How to use a pessary

Uterine prolapse is a very common disease among women. This disease can make women feel uncomfortable in their stomachs, and it is easy for patients to mistakenly believe that it is caused by overwork. This disease can be discovered in time through B-ultrasound examination. There are many ways to treat uterine prolapse, such as surgery or the use of a pessary. However, a pessary can only be effective if it is used correctly. So what is the method of using a pessary?

First, how to use a pessary? Before using a pessary for treatment, you should go to the obstetrics and gynecology department of the hospital for an examination to rule out contraindications to the use of a pessary, and the doctor will give advice based on the specific circumstances of each patient. Which specifications of pessary should you choose? Learn to put it on by yourself. Ring-type pessary method: Wash your hands, lie flat on the bed, bend and spread your legs, and push the prolapsed uterus into the vagina first. Use one hand to separate the labia majora and minora, and with the other hand, slowly push the pessary into the vagina in an oblique position, gradually lay the pessary flat, and slowly push the rear end of the ring to the posterior fornix of the vagina, and finally push the front end upward so that the front end of the pessary is stuck on the inner side of the pubic arch. After the pessary is in place, the patient should stand up or squat and apply force to increase abdominal pressure to test whether the pessary will fall out. If it falls out, it means that the pessary you chose is too small. You should change it for a larger one and put it on again according to the above method until the pessary no longer falls out and there is no feeling of pressure. Then it is suitable. You should learn to remove the pessary by yourself: you can take a squatting or side-sitting position when removing the pessary. When removing the ring tray, insert your index and middle fingers into the vagina, then hook the front end of the tray with your index finger, insert it steadily into the vagina, and then remove it gently and steadily.

Second, indications: (1) It is suitable for patients with symptomatic pelvic organ prolapse with POP-Q grade II or above, especially for those who are older, weak, or have organ diseases such as heart, lung, liver, and kidney, who are not suitable for surgery. (2) Even if surgery is required in the future, a pessary should be used first to reposition the prolapsed uterus and avoid complications of long-term prolapse, such as ulcers and infection.

How to use a pessary? The above content introduces it. There are many types and models of pessaries on the market, which are mainly divided into support type and filling type. Support-type pessaries include: ring-shaped and ring-band support types, which are mainly suitable for patients with mild prolapse. Filled pessaries mainly include: horn type, donut type, and cube type, which are mainly suitable for patients with severe prolapse or slightly shorter vaginal length. Ring-band support pessary and horn-type pessary are the most commonly used types in clinical practice.