Everything You Need to Know About Pessaries: Types, Uses, and Benefits

Pessaries are time‑tested medical devices designed to provide internal support for women experiencing certain pelvic floor disorders. They are most commonly prescribed for conditions such as pelvic organ prolapse (POP)—where the uterus, bladder, or rectum descends into the vaginal canal—and stress urinary incontinence (SUI), which causes urine leakage during activities like coughing or lifting.

These devices come in various shapes, sizes, and materials, allowing healthcare professionals to tailor them to each woman’s unique anatomy and medical needs. For instance:

• Ring pessaries are flexible and ideal for mild to moderate prolapse.

• Cube pessaries provide stronger support and are often used when there is more severe prolapse.

• Gellhorn and donut pessaries are specially designed for advanced prolapse and can remain in place for longer durations.

• Inflatable or space‑filling pessaries can be adjusted for comfort and are useful in complex cases.

A well‑fitted pessary can offer immediate symptom relief, reducing pressure, discomfort, and urinary or bowel difficulties. Many women choose pessaries as a non‑surgical, reversible, and affordable option—whether they want to delay surgery, are not suitable candidates for surgery due to age or health conditions, or simply prefer a conservative approach.

Key benefits include:
✔️ Restored pelvic support without invasive procedures
✔️ Improved comfort and quality of life
✔️ Manageable maintenance with regular cleaning and checkups
✔️ Reusability and long‑term cost savings

Proper use of a pessary involves regular follow‑ups with a healthcare provider to ensure fit and prevent complications like irritation or infection. Many women also use vaginal estrogen creams as part of their care routine to maintain tissue health.