What is a Pessary and How Can It Help Pelvic Organ Prolapse?
Pelvic organ prolapse affects many women, particularly after childbirth, menopause, or with aging. It occurs when the muscles and connective tissues supporting the pelvic organs weaken, allowing the bladder, uterus, or rectum to descend.
Common symptoms include:
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Vaginal heaviness or pressure
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A sensation of something “falling out”
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Urinary leakage
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Difficulty with physical activity
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Pelvic discomfort
While surgery is one treatment option, many women successfully manage prolapse with a pessary.
What is a Pessary?
A pessary is a soft, medical-grade silicone device inserted into the vagina to support pelvic organs. It works by gently lifting and supporting the vaginal walls and pelvic structures.
It does not cure prolapse, but it effectively manages symptoms and improves function.
Many women experience immediate relief.
Why Consider a Pessary?
Pessaries are often recommended because they are:
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Non-surgical
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Safe and reversible
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Effective for symptom relief
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Suitable for long-term use
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Helpful for women wishing to avoid surgery
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Useful for maintaining an active lifestyle
They can also be used temporarily or long-term, depending on your needs.
The Importance of Proper Fitting
Pessary fitting is not one-size-fits-all. Proper sizing and selection are essential for comfort and effectiveness.
A trained pelvic health physiotherapist will assess:
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Vaginal tissue health
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Muscle function
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Pelvic organ support
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Anatomical considerations
Multiple sizes may be trialed to ensure the best fit.
A properly fitted pessary should be comfortable and stay in place during daily activities.
The Role of Pelvic Floor Physiotherapy
While pessaries provide mechanical support, physiotherapy addresses the underlying muscle dysfunction.
Pelvic floor physiotherapy helps:
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Improve muscle strength and coordination
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Reduce symptom progression
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Improve bladder control
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Enhance overall pelvic stability
Combining pessary use with physiotherapy provides optimal results.
Is Pessary Use Safe?
Yes. Pessaries have been safely used for decades. With proper fitting and follow-up, complications are rare.
Your physiotherapist will provide education on proper care and monitoring.
Common Misconceptions
Myth: Pessaries are only for older women.
Fact: Pessaries are appropriate for women of many ages, including postpartum and active individuals.
Myth: Pessaries are uncomfortable.
Fact: When properly fitted, most women do not feel the pessary.
Myth: Surgery is the only solution.
Fact: Many women successfully manage prolapse long-term with pessary and physiotherapy.
When Should You See a Pelvic Health Physiotherapist?
You should seek assessment if you experience:
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Vaginal heaviness or bulging
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Urinary leakage
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Pelvic pressure
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Symptoms worsening with standing or exercise
Early intervention improves outcomes.
Take Control of Your Pelvic Health
Pelvic organ prolapse is common and treatable. You do not have to live with discomfort or limit your activities.
Pessary fitting, combined with pelvic health physiotherapy, provides a safe, effective, and empowering solution.
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