Using Pessaries to Support Pelvic Health

by Aparnaa Nandakumar  MScPT
Pelvic Physiotherapist
updated Jan 21, 2026

If you’ve noticed pelvic pressure, a feeling of heaviness, or bladder leaks, you may be experiencing pelvic organ prolapse or stress urinary incontinence. These conditions are common after childbirth, during menopause, or as we age, and they can make everyday activities like walking, exercising, or even laughing uncomfortable.

A pessary is a small, soft, medical-grade device placed inside the vagina to provide non-surgical support for your pelvic organs. It acts like a gentle internal brace, helping to keep the bladder, uterus, and rectum in place. Pessaries are safe, reversible, and effective, and many people find they relieve symptoms while helping them feel more comfortable and confident in daily life.

Why Use a Pessary?

Many people choose a pessary to:

• Relieve symptoms of pelvic organ prolapse – reduce pressure, bulging, or the sensation of something “falling down”
• Manage stress urinary incontinence – support the urethra and help prevent leaks during coughing, sneezing, or activity
• Avoid or delay surgery – a non-surgical option for those not ready or suitable for surgery
• Stay active – make daily activities, exercise, and hobbies easier
• Support overall pelvic health – works alongside pelvic floor exercises and lifestyle changes

Types of Pessaries

Your pelvic floor physiotherapist will help choose the best type for your symptoms and anatomy. Common options include:

• Ring pessaries – flexible, easy to insert, for mild prolapse and incontinence
• Gellhorn pessaries – provide stronger support for moderate prolapse
• Other shapes – cube, donut, or others depending on individual needs

What to Expect at the Appointment

The pessary fitting is generally simple and comfortable. Here’s what to expect:

1. Consultation – your physiotherapist reviews your symptoms, medical history, and lifestyle goals
2. Pelvic exam and sizing – a gentle exam helps determine the best pessary size and shape 
3. Insertion – the pessary is placed and adjusted until it feels comfortable. Many people notice immediate relief
4. Care instructions – learn how to remove and clean the pessary at home if possible, or follow clinic-based maintenance 
5. Follow-up – a check a few weeks later ensures proper fit and comfort, with routine visits as needed

Managing pelvic symptoms involves more than relieving discomfort. It’s about supporting confidence, comfort, and daily activity. A pessary can be a valuable part of this approach, offering non-surgical support tailored to your needs.

About the author

Aparnaa Nandakumar

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