Pessary Fitting

Pessary Fitting

Pessary Fitting Beaumont

What Is Pelvic Prolapse?

The pelvic muscles and tissues support a woman’s pelvic organs like a hammock. The pelvic organs include the uterus, bladder, cervix, vagina, and rectum. A prolapse happens when the pelvic muscles and the tissues can no longer support these organs. This causes one or more pelvic organs to drop or prolapse into or out of the vagina.

There are usually 4 stages of pelvic organ prolapse:
The prolapse is at a mild level. The pelvic organs are still reasonably in their place.
The pelvic organs remain inside the vagina but have started to fall.
The pelvic organs have fallen into or beyond the vaginal opening.
The pelvic organs have completely fallen beyond the vaginal opening. 


What Is A Pessary?

A pessary is a small, removable device that is inserted into the vagina/birth canal. It provides support in the area of prolapse, helping regain healthy pelvic muscles and tissues. There are numerous shapes and sizes of pessaries to meet the individual support requirements of every patient. Seeking pessary fitting services from our therapists will ensure a pain-free, comfortable procedure, fitting that feels like it’s not even there. Pessaries are a low-risk treatment option for women who want to avoid surgery or for those who have medical problems that make surgeries too risky. However, pessaries require ongoing special care to avoid issues of ulceration or bleeding (Scroll down for the post-care tips!). With the right protection, you can use the pessary comfortably for the long term.
Pessary Fitting Beaumont
Pessary Fitting Beaumont

This Is How Pessaries Work

A pessary provides mechanical/physical support to hold up the prolapsed organs within the vagina. The pessary works by lifting up the walls of the vagina to provide support for the bladder, bowel, or uterus.
A Walk Down The Memory Lane - History Of Pessaries The pessary is not a new-day concept. Different forms of pessaries have been used throughout history. Hippocrates, the Greek physician, once made a reference in which half a pomegranate was used to support a prolapsed uterus.
By the 16the century, women started using pessaries by dipping a ball of string into the wax. It was only in the 19th century that pliable pessaries were manufactured on a production scale. This was the time when vulcanized rubber was discovered. Most pessaries today are made of medical-grade silicone. They are durable, hypoallergenic, and relatively easy to insert and remove.
Types Of Pessaries

Get Acquainted With The Different Types Of Pessaries

Support Pessaries
Work well for those who have stage 1 or stage 2 pelvic prolapse.
Ring Pessaries
Easy to wear but do not aid with urinary incontinence. Perfect pessary type for stage 1 prolapse.
Gehrung Pessaries
These pessary types can be molded to any vaginal shape. It works well for stage 1 and stage 2 prolapse.
Incontinence Ring
Designed for urinary incontinence, this pessary type works amazingly for stage 1 and stage 2 prolapses.
Space-Filling Pessaries
Ideal for treating higher grades of incontinence and prolapses.
Gellhorn Pessaries
Ideal for those who are no longer sexually active.

How Do I Know If I Need One?

The most common reason we recommend a pessary for our patients is to address symptoms of vaginal heaviness and urinary leaking caused by pelvic organ prolapse.
Assessing the active support of the pelvic organs will decide the course of treatment. This is to determine whether pelvic organ muscle strengthening is required excessively.
Our pelvic organ physiotherapists also provide information regarding safe exercises and how to engage deep core muscles appropriately to reduce downward pressure on a prolapse. These exercises are recommended in regard to daily activities – especially childcare.

However, if our patients are experiencing symptoms of heaviness or urinary incontinence, we strongly recommend a pessary fitting service for the pelvic health benefits. A pessary can improve passive support immediately and reduce long-term pelvic issues. 

Most commonly, women can use pessary services for a number of reasons, including:
  • Avoiding or delaying prolapse surgery
  • To be able to exercise
  • In the early stages of prolapse, to avoid chronic conditions
  • A desire for future pregnancy
  • During pregnancy or following childbirth
  • Previous failed prolapse surgery
  • To manage stress incontinence and prolapse
  • For pelvic organ muscle rehabilitation 
But if you have the following conditions, you’re not the right candidate for a pessary fitting service –
  • Pelvic inflammatory disease
  • Active vaginal infection
  • Ulceration of vaginal walls
  • Unknown causes of vaginal bleeding
  • Allergy to latex and silicone
  • Records of poor compliance with medical supervision 

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Pessary And Sex

The most daunting question that often bothers ladies after pessary fittings are: Is sexual intercourse an option after pessary fitting?

Well, some pessary types allow sexual intercourse while some pessaries must be removed for the sexual intercourse. The pessary types used for severe prolapse cannot be removed by the user (e.g., Gellhorn).

At Impact Physiotherapy clinic, our physiotherapists will take into account your sexual activity preferences in order to make the right decision for your pessary fitting. Then, we will fit you into an appropriate pessary type for your lifestyle. 


Post-Pessary Fitting Care

You can either take care of your pessary at home or have our physiotherapists do it for you with much care. To take care of the pessary, you need to know how to remove the pessary. Here is how you remove a pessary –

  • Wash or sanitize your hands
  • Search for the rim of the pessary. It is right under the pubic bone at the front of your vagina.
  • Locate the notch or opening and hook a finger under or over the rim.
  • Tilt the pessary gently to about a 30-degree angle.
  • Slowly pull it down and out of the vagina.


You must remove and clean the pessary at least once or twice a week. Once removed, clean the pessary with mild soap and warm water and rinse it. Our physiotherapists prescribe a vaginal estrogen cream to apply inside your vagina while the pessary is out to prevent irritation.
Many women find the insertion process easier when standing up with one foot resting on a stool. Use a water-based lubricant for pessary insertion.


Pessary Fitting

An Easy, Pain-Free Way To Beat Pelvic Prolapse
Put a stop to bothersome pelvic prolapse complications and urinary incontinence in a non-surgical way. A small, flexible, removable plastic device that holds your prolapsing organs in place, so you no longer feel the bulge.
Our physiotherapists at Impact Physiotherapy clinic provide women’s healthcare, including pelvic healthcare. During our pessary fitting service, our therapists will first take measurements to make sure you get the pessary that is the right size and fit for your condition.
Once the fitting is done, you will receive clear and specific instructions on removing, inserting and maintaining your pessary. You will be asked to consult with our physiotherapists usually within a week to check on the fit and examine for signs of discomfort or any complications if they arise.
Impact Physiotherapy clinic provides a specialized pessary fitting service, comprehensive pelvic floor assessment, and a treatment plan for better pelvic health. Visit us TODAY! 


Pessary Fitting Is A Blessing For Several Reasons

There are a number of amazing benefits that may be derived from a pessary fitting service.
Pelvic Prolapse Physiotherapy Beaumont
This takes the weight off the pelvic organ muscles helping them to contract better and relieving one from pain and discomfort. Apart from pelvic organ rehabilitation, a pessary can make the bulge you feel in your vagina go away. You won’t have to undergo surgery or be put to sleep with anesthesia to get the pessary placed. Here are some common questions we receive from clients who visit our Beaumont massage clinic:
Well-fitting pessaries are totally comfortable. The wearer is usually unaware of the feeling that a pessary is even there.

You’ll know the pessary fits you well if:

  • The pessary stays in place while you’re walking, coughing, and bending
  • The pessary feels 100% comfortable and pain-free
  • The pessary does not interfere with your bladder or bowel emptying
  • You are able to fit an average finger around the outside of the pessary

You can use a pessary for years without any worries if you like the results and don’t have any complications.


Contact us Today

Whether you’re an active individual, recovering from an injury, or managing a chronic illness, we’re here to help you regain control of your life with approachable health advice and in-clinic treatments. To learn more about our clinic and the treatments we provide, don’t hesitate to contact us today at