Pessary Prescription and Fitting

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Pessary Prescription - The Fix Program

What is a pessary?

A pessary is a soft plastic or rubber ring that fits into the vagina to help support minor pelvic organ prolapse. It is an alternative to surgery for women who suffer from a vaginal prolapse.

Pessaries act as props to help support and bring the organs back to a higher position within the pelvis. They can look like a soft rubber ring. Or like a small cube shaped rubber box. By wearing a pessary high in the vagina, the symptoms often felt with vaginal prolapse can partially or completely decrease.

How do I know if I need a pessary?

You will be prescribed a pessary if you have a mild to moderate vaginal prolapse. Early on, it may be hard to know if you have a vaginal prolapse and your GP at a routine PAP smear, or a women's health physiotherapist during an internal examination who may first detects early signs.

How is The Fix Program different in the prescription of pessaries?

Your treatment begins with an assessment with a women's health physiotherapist. This will always involve an internal vaginal examination. This internal examination will allow for the physiotherapist to properly assess any weakness, spasm or change to your pelvic floor muscles, and examine your vaginal structure and detect the presence of any "bulges" or prolapses. This can only be done properly through an internal examination.

Our women's health physiotherapists are extensively trained in the prescription and fitting of pessaries. Your vaginal measurements will be taken and depending on the degree and organ (bladder, uterus or bowel) that has prolapsed, the correct pessary will be prescribed. A pessary is only prescribed if it is essential to your treatment and recovery.

What should I expect?

You do not need a referral to see our women's health physiotherapists, but you may be referred by your GP or gynaecologist. After speaking with you over the phone about your pelvic floor problem, we will book you an hour long assessment.

The assessment will involve taking a very detailed history about your pelvic floor habits, from bladder and bowel control, to sex, to lower back and pelvic pain. An internal vaginal examination will follow. We then create a treatment plan together with you.

Treatments after this time will be different for each woman. Treatments may involve a weekly or fortnightly session where we:

  • fit your pessary
  • teach you specific pelvic floor muscles exercises while wearing the pessary
  • educate you on good pelvic floor habits
  • how to remove and insert your pessary
  • look after your pessary

Pessaries are inexpensive with prices ranging from $40-$200. If fitted correctly, you will not even notice that they are inside your vagina. Playing sport and having sexual intercourse wearing most pessaries is still possible.

Incontinence symptoms associated with vaginal prolapse, bulging feelings, pelvic pain, and back pain have all been shown to improve in most women with management or vaginal prolapses in this manner.

If symptoms do not improve, we can discuss with you the pros and cons of surgical repair and refer you to a Surgical Gynaecologist.

Did you know

Millions of women around the world suffer from chronic pelvic pain, you are not alone, we can help you.

What do I do next?

If you have any questions about pelvic floor dysfunction, or any of its presentations such as incontinence, vaginal prolapse or pelvic pain, please call us on 02 9264 0077 to discuss your concerns with our women's health physiotherapists. We will be very happy to talk privately with you or to arrange your initial assessment.

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