What type of pessary is best for prolapse?
The best type of pessary for prolapse depends on the severity and type of prolapse, as well as personal anatomy and lifestyle. Ring pessaries are most common for mild to moderate prolapse, while cube, Gellhorn, and donut pessaries may be used for more advanced cases.
Detailed Medical Explanation
Ring pessaries are flexible and easy to insert, suitable for sexually active women and often self-managed. Cube and donut pessaries provide stronger support for severe prolapse but may require more frequent removal and cleaning. Gellhorn pessaries are used if other types are not tolerated. The correct pessary type and size is determined by a healthcare professional after an assessment. Adjustments may be needed for best fit and symptom control. (NHS: Pessary for prolapse)
Clinical Context
Pessary choice is individualised—what works for one woman may not for another. Professional fitting and follow-up are essential for comfort, function, and safety.
Evidence-Based Approaches
NHS guidelines recommend ring pessaries for first-line management, with alternatives considered for more complex cases.