A pessary may be a reasonable solution for some women with pelvic organ relaxation.


A pessary may be used to treat the following conditions:

(1) cystocele, Grade 1 or 2

(2) urethrocele, Grade 1 or 2

(3) uterine prolapse, Grade 1 or 2

(4) stress incontinence


A pessary is unlikely to provide adequate therapy for a Grade 3 pelvic relaxation.


Requirements for the patient:

(1) The pessary works better if the uterus is present.

(2) The woman is able to regularly clean the pessary (by self or with assistance).

(3) The woman is comfortable with a foreign object in the vagina.


A post-menopausal woman often benefits from topical estrogen applied into the vagina 2 to 3 times per week for 2 to 3 months prior to inserting the pessary. This will increase vaginal lubrication.


Most pessaries are made from silicone. Latex should be avoided due to the risk of latex allergy.


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