
You’re looking for a safe, effective, and reversible solution.
How Do I Care for My Vaginal Pessary?**
Remove your pessary every two to three days and wash it with warm water and soap. Then, let it fully dry before reinserting it.
It’s recommended to schedule follow-up visits with your provider every 6-12 months.
Pessaries are removable, so you can take them out as desired. Some women remove their pessary at night and reinsert it in the morning. Pessaries can also be removed for intercourse.
Inserting, removing, and using a pessary should be comfortable and pain free.
**This is not medical advice. Discuss your individual needs and instructions with your healthcare provider.
Next Steps
Pelvic organ prolapse is incredibly common, but that doesn’t mean you have to live with the discomfort or inconvenience it causes. A pessary is a simple, non-invasive option that can support your pelvic organs, helping you regain comfort and confidence in your daily life. If you think a vaginal pessary might be a good fit for you, schedule an appointment with a healthcare provider about getting fit—and start feeling more supported today!
About Pelvic Health & Wellness
Pelvic Health & Wellness was built with you in mind. We practice whole-person, individualized pelvic floor physical therapy in a caring and safe environment. Our therapists specialize in treating pelvic health concerns such as fertility, pain, incontinence, pelvic organ prolapse, constipation, and various pregnancy and postpartum-related conditions. We are also certified to work with pessaries.
We understand that being ready to talk about and address your pelvic floor wellness concerns comes from a place of strength. We are here to support and encourage you on your journey back to health so you can return to doing what you love! If you are ready to take the first step in reclaiming your pelvic health and wellness, don't hesitate to get in touch with us today.