For many people using a pessary, especially for the first time, it is natural to have concerns about how it feels, how it stays in place, and whether certain experiences are normal. One of the most common questions is is it normal for a pessary to come out? While a pessary is designed to stay securely in the body, there are situations where it may shift or even come out. Understanding why this happens and what it means can help reduce anxiety and ensure proper use and comfort.
What Is a Pessary?
A pessary is a medical device that is inserted into the vagina to provide support for pelvic organs. It is commonly used to manage conditions such as pelvic organ prolapse or urinary incontinence. Pessaries come in different shapes and sizes, and they are usually made from soft, flexible materials like silicone.
Common Uses of a Pessary
- Supporting pelvic organs in cases of prolapse
- Helping control urinary leakage
- Providing a non-surgical treatment option
Because they are non-invasive, pessaries are often recommended as a first step before considering surgery.
Is It Normal for a Pessary to Come Out?
In general, a properly fitted pessary should stay in place during daily activities. However, it is not uncommon for a pessary to come out in certain situations, especially if it is new or not fitted correctly. So, while it can happen, frequent slipping or falling out is usually a sign that something needs adjustment.
Occasional Movement
A small amount of movement is normal, especially when changing positions, coughing, or using the bathroom. This does not necessarily mean there is a problem.
Complete Expulsion
If the pessary comes out completely, it may indicate that the size or type is not suitable for your body.
Common Reasons a Pessary May Come Out
There are several reasons why a pessary might not stay in place as expected.
Incorrect Size
If the pessary is too small, it may not stay securely inside. If it is too large, it may not sit properly and could shift.
Improper Placement
A pessary needs to be positioned correctly to provide support. If it is not inserted properly, it may come out.
Physical Activity
Activities that increase pressure in the abdomen, such as heavy lifting, straining, or intense exercise, can push the pessary out.
Pelvic Floor Weakness
If the pelvic floor muscles are very weak, they may not be able to hold the pessary in place effectively.
Bowel Movements
Straining during bowel movements is a common time when a pessary may shift or come out.
When Should You Be Concerned?
While occasional slipping can happen, there are situations where you should seek medical advice.
Frequent Falling Out
If your pessary comes out regularly, it likely needs to be resized or replaced with a different type.
Discomfort or Pain
A pessary should not cause pain. If it feels uncomfortable or painful, it may not be fitted correctly.
Difficulty Reinserting
If you cannot reinsert the pessary easily, you may need guidance from a healthcare provider.
How to Prevent a Pessary from Coming Out
There are several steps you can take to help keep your pessary in place.
Proper Fitting
A healthcare provider should carefully measure and fit the pessary to ensure it matches your body.
Correct Insertion Technique
Learning the right way to insert the pessary can make a big difference in how well it stays in place.
Pelvic Floor Exercises
Strengthening the pelvic floor muscles through exercises can improve support and stability.
Avoiding Excessive Strain
Reducing heavy lifting and managing constipation can help prevent the pessary from being pushed out.
Types of Pessaries and Stability
Different types of pessaries offer different levels of support and stability.
Ring Pessary
This is one of the most common types and is easy to insert and remove, but it may not be suitable for more severe conditions.
Gellhorn Pessary
This type provides stronger support and is less likely to fall out, but it may require a healthcare provider for insertion and removal.
Cube Pessary
This type uses suction to stay in place and can be effective for more advanced prolapse.
Daily Care and Maintenance
Proper care is important to ensure comfort and effectiveness.
Regular Cleaning
Pessaries should be cleaned regularly according to medical advice.
Routine Check-Ups
Regular visits to a healthcare provider help ensure the pessary is still fitting correctly.
Monitoring for Changes
Changes in your body, such as weight loss or hormonal shifts, may affect how the pessary fits.
What to Do If Your Pessary Comes Out
If your pessary comes out, it is important to stay calm and handle the situation properly.
Clean the Device
Wash the pessary with mild soap and water before reinserting it.
Try Reinserting
If you have been shown how to do it, you can try to reinsert it yourself.
Contact a Healthcare Provider
If the pessary continues to come out or you are unsure what to do, seek professional advice.
Emotional and Practical Considerations
Experiencing a pessary coming out can feel uncomfortable or embarrassing, but it is a common issue that many people face.
Normalizing the Experience
Understanding that this can happen helps reduce worry and stress.
Seeking Support
Talking to a healthcare provider or support group can provide reassurance and helpful tips.
Benefits of Using a Pessary
Despite occasional challenges, pessaries offer many advantages.
- Non-surgical treatment option
- Immediate symptom relief
- Customizable to individual needs
- Reversible and adjustable
These benefits make them a valuable option for many individuals.
So, is it normal for a pessary to come out? It can happen occasionally, especially in the early stages of use or if the fit is not ideal. However, a well-fitted pessary should generally stay in place during normal activities. If it comes out frequently, causes discomfort, or is difficult to manage, it is important to consult a healthcare provider for adjustments. With proper fitting, care, and guidance, a pessary can be a comfortable and effective solution for managing pelvic health.