Does a urogynaecology perform vaginal pessary fitting?

A vaginal pessary is a removable device placed in the vagina to support tissues affected by pelvic organ prolapse. During an appointment, the clinician discusses your symptoms, examines the vaginal support, and selects a suitable shape and size. You may be asked to walk, sit, cough, or pass urine while the device is checked. Several adjustments can be needed before it feels secure without causing pressure or rubbing.

The team can explain removal, cleaning, and reinsertion. Follow-up helps identify discharge, bleeding, discomfort, or a pessary that moves out of place. Some people use a pessary continuously; others use it for particular activities, depending on their symptoms and clinical advice.

Before the visit, note when you feel heaviness, bulging, urinary leakage, difficulty emptying your bladder, or bowel symptoms. Tell the clinician about pregnancy plans, vaginal dryness, previous pelvic surgery, and any bleeding or infection symptoms. Wear clothing that is easy to change and bring questions about sex, exercise, bathing, and self-care. Do not continue using a device that causes significant pain; contact the fitting team for advice.

Arrange a review if the pessary causes persistent pain, new bleeding, unpleasant-smelling discharge, sores, or trouble passing urine or stool. Seek urgent medical help for severe pelvic pain, heavy bleeding, fever, fainting, or inability to urinate. A device that slips out repeatedly may need a different size, shape, or management plan.

Ask which pessary type suits your pelvic support changes, how often it needs checking, and who to contact if it moves. You can also ask whether you may remove it yourself, how to clean it, and what symptoms mean it should be removed.