Pessary? What it is and how it can help with Dr. Teresa Irwin, The Vaginacologist

[@psycharol]

Thank you, I am 76 and my main hobby is hiking my Dr inserted the pessary and said to come back in a year. It fell out the first time I went to the toilet I don't like bothering people so your information was important for me to get on with it myself and start getting out there again thank you

[@TheVaginacologist]

Thank you very much for your comments. That kind of feedback helps the work of the videos more than worth it!

[@suziepeck5717]

How are you doing now? I think I might need one but I don't want to do the insertion or the removal. That kind of stuff makes me squeamish.

[@olivewainwright3979]

As a 55 year old, relatively new pessary wearer, from Scotland, this was super helpful. I found you on tiktok of all places. I have a donut as anything bigger was uncomfortable - not much choice here. Sometimes it feels like it moves position. Might need the next size up. Had it in for over 6 months. Can't take it out myself. Wish there were people like you in Scotland. This was a great clip. Gonna see about buying the cream but have atrophy and LS so worry it might irritate it more. But honestly thanks for your clip👍

[@TheVaginacologist]

Thank you very much! I am glad that this was helpful. I appreciate your comments greatly. One thing to consider is seeing a nurse practitioner b/c they tend to have more time to speand with you. Good luck!

[@TheVaginacologist]

I would say to try the ring with Support first. If it doesn't work, then try the inflatable doughnut. An enterocele is essentially another term for vaginal vault prolapse after hysterectomy, if your uterus was removed.

[@carollitster6816]

Hi, I’m also from Scotland. I see this was three years ago but wondered if you are still using the pessary?

[@taylorribar5349]

This is very informative! Thank you!

[@TheVaginacologist]

You're welcome! Thank you for commenting!

[@keith_laue]

This is super helpful! Thank u

[@TheVaginacologist]

You're welcome!

[@isabelherrera9206]

so good to know ! thanks !

[@TheVaginacologist]

Yay! Thank you!

[@Meenadevidasi]

Best explanation yet. Thank you. Yes the donut is a small torture device. I suffered with one for over a year. I did manage to insert it and remove it myself. But yikes. What is your opinion of the inflatable donut? I dread going in for a fitting. The time I did go for a fitting was horrendous. I left with the donut. For me it is enterocele and I can't find a whole lot of information about dealing with it specifically. I am thinking of trying a ring with support because of the possibility of ease of self care and maintenance. Thank you.

[@Meenadevidasi]

update: Small oval with support works . Was giving up hope but the small oval works very well.

[@suziepeck5717]

​@@MeenadevidasiI think I might need one. I'm posted menopausal and have a lot of urinary frequency but no incontinence. I'm squeamish about inserting these kind of things and hoping if I do need one that it could be inserted and taken out for me.

[@Meenadevidasi]

@@suziepeck5717 It takes a little bit of experimenting, research etc to get the situation under control. Pessary is usually for prolapsed organs. It is the small intestines that have prolapsed. I'd get them removed but that could cause a bit of a problem :>) But who knows? They are always coming up with new things. Taking the thing in and out is definitely not my favorite activity. I seem to be able leave it in for 6 to 8 months no problem. Then it needs to come out for cleaning. Getting professional opinions is always a good idea. Getting an examination can help see what needs to be done. Best wishes. Hmm. Actually there a lot of things that can cause frequency. One is a UTI. Getting a check up might be good idea.

[@terrylaue6731]

I know a lot of women who don't want surgery or want to have babies, so this seems like a great idea!

[@TheVaginacologist]

Yes, it really works well for women who are pregnant and have bladder leakage upon exertion. Many time this bladder problem goes away after they delivery their baby.

[@katnip198]

Thank you for this information. Very very helpful. Bless you from all women!

[@katycukibabi]

Does the pessary need to sit behind the pubic bone? Mine falls into the vaginal canal and idk if that means it’s not the right fit. My OB follow up is months away unfortunately

[@susanrnbc]

Very helpful. I am anticipating getting a pessary next month and I have been kind of freaked out about. This (somewhat!) relieved my anxiety.

[@suziepeck5717]

So it's been a year how is it going? I think I might need one for a lot of frequency of urination but no incontinence at all. I'm squeamish about inserting stuff like that and I don't want to do it myself. Do doctors do it for you?

[@jeanetteward8086]

Great presentation and very informative

[@nageshbabu7257]

Hi Dr I want to pessary for SUi problem, I am india how to buy

[@dorothybeveridge3133]

I have a sore vulva . Like sitting on a lump . Do I have a vulva prolapse please.

[@TheVaginacologist]

It is possible that you might have perineal laxity, or a perineocele.

[@MarilynParker5865]

Thank you so so much.....

[@josephsoriano7186]

Good day madam how much the ring pessary #5.because😂 my country phil. is out stock and expensive the price. I need that .thank you very much GOD BLess you🙏🙏🙏

[@TheVaginacologist]

you can purchase on amazon: www.amazon.com/Miltex-30-RS4-Patient-Pessaries-Diameter/dp/B00IK4KYRM/ref=sr_1_2?crid=3O706GGZA0J93&keywords=pessary+ring+%235&qid=1684601501&sprefix=pessary+ring+5%2Caps%2C143&sr=8-2

[@Eldestof4ladies]

I’m 63 & extremely active. Tried 2 sizes of pessarys. Both were ok, at first, but ended up inching down. It wasn’t hard inserting or removing. My problem is that the vagina is prolapsed. The urodynamic part, of this, is a form of torture.

[@TheVaginacologist]

Please know that the UDS is not a form of torture. It is embarassing, but should not hurt and provides a lot of important information...

[@Eldestof4ladies]

@@TheVaginacologist Having things inserted in every orifice below the waist was not pleasant. Peeing into a waiting funnel on top of a raised throne was not dignified. Having tape ripped off your inner thigh was jolting. From what I have heard, this will be repeated after surgery. I’d rather have a colonoscopy. Perhaps “torture” was too harsh. However, I was not embarrassed. Of course, this is only my opinion.

[@laurak1962]

Maybe a silly question - for the ring with support insertion - does it matter which way you insert it after you fold it? Your way looked "upside down" from what my Dr showed me when he placed it.

[@TheVaginacologist]

@@laurak1962 It does not matter the way you insert it as it is round.

[@suziepeck5717]

​@@Eldestof4ladieswhat do you mean by the urodynamic of it? I don't understand and I don't have a pessary yet.

[@nageshbabu7257]

Dr, my mother problem is Stress urine incontinence plz plz I want this

[@preppergirl6173]

I got a nasty cold right after I got a pessary put in and I’m not sure if it’s in there exactly right how will I know? I know when I cough I have to pee instantly. It was for a uterine prolapse

[@TheVaginacologist]

By placing your fingers inside of your vagina. Likely the pessary unkinked your urethra, leading to a need to pee or leak upon coughing.

[@lydiaayoubz5760]

Never put a Pessary in ever again very uncomfortable and painful. I had it put in twice and every time it will fall out.

[@TheVaginacologist]

It is an option, but not for everyone.

[@امعبدالرحمنطه-ص3غ]

If I have 4th grade uterus prolapse can i use pessary😢😢

[@TheVaginacologist]

It is worth a trial.

[@Pia1870.]

My dr just put my pessary 1 day ago but I am having back pain what should I do doctor.

[@TheVaginacologist]

@@Pia1870. It is unlikely that the pessary is the cause of your pain. However, if you are able to manage the pessary, take it out and see if your pain resolves. If you are unable to manage it, return to the office for an exam. You can purchase a pessary assistant on Amazon, which helps you remove and insert the pessary.

[@nageshbabu7257]

How buy product ?

[@TheVaginacologist]

needs to be seen by her gynecologist to be fitted.

[@nageshbabu7257]

Plz advice how to buy ,I am india

[@TheVaginacologist]

in the U.S., need to see your doctor to be fitted.

[@Anione111]

Close ups please. Captions for products mentioned. Watching on mobile phones, cannot discern any details.

[@linzi6778]

I have stage 3 uterus prolapse been told i have to have a hysterectomy i have a small one in not quite a snug fit but the bigger one looks a tad big felt fine friday but sunday my vagina feels weird like wider but tight feels swollen x i've tried to feel for my strings for uid but being a bigger lady i cant get my fingers in properly x

[@TheVaginacologist]

Perhaps another shape could be used.

[@linzi6778]

@@TheVaginacologist we not that fancy in uk lol its the ringbor nothing

[@TheVaginacologist]

LOL! You might look one up at Amazon. Just make sure that take it to your gynecologist to assess for proper fitting.@@linzi6778

[@ZeeZeeCat]

What about sexually active women with history of severe dysplasia Cin3/CIS and after conisation. What type of pessary would You recommend for them? (cystocele and rectocele)

[@TheVaginacologist]

ring without support

[@sandralazarus7338]

You are soooooooo cute. God bless.

[@willileo2373]

I’m just surprised about your sub-Speciality “Vaginacologist” you have a good divisions! in my country there’s just “Obstetric Gynecology” all in one lol

[@TheVaginacologist]

ty! I agree!

[@nageshbabu7257]

Plz give me reply

[@noornawazgsm]

You