Which specialist performs vaginal pessary fitting?

A clinician discusses symptoms such as a vaginal bulge, pressure, or bladder and bowel changes, then may examine the pelvic floor. They select a pessary shape and size, place it, and check whether it stays in position during movement and urination. Several adjustments may be needed. The clinician also explains removal, cleaning, sexual activity, and follow-up.

Bring a list of medicines and describe previous pelvic surgery, childbirth, bleeding, discharge, and urinary symptoms. Wear clothing that is easy to change and ask whether you should learn self-removal. Keep scheduled reviews because the vaginal tissues and the device fit can change. Never use a pessary that causes persistent pain or pressure without contacting the fitting clinician.

Contact the clinic for pain, bleeding, foul-smelling discharge, difficulty passing urine or stool, or a pessary that slips out repeatedly. Seek prompt care for severe pelvic pain, heavy bleeding, fever, or inability to urinate. A clinician should examine symptoms that continue after the device is removed.

Which pessary type fits my prolapse and daily activities? Can I remove and clean it myself? How often will it need checking, and which symptoms mean it should come out?