How to Tie Dental Floss on a Pessary

In this article, we will discuss important guidelines for using a pessary, common mistakes to avoid, and how to properly care for your pessary. Find answers to frequently asked questions and get expert advice on pessary use.”>

Pessaries are medical devices commonly used to treat various gynecological conditions, such as pelvic organ prolapse and urinary incontinence. They provide support to the pelvic organs and help alleviate symptoms. Proper usage and care are crucial for the effectiveness and longevity of the pessary. In this article, we will discuss important guidelines for using a pessary, common mistakes to avoid, and how to properly care for your pessary. So, let’s dive in and learn more about what you should not do with a pessary.

Table of Contents

What is a Pessary?

A pessary is a small medical device that is inserted into the vagina to provide support to the pelvic organs. It is made of various materials, including silicone or latex, and comes in different shapes and sizes. Pessaries are commonly used for the management of pelvic organ prolapse, a condition in which the pelvic organs descend or bulge into the vaginal canal. They can also be used to address urinary incontinence and other related conditions.

How Does a Pessary Work?

Pessaries work by providing mechanical support to the pelvic organs, helping to alleviate symptoms associated with pelvic organ prolapse and urinary incontinence. When inserted correctly, a pessary helps to reposition the organs, reducing prolapse and improving continence. It supports the vaginal walls, preventing them from collapsing and reducing stress on the pelvic floor muscles. This support can help improve the quality of life for individuals with these conditions.

Types of Pessaries

There are several types of pessaries available, each designed to address specific conditions and individual needs. Here are some commonly used pessary types:

1. Ring Pessary: This is a donut-shaped pessary that provides support to the vaginal walls.
2. Gellhorn Pessary: This pessary has a flattened cup shape and is suitable for severe prolapse cases.
3. Cube Pessary: Shaped like a cube, this pessary is often used for stress urinary incontinence.
4. Dish Pessary: This pessary has a concave shape and is effective for various degrees of prolapse.
5. Gehrung Pessary: Designed for advanced prolapse cases, this pessary has a horseshoe shape.
6. Inflatable Pessary: This pessary can be inflated after insertion to provide a customized fit.

It’s important to consult with a healthcare professional to determine the most suitable pessary type for your specific condition.

How to Tie Dental Floss on a Pessary

Your pessary has been sitting in the perfect spot, high up in the vagina, supporting your organs just like it’s supposed to do. But now you have to take it out and you can’t find it anywhere! Or you can feel it just beyond the tip of your finger. Now what?! We have compiled a few tips to help with removal.

• Switch up the position you are trying to remove it in. Try:
  • Standing
  • Squatting
  • One leg up on the bathtub
  • Half laying down, propped on one elbow
• Tie dental floss through a hole in the pessary and leave the string hanging out like a tampon (don’t use the mint flavoured stuff!)
• Bear down every so slightly to help lower the pessary so you can reach it
• If you cannot bend your ring pessary as you remove it, turn the pessary to a 45* vertical angle so you are not withdrawing it horizontally (for any ring or oval shaped pessaries)

What Should You Not Do with a Pessary?

Using a pessary correctly is essential for its effectiveness and your comfort. Here are some important guidelines on what you should not do with a pessary:

1. Do not insert a pessary without proper guidance: It is crucial to consult with a healthcare professional before attempting to insert a pessary. They will guide you on the correct technique and help determine the appropriate size and type of pessary for your condition.
2. Do not ignore discomfort or pain: If you experience discomfort, pain, or any unusual symptoms while using a pessary, contact your healthcare provider immediately. They can assess the situation and make any necessary adjustments to ensure your comfort and safety.
3. Do not neglect hygiene: Proper hygiene is crucial when using a pessary. Follow your healthcare provider’s instructions for cleaning the pessary and maintaining good vaginal hygiene. Regularly clean the pessary with mild soap and warm water, and avoid using harsh chemicals or douches.
4. Do not remove the pessary without medical advice: Removing a pessary without medical guidance can lead to complications or ineffective treatment. Always consult your healthcare provider before removing the pessary, as they will assess your condition and guide you on the proper removal technique.
5. Do not hesitate to seek help: If you encounter any issues or have concerns regarding your pessary, do not hesitate to reach out to your healthcare provider. They are there to support you and ensure your treatment progresses smoothly.

Remember, proper usage and care of the pessary are vital for its effectiveness and your well-being.

Can I Use Vaseline to Insert a Pessary?

Using Vaseline or any petroleum-based products to insert a pessary is not recommended. These products can degrade the pessary material and compromise its integrity. It is best to use water-based lubricants specifically designed for medical use. These lubricants are safe to use with pessaries and will not cause any damage.

How to Handle a Pessary Properly

Proper handling of a pessary is important to ensure its cleanliness and longevity. Here are some guidelines for handling a pessary:

1. Wash your hands: Before handling the pessary, wash your hands thoroughly with soap and water to maintain good hygiene.
2. Follow the cleaning instructions: Clean the pessary regularly as per the instructions provided by your healthcare provider. Use mild soap and warm water to clean the pessary, and avoid using harsh chemicals or abrasive cleaners.
3. Store the pessary properly: After cleaning, store the pessary in a clean and dry container. Avoid exposing it to excessive heat, direct sunlight, or moisture, as these can affect the pessary’s integrity.
4. Avoid contact with sharp objects: Be cautious not to expose the pessary to sharp objects or rough surfaces that may cause damage. Handle the pessary gently to prevent any tears or punctures.

By following these guidelines, you can ensure the proper care and longevity of your pessary.

Should You Be Able to Touch Your Pessary?

It is generally recommended to avoid touching your pessary directly with your fingers. Pessaries should be handled with clean hands or with the use of clean, non-shedding gloves to maintain hygiene. Direct contact with your pessary may introduce bacteria or irritate the vaginal tissues. If you have any concerns or need assistance, consult your healthcare provider for guidance.

How Long Does It Take for a Pessary to Fully Dissolve?

Pessaries are not designed to dissolve or be absorbed by the body. They are intended for long-term use to provide ongoing support for pelvic organ prolapse or urinary incontinence. The duration of pessary usage varies depending on individual needs and treatment goals. Regular check-ups with your healthcare provider will help assess the effectiveness of the pessary and determine if any adjustments are required.

Can You Insert a Pessary Incorrectly?

Yes, it is possible to insert a pessary incorrectly. Improper insertion can lead to discomfort, ineffective treatment, or even complications. To ensure correct placement, it is essential to seek guidance from a healthcare professional who will provide instructions on the proper technique for inserting the pessary. If you are unsure or experience difficulties, contact your healthcare provider for assistance.

How Do You Know if Your Pessary Is Positioned Correctly?

It is important to assess the position of your pessary regularly to ensure it is correctly positioned. Here are some signs that indicate your pessary is positioned correctly:

1. Comfort and absence of pain: A properly positioned pessary should be comfortable and pain-free. If you experience any discomfort or pain, it may indicate an incorrect position.
2. Improvement of symptoms: The pessary should help alleviate the symptoms associated with pelvic organ prolapse or urinary incontinence. If you notice an improvement in your symptoms, it indicates that the pessary is likely positioned correctly.
3. No protrusion or bulging: When the pessary is in the correct position, you should not feel any protrusion or bulging in the vaginal canal. If you notice any unusual sensations or protrusions, consult your healthcare provider.

Regular follow-ups with your healthcare provider are crucial to ensure the pessary remains in the correct position and provides the desired therapeutic effect.

What Happens if a Pessary Moves?

If a pessary moves from its intended position, it can cause discomfort or be less effective in supporting the pelvic organs. If you notice any movement or shifting of the pessary, contact your healthcare provider for further evaluation. They will assess the situation and determine the best course of action, which may involve repositioning or replacing the pessary.

Can a Pessary Come Out on Its Own?

In some cases, a pessary can come out on its own, especially if it is not properly fitted or if there is significant movement. If you notice that your pessary has come out, contact your healthcare provider for guidance. They will assess the situation and determine if reinsertion or adjustment is necessary.

What is the Most Common Complication of a Pessary?

A pessary is typically used to treat pelvic organ prolapse or stress urinary incontinence. The most common complication associated with pessary use is vaginal discharge. This discharge can vary in color and consistency, and it may have a foul odor. While vaginal discharge is generally not a cause for alarm, it is important to monitor any changes and consult with a healthcare professional if you have concerns.

What Causes a Pessary to Fall Out?

Pessaries can occasionally fall out, and there are several factors that can contribute to this issue. The primary cause is weak pelvic floor muscles, which may fail to provide adequate support to hold the pessary in place. Other potential causes include physical activities such as heavy lifting or straining, hormonal changes, and improper sizing or placement of the pessary. If you experience a pessary falling out, it is crucial to contact your healthcare provider to determine the underlying cause and explore possible solutions.

Can You Pee with a Pessary In?

Yes, you can urinate while wearing a pessary. The design of the pessary allows for proper passage of urine through the urethra. However, it is important to ensure that the pessary is correctly positioned to avoid any obstruction of the urinary flow. If you encounter any difficulties or discomfort during urination with a pessary in place, it is advisable to seek medical advice promptly.

What Infection Is Caused by a Pessary?

Pessaries, if not properly cleaned and maintained, can potentially lead to vaginal infections. The most common infection associated with pessary use is bacterial vaginosis. This condition occurs when the balance of bacteria in the vagina is disrupted, resulting in an overgrowth of harmful bacteria. Symptoms of bacterial vaginosis may include unusual vaginal discharge, itching, and a strong fishy odor. If you suspect an infection, it is essential to consult with a healthcare professional for appropriate diagnosis and treatment.

How Long After a Pessary Can I Go to the Toilet?

There are no specific time restrictions regarding toilet use after inserting a pessary. You can go to the toilet as needed. However, it is important to ensure that the pessary remains in place during urination or bowel movements. If you have any concerns about maintaining proper pessary positioning or experience discomfort, it is advisable to consult your healthcare provider for guidance.

Can My Partner Feel a Pessary?

During sexual intercourse, it is possible for your partner to feel the presence of a pessary. The sensation may vary depending on the type and size of the pessary, as well as individual factors. It is recommended to communicate openly with your partner about the use of a pessary and address any concerns or discomfort that may arise. If you or your partner experience persistent discomfort or pain during sexual activity with a pessary in place, consult your healthcare provider for further evaluation.

Can You Get a Bladder Infection from a Pessary?

While pessaries themselves do not directly cause bladder infections, improper use or maintenance of pessaries can increase the risk of developing a bladder infection. If bacteria from the vaginal area enters the urethra and travels to the bladder, it can lead to a urinary tract infection (UTI). To minimize the risk of UTIs, it is essential to follow proper hygiene practices, maintain good pessary care, and consult with your healthcare provider if you experience symptoms such as frequent urination, burning sensation, or lower abdominal pain.

Frequently Asked Questions (FAQs)

Q: Can I have sexual intercourse with a pessary in place?

A: It is generally recommended to remove the pessary before engaging in sexual intercourse. Consult with your healthcare provider for specific guidance based on your condition.

Q: Can I use tampons while wearing a pessary?

A: It is best to avoid using tampons while wearing a pessary. Tampons may interfere with the proper positioning and functioning of the pessary.

Q: How often should I have follow-up appointments with my healthcare provider?

A: Follow-up appointments may vary depending on your specific condition and treatment plan. Your healthcare provider will guide you on the recommended frequency of check-ups.

Q: Can I swim or engage in water activities with a pessary?

A: In most cases, you can swim or engage in water activities while wearing a pessary. However, it is advisable to consult your healthcare provider for individualized recommendations.

Q: Can I sleep with a pessary in place?

A: It is generally safe to sleep with a pessary in place. However, if you experience discomfort or pain while sleeping, consult your healthcare provider for further evaluation.

Q: How often should I clean my pessary?

A: Cleaning frequency may vary depending on your healthcare provider’s recommendations. Generally, it is advisable to clean the pessary daily or as per your healthcare provider’s instructions.

Conclusion

Proper usage and care of a pessary are essential for its effectiveness and your comfort. By following the guidelines outlined in this article, you can ensure a positive experience with your pessary and effectively manage pelvic organ prolapse or urinary incontinence. Remember to consult with your healthcare provider for personalized advice and guidance throughout your pessary journey.