A pessary can be a valuable complement to pelvic floor physical therapy by providing immediate support while you work on improving strength, coordination, and control of the pelvic floor muscles. While therapy addresses the underlying causes of symptoms like prolapse or leakage, a pessary can reduce discomfort and allow you to stay active and participate more fully in daily life and exercise. Together, they offer a balanced approach—combining symptom relief with long-term functional improvement.

What is a Pessary?

A pessary is a small, medical-grade silicone device that is placed inside the vagina to provide support to the pelvic organs. It is commonly used to help manage symptoms related to pelvic organ prolapse or urinary incontinence.

Pessaries come in a variety of shapes and sizes and are customized to fit your body comfortably. When properly fitted, most patients don’t feel them at all.

They are a safe, non-surgical option that can provide immediate symptom relief and allow you to return to daily activities with greater comfort and confidence.

Who Can Benefit From a Pessary?

A pessary may be a good option if you are experiencing:

  • Pelvic organ prolapse (bladder, uterus, or rectum)

  • A feeling of heaviness or pressure in the pelvis

  • Urinary leakage, especially with activity (coughing, running, lifting)

  • Difficulty emptying your bladder or bowels due to prolapse

  • Symptoms that worsen with prolonged standing or exercise

Pessaries are often a great option for individuals who:

  • Want to avoid or delay surgery

  • Are postpartum or planning future pregnancies

  • Need support during exercise or higher-level activities

  • Are not surgical candidates

Our Approach to Pessary Fittings

At Wings Physiotherapy, pessary care is provided by a pelvic floor physical therapist with specialized training in pelvic health.

Your visit will include:

  • A thorough pelvic floor assessment

  • Discussion of your symptoms, goals, and lifestyle

  • Selection of the appropriate pessary type and size

  • Trial fitting to ensure comfort and effectiveness

  • Education on use, care, and maintenance

Our goal is to find a solution that fits seamlessly into your life—not something that feels like a burden.

What to Expect After Your Pessary Fitting

After your pessary is fitted, you may notice:

  • Immediate improvement in support and symptom relief

  • Increased comfort during walking, exercise, or daily activities

  • Reduced pressure or heaviness

We will also review:

  • How to insert and remove your pessary (if appropriate)

  • Cleaning and care instructions

  • When to follow up

Follow-up visits are important to ensure proper fit, comfort, and long-term success.