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Doctor insights on: Pessary

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Dr. Julie Abbott
1 Doctor shared a insight

Pessary (Overview)

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


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What is a pessary?

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

Dr. Julie Abbott
1 Doctor shared a insight

Pessary (Overview)

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


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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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Can you tell me more about ring pessaries and bladder prolapse?

Can you tell me more about ring pessaries and bladder prolapse?

Yes: A pessary is one of the methods to correct bladder prolapse. It is non-surgical. It is a round device made of silicone that is inserted in the vagina and holds the bladder up to prevent it prolapsing. ...Read more

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Betadine vaginal pessaries safe for 2 weeks pregnant?

Betadine vaginal pessaries safe for 2 weeks pregnant?

Would avoid.: First question I would have is why are you using these? While betadine used in multiple medical situations we would try to avoid during pregnancy for fear of excess iodine absorbtion. Try to avoid medications or medical products during pregnacy especially the very important first trimester. If concerned regarding infection would rec you get checked by your provider first. Otherwise I would avoid. ...Read more

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Estrogen pessary and progesterone cream, can both be used together to alleviate menopausal dryness and lack of libido? Or is it dangerous combination?

Estrogen pessary and progesterone cream, can both be used together to alleviate menopausal dryness and lack of libido? Or is it dangerous combination?

D/w doctor: Vaginal estrogen cream is usually the treatment of choice for women who have only vaginal dryness, if other symptoms occur then systemic hormones with estrogen and progesterone- (only if uterus is still intact)- are used. A pessary is a device insterted in the vaginal to hold up a bladder or tissue that has fallen down and it does not have any hormones. Women with multiple childbirths may need. ...Read more

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Had prolapse surgery 5 yrs ago and now uterus has dropped again. Surgery is more complicated now.......how effective is a pessary and how bothersome?

Effective: Pessaries are effective but do have to be removed for intercourse and for cleaning and tend to cause a discharge and odor if not cared for properly. I have several patients who remove and reinsert them themselves and others who have to come in and have me do it. I would recommend you see a urogynecolgist who specializes in these things and discuss your options. ...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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Can thrush cause shooting back & abdominal pain? I have white discharge but no itchiness. I've had pain for 2months now & been given a pessary today.

Can thrush cause shooting back & abdominal pain? I have white discharge but no itchiness. I've had pain for 2months now & been given a pessary today.

Here are some. ..: Shooting pain and abdominal cramps are very unlikely related with vaginal yeast infection, which should be under your gyn-doc close monitoring and care. Besides, strengthening personal general health by practicing quality healthy lifestyle without overindulgence and obsession should help in the long run. How? Welcome to peruse the articles in http://formefirst. Com/eNewsletter. Html. Best wish. .. ...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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Discont. Setraline (from 200mg). Off 14 days inappropriate lactation (not prgnt). Recurrent thrush (pessaries/fluconazole not working). All linked?

Discont. Setraline (from 200mg). Off 14 days inappropriate lactation (not prgnt). Recurrent thrush (pessaries/fluconazole not working). All linked?

Probably Not: Whereas there are case reports of sertraline causing elevated prolactin, which could cause lactation, the only controlled study I could find did not see such an effect. The only articles on sertraline and candida (thrush) are about using it as a potential treatment not about it as a cause. ...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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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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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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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 - an 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