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Pessary Fitting
Pelvic organ prolapse is a common condition that can affect daily comfort and quality of life. For many women, a vaginal pessary offers a simple, non-surgical way to effectively relieve these symptoms.
Dr Lisa Silver performs pessary fittings at our Henley clinic and brings decades of experience in supporting women with prolapse. She is a highly experienced and skilled clinician, known for her calm, compassionate manner and clinical expertise, helping women feel confident and well supported throughout their care.
Book a pessary fitting
£195
The effectiveness and tolerability of a pessary cannot be guaranteed. The pessary fitting fee is non-refundable if the pessary does not relieve your symptoms or cannot be tolerated. Please read the Key Information below.
Key information
What is vaginal prolapse?
Vaginal prolapse, also known as pelvic organ prolapse, occurs when the pelvic floor muscles and tissues become weakened or stretched, allowing one or more of the pelvic organs (such as the bladder, uterus or rectum) to descend into the vaginal canal. It is a common condition, particularly among women who have had children, gone through menopause, or experienced chronic pressure on the pelvic floor.
Symptoms may include a feeling of heaviness or pressure in the pelvis, a sensation of a bulge or something “coming down” in the vagina, urinary changes, or discomfort during physical activity.
How does a pessary work?
A vaginal pessary is a soft, flexible device inserted into the vagina to support the vaginal walls and help hold the pelvic organs in their correct position. The most commonly used type is a ring pessary, which sits comfortably inside the vagina and acts like an internal support, helping to relieve symptoms such as heaviness, pressure, and urinary changes caused by prolapse.
Pessaries come in a range of sizes to suit individual anatomy. When correctly fitted, the pessary should not be noticeable and can make a significant difference to day-to-day comfort and function.
Pessaries are a well-established, non-surgical option for managing prolapse and can be a suitable choice for many women, including those who wish to avoid or delay surgery.
Does the fitting hurt?
Pessary fitting should not be painful. Some women may feel mild pressure during insertion, but most find the process manageable.
Will I feel the pessary?
When correctly fitted, you should not be aware of the pessary day-to-day. It should sit comfortably inside the vagina and should not cause pain. If you do notice discomfort, rubbing or the sensation that it is falling out, you should contact the clinic for a review.
How long will it last?
A pessary will normally be changed every four to six months.
What if it doesn’t work?
While pessaries are a helpful treatment option for many women, a pessary fitting is not right for everyone. Sometimes a pessary may not relieve your symptoms or may be difficult to tolerate.
The pessary fitting fee is non-refundable, so it is important that you consider this before booking.
If, after your fitting, you find that the pessary is not right for you, please let us know. The likely options available would be:
- Dr Silver could write a referral letter to a specialist gynaecologist for further assessment and management, if appropriate. We would not charge the usual fee for this referral letter.
- You could book a GP appointment with Dr Silver to discuss your concerns and, if appropriate, have the pessary removed. The fee for this appointment is £150.