Can pessaries cause infections or complications?
Pessaries are generally safe, but can occasionally cause complications such as vaginal irritation, discharge, minor bleeding, or infection. Serious problems are rare and can usually be prevented with proper fitting and care.
Detailed Medical Explanation
The most common complications include vaginal ulceration, increased discharge, mild bleeding, and rarely, infection. If left unchanged for too long, a pessary can cause more serious complications, such as erosion or fistula. Regular cleaning, check-ups, and use of oestrogen cream if postmenopausal help reduce risk. Notify your provider if you notice pain, bleeding, offensive discharge, or if you cannot remove the pessary. (NHS: Pessary complications)
Clinical Context
Most women tolerate pessaries well with proper care. Prompt reporting of symptoms ensures early management of any issues.
Evidence-Based Approaches
NHS and NICE guidelines highlight the importance of regular reviews, pessary hygiene, and patient education for safe, long-term use.