Pessaries Marion
At Core Physio, our experienced women’s health physiotherapists in Adelaide offer vaginal pessary fitting and ongoing management as a non-surgical option for women experiencing symptoms of pelvic organ prolapse (POP) or stress urinary incontinence (SUI). We provide individualised assessments in a supportive and discreet environment across our
Adelaide clinics.
What is a Pessary?
A vaginal pessary is a removable silicone device inserted into the vagina to provide support to the pelvic organs, including the uterus, bladder, or rectum. Pelvic organ prolapse occurs when the supporting tissues (fascia and ligaments) weaken, allowing an organ to descend into the vaginal canal. A pessary sits high in the vagina to help support these structures and may reduce associated symptoms.
Pessaries do not correct or repair a prolapse but can lessen symptoms such as bulging, heaviness, or dragging sensations in the pelvis, and may assist with managing accidental urine leakage during activities like coughing, sneezing, or exercise.
Who Might Consider a Pessary?
Many women in Adelaide and throughout South Australia explore pessary use when looking for non-surgical management of prolapse or stress incontinence symptoms. This option may suit women who:
- Experience bothersome symptoms of prolapse or stress urinary incontinence and prefer to trial a conservative approach
- Have not yet completed their family
- Are recovering in the early postnatal period
- Wish to manage urinary leakage during exercise or daily activities
- Have medical considerations that make surgery less suitable at this time
Your women’s health physiotherapist will discuss whether a pessary may be appropriate for your individual situation.
Pessary Fitting Process at Core Physio Adelaide
Pessary fitting is performed by a qualified pelvic floor physiotherapist. During your appointment:
- We trial different shapes and sizes to find the most suitable option for your anatomy and symptoms
- Once inserted, you will be asked to move around, perform light activities, and attempt to empty your bladder to check comfort and retention
- You will be taught how to insert, remove, and care for the pessary yourself (most women learn this quickly)
- A follow-up review is usually scheduled within 2 weeks, then every few months as needed
Some pessaries can remain in place during intercourse, while others need removal – your physiotherapist will advise based on the type selected.
Ongoing Pessary Care and Review
Regular care helps maintain vaginal health and pessary function:
- Many pessaries can be removed nightly or weekly (as advised) for cleaning with warm water and soap-free cleanser
- Vaginal oestrogen cream (prescribed by your GP if appropriate) may be recommended, especially after menopause, to support tissue health
- Review appointments with your physiotherapist every 3–6 months for professional cleaning, vaginal examination, and pessary replacement (usually yearly)
Possible Side Effects and What to Watch For
Like any medical device, a pessary may sometimes cause vaginal irritation, increased discharge, or minor discomfort. These issues can often be managed by temporary removal, refitting a different size/shape, or using prescribed vaginal oestrogen. Seek prompt medical advice if you notice:
- Unusual vaginal bleeding or offensive odour
- Persistent discharge
- Difficulty emptying your bladder
- Signs of infection
Your physiotherapist will discuss these possibilities during your fitting and provide clear
Book Your Pessary Consultation in Adelaide
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FAQ's for Pessary Fittings
What is a pessary?
Who can benefit from pessaries?
What conditions can a pessary help with?
Are pessaries safe?
How is a pessary fitted?
What should I expect at a pessary fitting session?
How often do I need follow-up appointments?
Is exercise / sexual activity safe with a pessary?
How do I care for my pessary?
Do I need a referral for pessary fittings?
How much does a pessary cost?
Please contact your local Core Physio practice for exact pricing information. Please note that once the pessary package is opened, it cannot be returned for hygiene reasons.
Is pessary fitting covered by private health insurance?
Book an Appointment
Book an appointment with our friendly team of Adelaide physiotherapists today and take the first step towards better health and wellbeing. We offer flexible scheduling to accommodate to you.
