What is a pessary?

A pessary is a soft, removable silicone device inserted into the vagina to support descended pelvic organs such as the bladder, uterus, or rectum, providing structual assistance while your pelvic tissues strengthen. Certain pessary designs can also reduce or prevent leakage by supporting the urethra and bladder neck.

Why use a pessary?

• Relieve symptoms of prolapse, including heaviness, bulging and pelvic pressure
• Support pelvic floor rehabilitation, especially during strengthening exercises
• Manage stress urinary incontinence without invasive procedures
• Postpone or avoid prolapse surgery, often effectively for months or years

How pessary management and care works at PFM Physio?

Our team will provide a thorough assessment including gathering a detailed medical and pelvic floor history, physical examination and prolapse grading. We may trial different shapes and sizes of pessary until the right pessary is found and this is inserted high in the vagina. The right pessary should be comfortable, stay in place and not interfere with urination or bowel emptying.

Some pessaries can be cleaned at home. We will teach you how to remove, clean and reinsert. If your pessary cannot be cleaned at home, or you simply prefer not to do it yourself, we are here to assist.

A follow-up review will be booked to ensure the fit and comfort is maintained and regularly monitored the avoid complications.

Why choose PFM Physio?

Our experienced pelvic health physiotherpists are trained in pessary fitting and long-term management, working to Australian competency standards.

We will also offer collaborative care, linking with your GP and/or specialist when medical reviews are needed.

Pessary support + pelvic floor exercises + lifestyle advice = optimal outcomes.