Pessary Fitting for Pelvic Organ Prolapse
Comfortable, Non-Surgical Support for Your Pelvic Floor
If you’ve been told you have pelvic organ prolapse or are experiencing symptoms like vaginal heaviness, pressure, or a bulge, a pessary may be an excellent treatment option.
At Makewell Health, our pelvic floor physiotherapists are specially trained in pessary assessment, fitting, and management. For many women, a pessary provides immediate symptom relief and allows them to stay active, confident, and comfortable in their daily lives.
What is a Pessary?
A pessary is a small, soft medical-grade silicone device inserted into the vagina to help support the pelvic organs.
It works by gently supporting structures such as the:
• bladder
• uterus
• vaginal walls
• rectum
This support can help reduce symptoms of pelvic organ prolapse, pressure, heaviness, and urinary leakage.
Pessaries come in many shapes and sizes, and finding the right one is key. A properly fitted pessary should feel comfortable and supportive, and many women forget they’re even wearing it.
What Symptoms Can a Pessary Help With?
Pessaries are commonly used to help manage:
• Pelvic organ prolapse
• Vaginal pressure or heaviness
• A bulge in the vagina
• Urinary incontinence (especially with exercise or coughing)
• Difficulty emptying the bladder related to prolapse
• Pelvic pressure during exercise or daily activity
Many women are surprised by how quickly their symptoms improve once the correct pessary is fitted.
Who is a Pessary For?
A pessary may be a great option if you:
• want to avoid or delay surgery
• are experiencing prolapse symptoms during exercise
• want extra pelvic support postpartum
• are waiting for surgery but need symptom relief
• want a non-invasive treatment option
Pessaries are also commonly used during pregnancy and postpartum, or by women who want to remain active without prolapse symptoms limiting their movement.
What Happens During a Pessary Fitting?
Your appointment will be completed with a pelvic floor physiotherapist trained in pessary fitting.
During your visit we will:
Discuss your symptoms and health history
Complete a pelvic floor assessment
Determine the best pessary shape and size for your anatomy
Insert and test the pessary to ensure comfort and proper support
Check that you can sit, stand, walk, and move comfortably
We will also teach you how to remove, clean, and manage your pessary at home, if appropriate.
Some women prefer to manage their pessary independently, while others prefer to have it checked periodically in clinic. Both options are completely normal.
Is Wearing a Pessary Comfortable?
When properly fitted, a pessary should not cause pain or discomfort.
Most patients report feeling:
• immediate relief from pressure or heaviness
• improved comfort during activity
• increased confidence with movement and exercise
Many women tell us they forget they’re wearing it.
Pessary Care and Follow-Up
After your fitting, we schedule a follow-up appointment to ensure the pessary continues to fit well and support your symptoms.
Follow-ups may include:
• checking the fit
• ensuring vaginal tissue health
• reviewing removal and cleaning
• adjusting size or style if needed
In some cases, your healthcare provider may recommend vaginal estrogen to support healthy vaginal tissue while using a pessary.
Pelvic Physiotherapy + Pessary Support
While pessaries provide excellent structural support, we often combine them with pelvic floor physiotherapy to improve long-term outcomes.
Treatment may include:
• pelvic floor muscle training
• pressure management strategies
• core rehabilitation
• exercise modifications
• return-to-exercise guidance
This combined approach helps women feel stronger, more supported, and more confident in their bodies.
Why Choose Makewell Health for Pessary Care?
At Makewell Health, pelvic health is our specialty.
Our team provides:
• specialized pelvic floor physiotherapy
• expert pessary fitting and follow-up care
• a compassionate, supportive environment
• collaborative care with physicians and other healthcare providers
We believe prolapse symptoms deserve effective solutions — not dismissal or “just live with it.”
Book a Pessary Assessment
If you’re experiencing symptoms of prolapse or pelvic pressure, a pessary may provide the relief you’ve been looking for.
Book a pessary assessment with one of our pelvic floor physiotherapists today.
You deserve to move, exercise, and live your life without discomfort or limitation.