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Understanding Pessaries: The What, Who, Why and How.

pessaries can improve the function of the pelvic floor.   and are used often to treat prolapse and incontinence in women

At Freya Wellness Co. as a Doctor of Physical Therapy specializing in pelvic floor and women's health, we often see patients seeking solutions for pelvic organ prolapse, urinary incontinence, or other related issues. One of the tools in our arsenal is the pessary, a device that can provide significant relief and support for these conditions. 


What Are Pessaries?


Pessaries are medical devices designed to support pelvic organs and alleviate symptoms associated with pelvic floor dysfunction. They have a long history dating back thousands of years. The earliest known use of pessaries can be traced back to ancient civilizations such as the Egyptians, Greeks, and Romans.  They are made from various materials such as silicone or plastic, these devices come in different shapes and sizes to accommodate individual needs. Essentially, a pessary is inserted into the vagina to provide structural support, much like a scaffolding, to help lift and support prolapsed pelvic organs, such as the bladder, uterus, or rectum.


Who Are They Best For?


Pessaries are particularly beneficial for women experiencing pelvic organ prolapse or urinary incontinence. Pelvic organ prolapse occurs when the pelvic floor muscles and ligaments weaken, allowing pelvic organs to bulge into the vagina. This can lead to discomfort, urinary or fecal incontinence, and sexual dysfunction. 


Why Would One Use A Pessary?


Pessaries offer a non-surgical option for managing these symptoms by providing support to the pelvic organs and reducing the pressure on surrounding tissues.


Additionally, pessaries can be helpful for women who wish to avoid or delay surgery, those with medical conditions that make surgery risky, or individuals seeking conservative management options.


Benefits of Pessary Use:


1. Symptom Relief: Pessaries can alleviate symptoms associated with pelvic organ prolapse, such as pelvic pressure, urinary incontinence, and discomfort during intercourse.

2. Non-Invasive: Unlike surgical interventions, pessary placement is non-invasive and reversible. This makes it an attractive option for women who prefer to avoid surgery or wish to explore conservative treatments first.

3. Customizable: Pessaries come in various shapes and sizes, allowing for a personalized fit based on individual anatomy and needs.

4. Improved Quality of Life: By providing support to the pelvic organs, pessaries can improve quality of life by reducing symptoms and enhancing comfort and mobility.


Risks and Considerations


While pessaries are generally safe and well-tolerated, there are some risks and considerations to keep in mind:


1. Discomfort or Irritation: Some women may experience discomfort or irritation with pessary use, particularly if the device is not properly fitted or if there is inadequate lubrication.

2. Infection: Pessaries can increase the risk of vaginal infections if not cleaned and maintained properly. Regular cleaning and hygiene practices are essential to minimize this risk.

3. Prolapse Progression: In some cases, pelvic organ prolapse may worsen despite pessary use. Regular follow-up with a healthcare provider is important to monitor progress and adjust treatment as needed.

4. Allergic Reactions: Rarely, individuals may experience allergic reactions to the materials used in pessaries. It's essential to discuss any known allergies with your healthcare provider before using a pessary.


How Do I Know If A Pessary is Right For Me? 


Pessaries are valuable tools in the management of pelvic organ prolapse and urinary incontinence, offering a non-invasive and customizable option for symptom relief. As a Doctor of Physical Therapy specializing in pelvic floor and women's health, we often recommend pessaries as part of a comprehensive treatment plan tailored to each patient's needs and preferences. To know if a pessary is right for you, it's crucial to work closely with a healthcare provider to ensure proper evaluation, selection, fitting, and maintenance of the pessary to optimize effectiveness and minimize risks. With the right support and guidance, pessaries can significantly improve the quality of life for women dealing with pelvic floor dysfunction.


If you’d like to learn more or explore if this treatment option is right for you, schedule a FREE phone consultation here.  



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