Pessary Fitting

What is a pessary?

  • A pessary is a removable medical, silicone device inserted into the vagina to support areas affected by pelvic organ prolapse.

  • Pessaries come in many shapes and sizes and are custom-fitted by a trained pelvic health specialist.

  • They offer a safe, effective non-surgical option for managing prolapse and urinary incontinence.

Who benefits from a pessary?

  • Pessaries may be right for you if you experience:

    • Pelvic organ prolapse

    • Urinary incontinence

    • Pelvic heaviness or pressure

    • Pre/post-surgical support needs

  • Pessaries are ideal for those who prefer non-surgical management or are not candidates for surgery.

The fitting process and follow-up

  • Initial Evaluation: Your physical therapist reviews your history, symptoms, and goals.

    • This includes a pelvic floor examination and assessment to determine the type and size of pessary needed. Not one size fits all.

    • Your PT and you will work to find the best pessary for you and your goals.

    • You will work with your physical therapist on how to insert and remove the pessary in office.

    • Your therapist will then provide you with education for daily and long-term use and care.

    • You will place your order for your pessary which can take 1-2 weeks to ship to RPT.

  • The number of follow-ups varies on a case-by-case basis. Below is the recommended schedule:

    • First follow up: Return in 1–2 weeks when your personalized device arrives.

    • 4 week check

    • 3 month check

    • 6 month check

    • 1 year check

  • These follow-ups are critical for managing vaginal tissue health and to assess for any concerns.

  • Most people adapt quickly, see a decrease in symptoms, and resume normal activities with confidence.

Frequently Asked Questions

How to manage/care for a pessary?

  • Many people can remove and wash the pessary themselves.

    • There are tools to help if necessary.

When should you wear your pessary?

  • A pessary is designed to be used as-needed whether daily or with specific activities, i.e. jumping, weightlifting, etc.

Can I wear a pessary if I am pregnant?

  • Yes, but this requires collaboration with your OB and is dependent on symptoms and your goals.

Can I have sex with my pessary in?

  • This depends on the type of pessary you are using. Discuss this with your provider at your appointment.

Pessary Cost Information:

  • Your provider will explain the cost of pessaries to you prior to beginning any fitting process.