Pessary Fittings: What You Need to Know

Pessary fittings, often called pessaries are comprised of a silicone ring that is inserted into the vagina to support tissues affected by a pelvic organ prolapse.

There are several basic types of pessary fittings:

Ring-shaped pessaries are the most common and are used most frequently because they’re simple and easy to use without the help of a doctor.

Gehrung (U-shaped) pessaries are built-to-fit molded u-shaped silicone fittings that are more often indicated when a woman suffers a more severe uterine prolapse.

Gellhorn (disc with small knob shape) pessaries are used in cases that are more severe.

Cube pessaries are used in the most severe cases. They’re compacted down and inserted into the vagina in a way that uses suction to support tissues affected by prolapse.

Why You Might Need a Pessary Fitting

If you’re currently concerned you may be suffering from pelvic organ prolapse, the first step is seeing your doctor. Depending on the nature and severity of the prolapse, pessary fittings may be prescribed. If you're currently experiencing symptoms related to a prolapse and need to seek medical attention immediately, please dial 911.

How to Prepare for a Pessary Fitting

Before you get a pessary, your doctor will need to diagnose the severity of the prolapse, provided that’s the condition you’re experiencing. The doctor will take measurements to fit the pessary so that you get the device that fits you best in the right shape for your condition.

Potential Side Effects and Risk Factors for Pessary Fittings

It’s imperative to care for the pessary – if you have a removable pessary, it’s important to remove it and clean it and then reinsert it into your vagina. Follow the instructions your doctor gives you to avoid infections or other complications.

Other issues to be aware of is that pessaries that don’t fit correctly can cause discomfort and pain. If you see pink or blood-colored discharge, this is likely a sign the pessary is chaffing the vaginal wall and you need to see your doctor to learn if you need a better fit or a different option.

White colored discharge associated with pessaries is common, but if the discharge smells foul or becomes discolored, this could be an indication you have an infection.

Using a pessary may limit your ability to have sex, but if you have a removable pessary, it can be taken out prior to intercourse.

How Advanced Gynecology Can Help

Our board-certified team of specialists and surgeons are here for you to help you get the care you need for all of your women’s health needs including getting a pessary fitting if you and your specialist believe it’s the best course of treatment.

Our state-of-the-art facilities equipped with robotic surgical technology ensure that, should you need it, you have access to the most up-to-date and least invasive surgical options such as laparoscopic procedures.

We work to find the best treatment plan for you.

For more information, schedule an appointment today or call 706-389-9228 to speak with one of our patient coordinators.

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