How to insert and remove a pessary for prolapse?
A pessary for prolapse is usually inserted and removed by a healthcare professional at first, but many women can learn self-management with the right training. Proper technique and hygiene are essential for comfort and safety.
Detailed Medical Explanation
Insertion: Wash hands, use water-based lubricant, and fold the pessary if needed. Insert gently into the vagina while relaxed—standing with one leg raised or lying down can help. Push the pessary upwards and towards the back wall of the vagina. Removal: Hook a finger through the hole or edge, gently pull down and out, keeping relaxed. Some types, like ring pessaries, are easier to self-manage. Always follow your clinic’s guidance and never force the pessary. (NHS: Pessary for prolapse)
Clinical Context
Self-management is suitable for many women with good dexterity and vision. Otherwise, regular clinic follow-up is needed. Notify your provider of discomfort, bleeding, or if the pessary falls out.
Evidence-Based Approaches
NHS clinics offer pessary training and review. Always use pessaries according to professional advice and attend check-ups.