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Doctor insights on: How Could I Know If I Have A Problem With My Pessary

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How could I know if I have a problem with my pessary?

How could I know if I have a problem with my pessary?

Won't stay in place: A well fitted pessary holds everything in place, doesn't fall out, and doesn't hurt or interfere with bladder and bowel function. It will feel "like normal" when it's in, the same way a tampon or contraceptive diaphragm is imperceptible when it's in properly. Pessaries work for uterine prolapse, cystocele (dropped bladder), rectocele and enterocele. ...Read more

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Dr. Gerald Mandell
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Pessary (Definition)

A pessary is a vaginal insert used in the non-surgical management ...Read more


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Wearing pessary ring and urinating every hour or 2 have worn it for 7 yearsis there a problem causing me to go so often?

Wearing pessary ring and urinating every hour or 2 have worn it for 7 yearsis there a problem causing me to go so often?

Pessary vs surgery: Prolapse may interfere with normal urinary function.It can cause urgency, frequency, leaking and an uncomfortable feeling of fullness.Surgical procedures can correct these prolapse problems.An effective, nonsurgical solution is a device called a pessary.You need to discuss your situation with your doctor to see if a surgical option is better in your case. Frequency can have other causes as well. ...Read more

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Vaginal dryness and luck of libido are my problems. Should I use estrogen pessary for dryness or progesterone bioidentical cream for libido or both ?

Vaginal dryness and luck of libido are my problems. Should I use estrogen pessary for dryness or progesterone bioidentical cream for libido or both ?

Hormones help: Given your symptoms, i agree that a combination of an estrogen and progestogen would probably help. Ideally, the lowest effective dose should be used. There's still no valid literature stating that "bioidentical" hormones have any advantage over standard preparations. ...Read more

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Can I use Canesten pessary medication for vaginal thrush if I have liver problems due to glandular fever? Thank you

Can I use Canesten pessary medication for vaginal thrush if I have liver problems due to glandular fever? Thank you

Safe to use : Generally medications like canestan are used cautiously in patients with liver disease, so you asked a good question. However, you should be safe with the topical application of pessary, especially since it's typically a very short course of the anti fungal to treat thrush, ...Read more

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What is a pessary?

Support: A pessary is a nonsurgical treatment to help women with pelvic organ prolapse (fallen baldder, uterus). There are any variations on the device, but all are placed into the vagina and remain there to support the pelvic organs. It is usually placed by a gynecologist or urogynecologist. ...Read more

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How long will a pessary last?

A long time: As long as it does not break down it is still good to use. ...Read more

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Do gellhorn pessaries often fall out?

Here are some ...: Yes, it may fall out. But it's worthwhile to consult the Gyn-doc if the size used is fit or not. Of course, it has been placed correctly as instructed before blaming the pessary. Best ...Read more

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How much time does the pessary take to dissolve ?

Here are some...: Pessary has been chiefly placed inside deep vagina for women with uterine drop but not a surgical candidate, and is not a dissoluble device. Since I'm not aware of such a pessary which can be dissolved, please refer this very question to whoever prescribed this what you have for specific detail. Besides, I've seen this Q around for quite a while with no answer so I picked up to address. ...Read more

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What is the definition or description of: pessary?

Pessary: A pessary is a vaginal insert used in the non-surgical management of pelvic organ prolapse. ...Read more

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Have you heard if sea sponge pessary and does it work?

Have you heard if sea sponge pessary and does it work?

Sea sponge pessary: Sea sponges are used by women who have a uterine prolapse and seem to be wll tolerated. They are also used by young girls instead of tampons. ...Read more

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How frequently should I remove my pessary and clean it?

Daily if possible: Some pessaries are "user friendly" and can be removed by the user herself on a daily basis. Others are shaped such that insertion and removal by the wearer is most difficult, requiring trips to a clinician's office for periodic removal, inspection, examination, cleaning and reinsertion at 1-4 month intervals. ...Read more

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What is a pessary used for? Are pessaries still being used, in the modern era?

What is a pessary used for? Are pessaries still being used, in the modern era?

Incontinence: Pessaries are used for urinary incontinence.There are used even today to a specific class of patient. Postmenopausal, not sexually active, with contraindications for surgery. ...Read more

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Can I do kegels while wearing my pessary?

Yes: There is no reason these cannot be combined. Combinations of treatments often yield the best results. ...Read more

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Canestan pessary prescribed over 3 nights normal?

Antifungal cream: YEs, perfectly normal. The higher strength preparation is prescribed for 3 consecutive nights. ...Read more

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Can you tell me if i could still wee when I have inserted the pessary ?

Here are some...: What does "wee" mean or pertain in this question? Please clarify. But. do you mean "pee"? If yes, it is usually okay without affect how you may pee if pessary is properly placed and your bladder function was normal before its insertion. So, referring this question will most likely get reasonable answer fitting your situation. Bes wish... ...Read more

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Could a pessary be used when the skin is fragile-easily abradded? What are contraindications of pessary?

Maybe: Depending on how fragile the tissue is. Vaginal estrogen may be helpful in improving the skin. There are very few contraindications for a pessary. Avoidance of use in patients at high risk for fistula formation, infections present, allergies to product. ...Read more

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What to do if I have bleeding after 3 day pessary!?

Here are some...: Make an appointment to see your doctor who placed pessary if not running fever or having voiding difficulty. If yes, seek re-evaluation right away. How to get all related things done for good care? Follow instructions in articles listed in http://www.formefirst.com/onLifeBasics.html. Best wish to health... ...Read more

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Who is familiar with a vaginal pessary? Do they hurt?

No: Pessaries should not hurt . See a doctor to gain more insight about pessaries and their indications. The main indication is urinary stress incontinence and contraindications for surgery. ...Read more

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What will happen if you use more than two caneston pessaries in six months?

What will happen if you use more than two caneston pessaries in six months?

Okay as needed, but.: You may use Caneston pessary - a pessary with clortrimazole - a antifungal drug, as often as you may need it under instruction and supervision of your prescribing doctor so to assure its intended benefits without unexpected undue effect. ...Read more

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I was wondering are some pessaries hard for patient to remove/replace herself?

Ask your attending..: ...gyn-doc for individual specific pertinent answer since s/he possesses more info about your individual anatomy of genital tract, mental acuity, and physical dexterity, which will contribute to decide if a selected pessary may be right for you although all the marketed devices were reasonably tried and proved to be suitable to use. ...Read more

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Is it normal that my pessary is making me more irritated than i was previously?

Is it normal that my pessary is making me more irritated than i was previously?

Need an exam: You may have an infectious vaginitis requiring antibiotic or anti fungal cream. On the other hand, especially if you've been more physically active lately, you may just have irritation to the vaginal wall. An estrogen cream can sometimes make the vaginal wall thicker and therefore less subject to irritation. You should have a speculum exam if symptoms persist. ...Read more