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My Pessary Fitting: FAQ

Frequently Asked Questions

Pessary fitting assessments last 90 minutes and will involve discussion of your symptoms, a review of your overall pelvic health. We will normally assess you in both laying and standing which normally includes the use a speculum in laying. This helps to give you a diagnosis of your presentation.

As sizing pessary will be fitted as a short trial in which we ask you to do normal activities for you. If this includes activities like exercise or running for you, please do bring your trainers and comfortable clothes so you can replicate this as part of the assessment. Once you are happy with the pessary choice, we will fit your own pessary including how to care for your pessary and removed or insert it.

A review is recommended 2 weeks after and at 3 month intervals after that for the first year. By the end of the process you should feel confident to manage your pessary. Our team are here to support you every step of the way and will keep your doctor up to date of your progress.

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All pessaries used by the clinic are made of medical silicone and do not allow bacteria to grow on them however, if dried with a towel or tissue, small fibres can stay on the pessary leading to a possible infection when inserted.

It is recommended to clean a pessary with warm water and leave to air dry, so in an open Tupperware tub. To sterilise your pessary, you will boil it for 3-5mins in a pan of boiling water each month.

Most of the potential side effects of using a pessary are low risk however, it is important to be aware of them and how to remove the pessary safely if required: • More vaginal discharge than normal • Vaginal discharge that has developed an odour • Vaginal irritation • Women who are post-menopausal may need to use oestrogen cream • If bad vaginal odour, lots of discharge or blood occurs, please remove the pessary immediately and contact the clinic. • If you can’t get hold of our physio or the clinic then please contact a GP or walk in centre if out of hours. • Pessaries should not be felt generally. If a pessary is uncomfortable or there is difficulty urinating or passing a bowel movement, please remove the pessary and contact a women’s health physio. Click Here To Contact The Clnic ** Please note if this is out of hours and your need help with an issue with your pessary you should attend your nearest medical provider eg GP or walk in clinic. **

Many women worry that the pessary can get lost but the vagina is a closed tube. However, the pessary can fall when straining on the toilet or in a bend or squat position to lift something heavy. This could mean that the pessary is too small or that intra-abdominal pressure needs managing when lifting. If a pessary falls in the toilet, try to retrieve it as it can be sterilised and reused. New pessaries can be purchased if preferable.

Yes. Pessaries can be used during a period although, most women prefer not to. If using one of the suction pessaries such as a cup or cube, it would need to be removed daily as blood can collect in the pessary. It is not possible to use a tampon with the cube pessary.

With a ring pessary it is possible to have intercourse although most patients prefer to remove the pessary before intercourse.

If an IUD is already fitted, it is still possible to use a pessary however, we suggest that your GP cuts the wires a little shorter so that they do not interfere with insertion and removal of the pessary.

The only pessary that is safe to use during pregnancy is the ring. All other pessaries have some form of suction and are therefore contraindicated during pregnancy.

If you participate in any active training or sport, then please bring a pair of trainers to the session as your physio may carry out relevant testing to your activity.

Katie Bell Physiotherapy & Wellness has been established on strong foundations of professionalism, results, customer service and customer care. We are here to provide the long term solution and look for the real problem during our assessment rather than treating the symptoms. We want to transform lives whether its getting back to playing sport, returning to work after a long period off, ensuring you can live your life without the impact of pain and injury, or learning how to move better and become more flexible.

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