Pessary Fitting & Management

That heaviness low in your pelvis by mid-afternoon. The dragging sensation when you stand too long. The quiet feeling that something isn't quite held in place. If prolapse has left you here, you've likely been offered just two roads: wait and watch, or consider surgery. There's a third that many people are never told about. Pessary fitting at SOMOM gives your pelvic organs steady, everyday support — comfortably, and without an operation.

A non-surgical option for prolapse many people aren't told about

A pessary is a soft, flexible medical device that sits inside the vagina and gently supports the pelvic organs from within. For pelvic organ prolapse — when the bladder, uterus, or bowel drops lower than it should — it can lift and hold that support in place, easing the heaviness and dragging sensation that so often build as the day goes on. For some people, the right pessary also reduces stress incontinence: the leaking that comes with a cough, a sneeze, or a workout.

Here's what tends to get missed. A pessary is a genuine form of prolapse treatment without surgery — used and recommended by physiotherapists and physicians around the world — yet many people are only ever offered "wait and see" or an operation. A well-fitted pessary for prolapse sits comfortably between those two: supportive enough to change how your day feels, and reversible whenever you choose.

Individually fitted, alongside a full pelvic-floor assessment

A pessary is never one-size-fits-all, so we don't hand one over off a shelf. Fitting begins with a full pelvic-floor assessment. Your physiotherapist talks with you about your symptoms, health history, and goals, then — only with your understanding and consent — assesses the muscles and support structures involved, so the device is matched to your body and to the type of prolapse you're managing.

From there, we try the size and style most likely to feel secure. A pessary that fits well is one you shouldn't feel once it's in — you can move, sit, and empty your bladder without noticing it. We take the time to get that right, and we show you exactly how to manage it day to day, including how to remove and reinsert it yourself if you'd prefer that independence.

Ongoing management, so it keeps feeling right

Bodies change, and so can the fit of a pessary — after weight changes, through perimenopause and menopause, or simply over time. That's why the fitting is only the beginning. We schedule follow-up to check comfort, skin health, and support, and to adjust the size or type if anything starts to feel off.

If a pessary ever stops feeling right for you, it can be removed or changed at any point — nothing about this choice is permanent. Many people use one comfortably for years; others use one through a particular season of life, or alongside pelvic-floor physiotherapy while their muscles regain strength. Whichever path suits you, you won't be figuring it out alone.

Is pessary fitting right for you?

A pessary can help if you're living with the bulge or heaviness of prolapse, if leaking limits the activities you love, or if you'd like meaningful support while you weigh up surgery — or instead of it. It can also suit pregnancy, postpartum, or the pelvic changes of menopause. If you're unsure whether it's the right choice, that's exactly what an assessment is for. We'll talk it through honestly, and only recommend a pessary if it genuinely fits your situation.