Understanding Pessaries: Your Guide to Managing Prolapse Symptoms Without Surgery

Prolapse is a common issue that affects many women, especially during and after menopause or after giving birth. This condition happens when pelvic organs, like the bladder, uterus, or rectum, bulge into the vaginal canal due to weak pelvic floor muscles. (Click HERE to read more about types of prolapses.) Women may experience symptoms like pressure, discomfort, and urinary problems. While surgical options exist, many women are exploring alternatives. One effective solution is the pessary. In this post, I want to share what a pessary is, its benefits in managing prolapse symptoms, and how a pelvic physical therapist like me can assist you in finding the right one.

What is a Pessary?

A pessary is a small medical device used to support pelvic organs and relieve symptoms linked to prolapse. Made primarily from silicone or rubber, these devices come in various shapes and sizes to meet individual requirements. When inserted into the vagina, a pessary can help lift and support pelvic organs, offering relief from discomfort and pressure.

Pessaries come in different shapes and sizes. If one doesn't work for you then there are many options to try!

Pessaries are often recommended for women who prefer to avoid surgery or are not suitable candidates for it. According to a study published in the Journal of Urology, around 60% of women with prolapse find significant symptom relief using a pessary, making it a viable option for many.

How Can a Pessary Help Manage Symptoms of Prolapse?

Using a pessary can vastly improve the quality of life for women dealing with prolapse symptoms. Here are specific ways a pessary can be beneficial:

1. Support for Pelvic Organs: Pessaries provide essential structural support, keeping pelvic organs in their proper place, which helps reduce feelings of heaviness. (Click HERE to see images of how a pessary is used for support)

   
   

2. Symptom Relief: Studies show that approximately 75% of women experience less urinary incontinence and pelvic pain when using a pessary. This leads to a notable improvement in daily activities and overall happiness.

   
   

3. Non-Surgical Option: For women hesitant about surgery or those who may not be candidates, a pessary serves as a non-invasive alternative to manage symptoms.

   
   

4. Customizable: With various shapes and sizes available, women can find a pessary that fits just right for their body type and specific needs, enhancing comfort and effectiveness.

   
   

5. Reversible: Pessaries can be easily removed. If they do not suit you, there is a low risk involved, making it a safe choice for managing symptoms.

   
   

Working with a Pelvic Physical Therapist

To ensure that you receive the most benefit from your pessary, collaborating with a qualified health care provider who can fit you is essential. These specialists focus on pelvic health and will offer valuable support throughout the process. I am qualified to fit women for ring and cube pessaries. If you need a more specialized pessary, I can refer you to a physician. Here’s how I can help:

1. Assessment: I will perform a detailed evaluation of your pelvic floor health. This includes checking muscle strength, flexibility, and any unique symptoms you may have.

   
   

2. Pessary Fitting: After the assessment, I will guide you in selecting the appropriate type and size of pessary. This personal fitting is important for comfort and overall effectiveness.

   
   

3. Education: I will teach you how to insert, remove, and maintain your pessary. Knowing how to use the device properly is crucial for maximizing its benefits.

   
   

4. Ongoing Support: Regular check-ins with me can help track your progress and adjust your treatment plan as needed. I will also provide pelvic floor exercises to strengthen your muscles and enhance pelvic health if that is what you need.

   
   

5. Holistic Approach: By addressing related issues such as incontinence or pelvic pain, I can offer a comprehensive approach to your care.

   
   

Finding Relief and Support

Managing the symptoms of prolapse does not always mean surgery is the answer. A pessary can be a powerful, non-invasive tool that provides support and relief. By collaborating with a pelvic physical therapist like me, you can ensure you find the best fit and gain the knowledge and support needed to use a pessary effectively.

If you are experiencing symptoms of prolapse, consider this option to enhance your quality of life. Remember, you are not alone; many women face similar challenges. Resources are available to help you navigate your choices!