Pessary for Sale | Vaginal Pessaries for Prolapse

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EvaCare Donut Flexible Pessary

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Bioteque America Ring Flexible Pessary With Support

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EvaCare Ring Flexible Pessary with Support

What is a vaginal pessary? 

A pessary is a soft, removable device placed inside the vagina or the rectum to support the organs affected by pelvic organ prolapse (POP). Prolapse occurs when the bladder, rectum, or uterus slips out of its usual position and protrudes from an orifice such as the vagina or rectum. A pessary can also help treat stress incontinence, which causes urine leakage when you cough, strain, or exercise. 

Vaginal pessaries are usually made from medical-grade silicone- a soft, harmless, and non-absorbent material. They can be worn safely for several days. OTC pessary offers effective non-surgical treatment for prolapse and other gynecological problems.  

Who can use a pessary device?

Vaginal pessaries are often used as a first line of treatment for prolapse and incontinence. Doctors generally recommend pessaries for women with POP who desire non-invasive management, have early-stage prolapse, or are not good candidates for surgery. Pessary is a safe and effective treatment option for various medical problems, including: 

• Uterine prolapse 
• Bladder prolapse (cystocele) 
• Rectocele (posterior vaginal prolapse) 
• Vaginal vault prolapse  
• Retroverted uterus 
• Stress incontinence 

Contraindications

Although the vaginal pessary can be a valuable tool in the treatment of prolapse, there are few contraindications to pessary use. They are not suitable for patients with the following: 

• Vaginal or cervical cancer 
• Severe atrophic tissues 
• Undiagnosed vaginal bleeding or discharge 
• Vaginal infection or pelvic inflammatory disease 
• Impaired mental capacity 
• Noncompliance in follow-up 

Types of Pessaries

Pessaries are available in different forms. Two main types are support and space-occupying. Ring pessary is a supportive pessary, and space-filling pessaries are for more advanced prolapse consisting of the Gellhorn, donut, and cube. Sexual intercourse is not possible with a space-filling pessary in place. 

1. Ring pessary 

   It is available with support or without support. A pessary ring is the most used as it easily fits into most female anatomy. It is used for uterine prolapse, cystocele, and stress incontinence. They are highly flexible and are available in different sizes. You can easily insert and remove them without the doctor’s help. 

2. Donut pessary

   It is used for severe prolapse cases and treats women afflicted with third-degree prolapse. Donut pessary can be used for uterine prolapse, cystocele, and rectocele. It should be removed for sexual intercourse.

3. Gellhorn pessary  

   This type is commonly used as a space-filling pessary and comes with a knob that easily folds for insertion and removal. Once the pessary is in place, the knob rests on the posterior vaginal wall. A Gellhorn pessary is used to treat cystocele, rectocele, and second and third-degree uterine prolapse. 

4. Cube pessary 

   A cube pessary is designed for advanced-stage prolapses and uses suction to support the areas affected by prolapse. It comes with or without drains. Cube pessary with drain can help with stress incontinence.  

How to insert a pessary ring? 

Your healthcare provider will perform pelvic exams to see the severity of the prolapse. They will take measurements to get the right fit before selecting and ordering the pessary type and size suitable for you.  

If the pessary is too small, it can fall out. If it is too big, it can cause pressure or discomfort to you. They may need to try various types and sizes to find the right one for you.

Following are instructions for pessary insertion: 

• A medical professional, usually a gynecologist, will insert a pessary in an initial fitting.  
• Many women with ring pessaries wish to learn how to remove and reinsert. 
• Wash the pessary device with soap and water and dry it thoroughly. 
• If you choose to insert it standing up and if you are right-handed, place the left foot up on a chair or toilet. 
• Lean over this leg. 
• Fold the pessary in half and insert it into the vagina as far as you can. 
• It will open to its normal shape once you withdraw your fingers. 
• If left-handed, place your right foot on a chair and use your left hand to manage the insertion. 

Frequently Asked Questions 

1. Are there any possible complications with pessary use? 

   There are few side effects from pessary use. However, most of the side effects can be corrected as pessaries are removable. If you experience pain or discomfort, the pessary fit is not correct and should be replaced with a different size. 

   A pink or bloody discharge could mean the pessary is rubbing against the vaginal wall, and in most cases, removal will allow the area to heal. If you notice bleeding and foul-smelling discharge, a visit to the doctor is needed. 

2. Is it possible to have sex when a pessary is in place? 

   One can have sexual intercourse when a support pessary such as a ring is in place. However, the Gellhorn, donut, and cube pessaries fill the vagina and must be removed before sex. 

3. How do you care for your pessary device? 

   • If you can remove the pessary on your own, remove it and clean it every night or every week and reinsert it into your vagina.  
   • Your doctor may prescribe a vaginal estrogen cream to apply inside your vagina while the pessary is out to avoid discomfort. 
   • Follow up with your doctor every six to 12 months. During the visit, the pessary device will be removed and cleaned. In addition, the doctor will examine the vagina to ensure the pessary is not scraping or bruising the skin. 
   • If you have a type of pessary you cannot remove, visit your doctor every 1 to 3 months or as needed to have it taken out and cleaned. 

4. When to call your doctor? 

   You need to see your doctor if you develop any of the following signs and symptoms, as they can usually be resolved quickly and easily.

   • Vaginal bleeding. 
   • Foul-smelling vaginal discharge. 
   • Irritation and damage inside the vagina. 
   • Difficulty going to the bathroom. 
   • Pessary falls out. 
   • Difficulty having sexual intercourse. 
   • Fever, pains, cramps, unusual swelling in the lower abdomen. 

Where to buy pessary online? 

A vaginal pessary is an effective device to manage pelvic organ prolapse without surgery. Health Products For You offers a variety of pessary for sale from various top-selling manufacturers like Bioteque, Medline, Personal Med, etc.

Articles and research papers on pessaries

• Vaginal Pessary for Pelvic Support 
• Pessary Use in Pelvic Organ Prolapse and Urinary Incontinence 
• Effectiveness of a continuous-use ring-shaped vaginal pessary without support