Pessary Follow Up: What You Need to Know

Pessaries are a commonly used medical device for the management of pelvic organ prolapse and urinary incontinence in women. After the initial fitting of a pessary, it is crucial to follow up with your healthcare provider to ensure its proper function and address any concerns or complications. In this article, we will discuss the importance of pessary follow up, including symptoms to watch out for, diagnosis, causes, risk factors, treatments, and prevention strategies.

Symptoms

While using a pessary, it is important to be aware of any new or worsening symptoms that may indicate a problem. Some common symptoms to watch out for include:

• Vaginal discharge
• Vaginal bleeding
• Pain or discomfort
• Difficulty emptying the bladder
• Recurrent urinary tract infections

If you experience any of these symptoms, it is important to contact your healthcare provider for further evaluation.

Diagnosis

During a pessary follow up appointment, your healthcare provider will perform a physical exam to assess the fit and condition of the pessary. They may also perform additional tests, such as a pelvic ultrasound or urine analysis, to evaluate the overall health of your pelvic organs and urinary tract.

Causes

There are several potential causes of pessary-related symptoms. These may include:

• Improper pessary fit
• Infection
• Allergic reaction to the pessary material
• Bladder or vaginal erosion
• Prolapse of other pelvic organs

Identifying the underlying cause of your symptoms is crucial for determining the appropriate treatment plan.

Risk Factors

Certain factors may increase the risk of complications related to pessary use. These include:

• Advanced age
• Postmenopausal status
• Obesity
• Chronic health conditions, such as diabetes or autoimmune disorders
• History of pelvic surgery

If you have any of these risk factors, it is especially important to stay vigilant about monitoring your pessary and seeking prompt follow up care as needed.

Treatments

The treatment approach for pessary-related symptoms may vary depending on the underlying cause. Some common treatment options include:

• Pessary adjustment or replacement
• Medication for infection or pain management
• Topical creams or ointments for irritation
• Surgical intervention in severe cases

Your healthcare provider will work with you to develop a personalized treatment plan based on your specific needs and circumstances.

Prevention

While some complications related to pessary use may be unavoidable, there are steps you can take to help prevent problems. These include:

• Follow your healthcare provider's instructions for pessary care
• Attend regular follow up appointments
• Maintain good hygiene practices
• Stay physically active to support pelvic floor health
• Avoid lifting heavy objects or straining excessively

By taking proactive steps to care for your pessary and prioritize your pelvic health, you can help minimize the risk of complications and maintain optimal quality of life.

In conclusion, pessary follow up is a critical aspect of managing pelvic organ prolapse and urinary incontinence with a pessary. By staying vigilant about monitoring symptoms, seeking prompt medical attention when needed, and following your healthcare provider's recommendations, you can support the effectiveness and safety of your pessary treatment. If you have any concerns or questions about your pessary, don't hesitate to reach out to your healthcare provider for guidance and support.