Pessary Fitting: A Comprehensive Guide

What is a Pessary?

A pessary is a device inserted into the vagina to support organs that have shifted or prolapsed, such as the bladder, uterus, or rectum. It is commonly used to manage symptoms of pelvic floor disorders, such as urinary incontinence, pelvic organ prolapse, and vaginal bulging.

Symptoms

Symptoms that may indicate a need for pessary fitting include:

• Pelvic pressure or heaviness
• Vaginal bulging
• Urinary incontinence
• Difficulty emptying the bladder
• Painful intercourse
• Recurrent urinary tract infections

Diagnosis

If you are experiencing any of the symptoms mentioned above, it is essential to consult with a healthcare provider for a proper diagnosis. Your doctor may perform a pelvic exam to assess the extent of organ prolapse or other pelvic floor issues. In some cases, additional tests, such as urodynamic studies or imaging tests, may be recommended to evaluate bladder function and pelvic anatomy.

Causes and Risk Factors

Pelvic floor disorders can be caused by a variety of factors, including:

• Childbirth
• Repetitive heavy lifting
• Chronic coughing
• Aging
• Hormonal changes
• Obesity

Women who have given birth multiple times, have a history of pelvic surgery, or have a genetic predisposition to pelvic floor disorders may be at a higher risk of developing symptoms that require pessary fitting.

Treatments

Pessary fitting is a non-surgical treatment option for managing pelvic floor disorders. During a pessary fitting appointment, your healthcare provider will recommend the most appropriate pessary based on your symptoms and anatomical considerations. Pessaries come in various shapes and sizes, and the right fit is crucial for optimal support and comfort.

Types of Pessaries

There are several types of pessaries available, including:

• Ring pessaries
• Gellhorn pessaries
• Cube pessaries
• Donut pessaries
• Incontinence dish pessaries

Your healthcare provider will discuss the pros and cons of each type of pessary and help you select the best option based on your individual needs.

Placement and Care

Once the appropriate pessary is selected, your healthcare provider will insert the device into your vagina. It may take some time to adjust to the sensation of wearing a pessary, but most women find it comfortable once properly positioned. Follow-up appointments will be scheduled to ensure the pessary fits correctly and is effectively managing your symptoms.

Prevention

While not all pelvic floor disorders can be prevented, there are measures you can take to minimize your risk of developing symptoms that require pessary fitting, such as:

• Maintaining a healthy weight
• Engaging in regular pelvic floor exercises
• Avoiding heavy lifting
• Quitting smoking
• Treating chronic coughing promptly

In Conclusion

Pessary fitting is a non-invasive treatment option for managing symptoms of pelvic floor disorders. If you are experiencing pelvic pressure, urinary incontinence, or other symptoms of organ prolapse, talk to your healthcare provider about whether a pessary may be right for you. With proper placement and care, a pessary can provide effective support and improve your quality of life.