EvaCare Donut Flexible Pessary

EvaCare Donut Flexible Pessary

Brand/Manufacturer: PERSONAL MED

EvaCare Donut Flexible Pessary is designed for third degree prolapse as well as cystocele and rectocele. The soft donut can be compressed for insertion. It is used on patients with severe prolapse who are not immediately appropriate for surgery. It works well in a vaginal vault with little or no support, the type commonly found in older, post-menopausal women. 

Note- Pessary are non returnable

Item #DescPkg Price 
D350 #6, Diameter 3-1/2" Each $4.70
D2.25 #1, Diameter 2-1/4" Each $4.80
D2.75 #3, Diameter 2-3/4" Each $4.80
D3.00 #4, Diameter 3" Each $4.80

More About Donut Pessary

How Pessary Helps In Urinary Incontinence?

In women with stress incontinence, the pessary exerts pressure on the urethra (urine tube) to decrease the escape of urine when coughing or sneezing. In patients with urge incontinence (strong, sudden need to urinate), the pessary realigns the bladder in its normal position, allowing it to empty better.

What Happens After Fitting?

After the first fitting, you’ll need to go back to your health care provider’s office in a few days to have the pessary rechecked. After that, you may be checked every few weeks, then every 2 to 3 months as long as you have the pessary. If you experience inadequate relief of symptoms, be sure to report that to your provider. Over time the pessary may need to be changed to a different size or shape.

How To Clean Donut Pessary?

Your cleaning schedule is based on the type of prolapse you have, the amount of vaginal discharge, and the specific type of pessary. There are two options:
  1. You may return to your provider’s office every 2 to 3 months for a regularly scheduled pessary change. Many older women elect for this option.
  2. If you feel comfortable with the pessary, you may remove and clean it yourself once instructed in the proper insertion and removal technique. After you have removed your pessary, wash it with mild soap, rinse well with tap water and air dry. EvaCare pessaries fold or compress to ease insertion. A small amount of lubricant may be used. Apply it at the introitus (vaginal opening) and use non-lubricated fingers to insert.
You should return to your provider to have the pessary checked once or twice a year. Generally your pessary will be replaced with a new one after one year of use.
When you are not wearing your pessary, store it in a clean, dry place. Your pessary should be used only by the person for whom it was prescribed.

Can Donut Pessary Be Lost In The Vagina?

No, the pessary cannot get lost. The vagina is like an open pocket extending only 3 to 4 inches into the body. The pessary can change its position within the vagina or fall out if it is too small or if there is undo straining during a bowel movement. If that happens, or if the pessary is uncomfortable or you can feel the pessary at the opening of the vaginal area, do one of two things:
  1. Insert your fingers into the vagina, grasp the pessary and gently pull it down and out. Removal is usually best done lying flat with your knees bent (less gravity) and your legs apart.
  2. Push it back in. Reach into your vagina until you touch the pessary. Simply push the pessary in as deep as you can.
If your pessary falls out and you are unable to reinsert it, clean the device as instructed previously. Place it in a plastic bag to take with you when you return to your provider’s office.

Can Pessary Act As A Contraceptive Device?

No. It is important to understand that the pessary is not a contraceptive device like the diaphragm. Intercourse is possible with those pessaries that do not fill the vagina, such as the ring. Some other types of pessaries must be removed before intercourse. Contact your clinician for instructions regarding your pessary.

Cautions And Warnings:

The pessary may push against other pelvic structures and can sometimes cause trouble with urination, difficulty with bowel movements, or lower back pain. Report any of these to your healthcare provider right away, as well as:
  • Any increase in urinary incontinence
  • Any vaginal pressure or discomfort
  • Any vaginal bleeding, burning or itching
  • Any vaginal sores
  • If the pessary falls out frequently
  • If you notice changes in the color, amount, consistency or odor of vaginal discharge. (A creamy discharge is normal.)


Pessary Type


CystoceleRectoceleStress IncontinenceRetro DisplacementIncompetent CervixCoitus With Pessary In
1st - 2nd Degree2nd - 3rd Degree
RingY Y    Yes
OvalY Y    Yes
Shaatz YY    Yes
Dish YY Y  Yes
Mar-Land YY Y  Yes
Gellhorn YYY   No
Donut YYY   No
Cube YYY   No
Gehrung YYY   Yes
HodgeY Y YYYYes

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Does this product have to be removed and cleaned daily or may it stay in for several weeks as with some of the other pessaries?  Also, does this pessary have to be inflated?
Terri - 1/29/2017 10:03:23 PM
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Patients should be instructed on Donut Flexible Pessary insertion and removal, as well as cleaning procedures as outlined in the package insert.
Customer Care - 1/30/2017 6:34:33 AM
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How will I know what size to buy?  I have a uterine prolapse where a portion of my uterine lining is coming through.   I am going on vacation on Friday and I don't have a OBGYN visit until 12/21.
charmaine vaughan - 11/28/2016 11:46:23 AM
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The most appropriate type and size of pessary for an individual patient should be determined based primarily on physical findings, but also on patient preference, i.e. ease of self-insertion/removal, ability to have vaginal intercourse, etc. A Fitting Kit can also aid in selecting the proper pessary size. 
The Fitting Set is comprized of six different ring pessary sizes that can be used to determine the proper size of pessary for each patient. The Set comes with a cross reference chart that translates ring size into the correct size of other EvaCare pessaries.
Customer Care - 2/2/2017 7:14:21 AM
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Is this product ok to autoclave?
Ralph - 7/19/2016 6:12:28 PM
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Thank you for contacting customer care service.
No, this product cannot be autoclaved.
Customer Care - 7/20/2016 1:21:04 AM