6 doctors weighed in:
Could a pessary be used when the skin is fragile-easily abradded? What are contraindications of pessary?
6 doctors weighed in

Dr. J. Kyle Mathews
Obstetrics & Gynecology - Urogynecology
2 doctors agree
In brief: 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.

In brief: 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.
Dr. J. Kyle Mathews
Dr. J. Kyle Mathews
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Dr. Miguel Cano
Obstetrics & Gynecology
2 doctors agree
In brief: Usually not
Pessaries can cause ulcerations if they cause too much pressure usually from improper fitting.
However, very friable vaginal tissue will ulcerate easier. Low estrogen or infections can also contribute to this. If able, estrogen cream helps. There are no real contraindications, if it works, use it. If you can't void or remove it yourself, consider other options.

In brief: Usually not
Pessaries can cause ulcerations if they cause too much pressure usually from improper fitting.
However, very friable vaginal tissue will ulcerate easier. Low estrogen or infections can also contribute to this. If able, estrogen cream helps. There are no real contraindications, if it works, use it. If you can't void or remove it yourself, consider other options.
Dr. Miguel Cano
Dr. Miguel Cano
Thank
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