Can You Misplace a Pessary- Understanding the Risks and Proper Insertion Techniques

Can you put a pessary in wrong? This is a question that many women may ask themselves when considering the use of a pessary, a device used to treat pelvic organ prolapse. While pessaries are generally safe and effective, there is always a possibility of incorrect insertion, which can lead to discomfort or complications. In this article, we will explore the importance of proper pessary insertion and the potential risks of doing it wrong.

Pessaries come in various shapes and sizes, and they are designed to fit snugly into the vaginal canal to support the pelvic organs. The most common types of pessaries include ring, cube, and dome shapes. Each type has its own specific insertion technique, and it is crucial to follow the instructions provided by a healthcare professional.

One of the primary reasons for using a pessary is to alleviate symptoms of pelvic organ prolapse, which occurs when the bladder, uterus, rectum, or bowel bulge into the vaginal canal. This condition can cause discomfort, pain, and even urinary or fecal incontinence. By inserting a pessary, women can often experience relief from these symptoms and improve their quality of life.

However, if a pessary is inserted incorrectly, it can cause several issues. First, it may not provide the necessary support to the pelvic organs, leading to a recurrence of prolapse symptoms. In some cases, an incorrectly placed pessary can also cause pain, irritation, or even infection. Additionally, if the pessary is too tight or too loose, it may fall out or become dislodged, requiring a trip to the doctor for reinsertion.

To avoid these complications, it is essential to follow these steps when inserting a pessary:

1. Wash your hands thoroughly before handling the pessary.
2. Choose the correct size and shape of pessary based on your healthcare provider’s recommendation.
3. Gently lubricate the pessary with a water-soluble lubricant.
4. Sit on the edge of a toilet or bed with your legs open and knees bent.
5. Insert the pessary into the vaginal canal using a pessary applicator or your fingers.
6. Push the pessary as far back as possible, ensuring it is properly seated.
7. Remove the applicator or fingers and check that the pessary is in the correct position.

If you are unsure about the proper insertion technique, it is best to consult with a healthcare professional. They can provide hands-on training and answer any questions you may have. Remember, the goal is to achieve proper support for your pelvic organs while minimizing discomfort and the risk of complications.

In conclusion, while it is possible to put a pessary in wrong, following the correct insertion technique and consulting with a healthcare professional can help ensure the best possible outcome. By doing so, women can effectively manage their pelvic organ prolapse and enjoy a better quality of life.