Pessary 101: What is the Difference Between Pessaries?
There are several different types of pessaries available on the market, and wellbe currently offers 2 options: the ring pessary and the cube pessary. These two options are typically well-tolerated by client and will fit and adequately support most individuals who are in need of a pessary. Both pessary styles offer a non-surgical approach to pelvic organ prolapse management and can be pivotal in improving postpartum and menopausal pelvic health.
The ring pessary is considered a “support pessary” and it is the most commonly used pessary. It sits high in the vaginal canal, resting behind the pubic symphysis bone when it is properly inserted. Penetrative intercourse is possible with the ring pessary as it does not occupy much space in the vaginal canal. The ring pessary can be left in for longer periods of time, only needing to be removed every 3 months for cleaning. There are different types of ring pessaries, including those with “knobs” which can be very successful in reducing stress urinary incontinence (SUI) symptoms.
The cube pessary is considered a “space occupying pessary” and typically provides more support in the vaginal canal, helping with many different types of prolapse. The cube pessary needs to be inserted and removed daily, so an individual needs to be able to self-manage it if choosing this option! This pessary does not allow for penetrative intercourse as it does occupy space in the vaginal canal.
There is no one reason to choose one pessary over the other. The choice will come down to individual preference, anatomy, type of prolapse and lifestyle factors. All of the variables will be discussed with your pelvic floor physiotherapist and the fitting appointment will help you decide which option will work best for you!
This blog post was written by wellbe’s pelvic health physiotherapist Amber Watkins. Book your first session with Amber here and learn more about Pessaries here.