A pessary is a medical device that is used to support the pelvic organs, alleviate discomfort, and improve quality of life for women with pelvic organ prolapse (POP) or stress urinary incontinence. It is a non-surgical option that gives relief to many women. In this article, we will discuss the steps involved in inserting a pessary, so you can confidently use this effective treatment option.

Before we dive into the process, it’s essential to know that there are different types of pessaries available, such as ring pessaries, Gellhorn pessaries, and cube pessaries. Your healthcare provider will help you determine the most suitable type and size for your needs.

Step 1: Preparation

It’s crucial to maintain optimal hygiene when handling and inserting your pessary. Make sure you have washed your hands thoroughly with soap and water. Additionally, it’s a good idea to empty your bladder and bowels before insertion to minimize any discomfort during the process.

Step 2: Gather Supplies

Now that you’re ready to insert the pessary, gather any necessary supplies such as lubricant (water-based only), disposable gloves if preferred, and a clean towel or cloth. Find a comfortable position for insertion; you might prefer squatting down, placing one foot on an elevated surface or laying on your back with your knees bent and feet flat on the floor.

Step 3: Lubricate the Pessary

Apply a generous amount of water-based lubricant onto the pessary. This will make insertion smoother and more comfortable. Avoid using oil-based lubricants like petroleum jelly, as these can degrade the material of the pessary.

Step 4: Insertion

Hold the pessary securely between your thumb and middle finger. With your other hand, gently spread the labia apart to expose the vaginal opening. Gently insert the pessary into your vagina, angling it upwards and towards your tailbone.

Step 5: Positioning

Once fully inserted, ensure that the pessary is positioned correctly by pushing it further back into the vagina until it is securely situated under the cervix or pubic bone. You should not experience any discomfort when the pessary is in place. If you feel any pain or severe discomfort, please consult your healthcare provider as soon as possible.

Step 6: Aftercare

Clean the pessary regularly as recommended by your healthcare provider, typically every week or two. In some cases, your provider may recommend a particular cleaning schedule based on your specific needs. Keep track of any changes in how it feels, and if you notice any irritation or increased discomfort, contact your healthcare provider immediately.

In conclusion, inserting a pessary is a straightforward process that can significantly improve the quality of life for women with pelvic organ prolapse or stress urinary incontinence. By following these step-by-step instructions and consulting with your healthcare provider as necessary, you can confidently use a pessary for non-invasive support that benefits your daily activities and well-being.