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What is a Pessary?
A pessary is a silicone device that fits into your vagina to help support your uterus (womb), vagina, bladder, or rectum. A pessary is recommended as a conservative, non-surgical treatment for certain urinary incontinence (stress urinary incontinence- SUI), or prolapse of the uterus or vaginal walls. This may be a permanent treatment or temporary treatment until surgery is performed, or during pregnancy.
What kind of pessary will I use?
Your provider at Virginia Beach Obstetrics and Gynecology will decide which type of pessary is appropriate for you. After examination, your provider will fit you with the proper size. This fitting is often by trial and error. It usually takes a few tries to find the correct size and fit. After your first fitting, you will need to return to our office to have the pessary reassessed. Sometimes the pessary will have to be changed.
How do I care for my pessary?
It's important that you follow our instructions about caring for your pessary. Most pessaries can be worn for many days to weeks at a time before they have to be taken out and cleaned with ordinary soap and water.
Does the pessary cause any side effects?
You may notice more vaginal discharge than normal. Your vaginal discharge may also develop an odor. Certain vaginal gels can help with these side effects. Vaginal irritation is another possible side effect. Women who are past menopause may need to use estrogen cream for the irritation.
Can the pessary get lost or fall out?
The vagina is a closed tube. The pessary can't go anywhere else inside the body. The pessary can fall out of the vagina if you strain or lift something. This usually means that your pessary is too small. Check with your doctor if your pessary keeps falling out.
What else should I know?
Many pessaries can be worn during intercourse--your doctor will tell you if you can't. Be sure to tell your doctor promptly if you have any discomfort with the pessary or if you have trouble urinating or having a bowel movement.
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