Can pessaries make prolapse worse over time?
No, pessaries do not make prolapse worse when used correctly. They help support pelvic organs and relieve symptoms. Rarely, if a pessary is neglected or not reviewed, complications can develop—this is why regular check-ups are essential.
Detailed Medical Explanation
Pessaries are designed to hold pelvic organs in place and can delay or even prevent the need for surgery in some cases. If a pessary is not checked and maintained, it may cause vaginal irritation or rarely, pressure damage, but this is uncommon with regular care. Prolapse itself can progress naturally over time, regardless of pessary use. (NHS: Pessary care)
Clinical Context
Women should have regular pessary reviews and follow advice on cleaning and self-care. Any discomfort or changes should be reported to a healthcare provider promptly.
Evidence-Based Approaches
NHS and NICE recommend pessary use as a safe, reversible, long-term management option for many women with prolapse.