{"id":4338,"date":"2026-08-21T06:35:37","date_gmt":"2026-08-21T06:35:37","guid":{"rendered":"https:\/\/teque7.in\/crestwell\/?page_id=4338"},"modified":"2026-08-21T06:39:58","modified_gmt":"2026-08-21T06:39:58","slug":"pessary-clinic","status":"publish","type":"page","link":"https:\/\/teque7.in\/crestwell\/services\/pessary-clinic\/","title":{"rendered":"Pessary Clinic"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4338\" class=\"elementor elementor-4338\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9dd418e e-flex e-con-boxed e-con e-parent\" data-id=\"9dd418e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ecbd1ab e-con-full e-flex e-con e-child\" data-id=\"ecbd1ab\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-605f3da e-con-full sticky-column e-flex e-con e-child\" data-id=\"605f3da\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c7456a elementor-widget elementor-widget-kinesi-elementor-template\" data-id=\"6c7456a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"kinesi-elementor-template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"1230\" class=\"elementor elementor-1230\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<div class=\"elementor-element elementor-element-f77e8be e-flex e-con-boxed e-con e-parent\" data-id=\"f77e8be\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a015081 e-con-full e-flex e-con e-child\" data-id=\"a015081\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f2d261 at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"5f2d261\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Services<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0b9330 elementor-widget elementor-widget-nav-menu\" data-id=\"f0b9330\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;dropdown&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-chevron-down\\&quot; aria-hidden=\\&quot;true\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-f0b9330\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4057\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Musculoskeletal Physiotherapy<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4058\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/general-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">General physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4059\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sports-injury-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sports injury clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4060\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/back-and-neck-pain-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Back and neck pain clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4061\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/shoulder-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Shoulder clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4062\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hip-and-knee-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hip and knee clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4063\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/foot-and-ankle-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Foot and ankle clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4064\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hand-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hand therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4065\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/tmj-jaw-pain-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">TMJ (jaw pain) physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4066\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/vestibular-dizziness-vertigo-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Vestibular physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4067\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/chronic-pain-management\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Chronic pain management<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4068\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/fibromyalgia-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Fibromyalgia rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4069\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hypermobility-eds-hsd-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hypermobility (EDS\/HSD) clinic<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4073\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Specialist Rehabilitation<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4074\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/stroke-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Stroke rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4075\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cardiac-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cardiac rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4076\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/parkinsons-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Parkinson&#8217;s rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4077\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/multiple-sclerosis-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Multiple sclerosis rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4078\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/neurological-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Neurological rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4079\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/orthopaedic-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Orthopaedic rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4080\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/joint-replacement-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Joint replacement rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4081\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/fracture-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Fracture rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4082\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/falls-prevention\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Falls prevention<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4083\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/balance-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4084\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/elderly-rehabilitation-frailty-programme\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Elderly rehabilitation (frailty programme)<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4085\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cancer-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cancer rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4086\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/long-covid-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Long COVID rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4087\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/respiratory-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Respiratory physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4088\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/amputee-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Amputee rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4089\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Health<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4090\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/womens-health-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Women&#8217;s health physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4091\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pelvic-floor-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pelvic floor rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4092\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pessary-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pessary clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4093\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pregnancy-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pregnancy physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4094\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/postnatal-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Postnatal rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4095\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/diastasis-recti-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Diastasis recti rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4096\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/mens-pelvic-health\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Men&#8217;s pelvic health<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4097\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/continence-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Continence clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4098\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/paediatric-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Paediatric physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4099\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/teenage-sports-injuries\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Teenage sports injuries<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4100\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Sports &#038; Performance<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4101\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sports-massage\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sports massage<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4102\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pilates\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pilates<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4104\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/running-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Running assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4105\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/running-gait-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Running gait analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4106\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cycling-biomechanics\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cycling biomechanics<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4107\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/return-to-sport-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Return-to-sport testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4108\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/injury-prevention-programmes\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Injury prevention programmes<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4109\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/performance-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Performance screening<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4110\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pre-season-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pre-season screening<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4111\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/strength-conditioning\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Strength &#038; conditioning<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4112\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/functional-movement-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Functional movement screening<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4113\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Diagnostics &#038; Technology<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4114\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/shockwave-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Shockwave therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4115\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/therapeutic-ultrasound\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Therapeutic ultrasound<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4116\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/ultrasound-guided-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Ultrasound-guided rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4117\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/digital-gait-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Digital gait analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4118\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/movement-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Movement analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4119\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/force-plate-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Force plate testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4120\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/balance-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4121\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/grip-strength-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Grip strength testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4123\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/workplace-ergonomic-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Workplace ergonomic assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4124\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/home-ergonomic-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Home ergonomic assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4125\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/wearable-movement-monitoring\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Wearable movement monitoring<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4126\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/tele-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Tele-rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4127\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Integrative Care<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4128\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/medical-acupuncture\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Medical acupuncture<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4129\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/dry-needling\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Dry needling<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4130\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cupping-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cupping therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4131\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/specialist-ayurveda-treatments\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Specialist Ayurveda treatments<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4132\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/therapeutic-massage\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Therapeutic massage<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4133\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/lifestyle-coaching\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Lifestyle coaching<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4134\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sleep-optimisation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sleep optimisation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4135\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/stress-management\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Stress management<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4136\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/yoga-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Yoga therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4137\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/meditation-for-chronic-pain\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Meditation for chronic pain<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4736df3 e-con-full e-flex e-con e-child\" data-id=\"4736df3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-669d45b e-con-full e-flex e-con e-child\" data-id=\"669d45b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a319898 elementor-widget elementor-widget-text-editor\" data-id=\"a319898\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Non-surgical support for pelvic organ prolapse<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pelvic organ prolapse can cause a feeling of heaviness, pressure or a vaginal bulge and may affect bladder, bowel or everyday physical activity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A vaginal pessary is a removable support device placed inside the vagina to help support the pelvic organs and reduce prolapse symptoms. It provides a non-surgical option that can be used either temporarily or as part of longer-term prolapse management.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A pessary clinic provides assessment, fitting, review and ongoing support to help determine whether a pessary is suitable and comfortable for you.<\/span><\/p>\n<h2><b>What is a vaginal pessary?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A vaginal pessary is a small device, commonly made from silicone or plastic, that sits inside the vagina and provides additional support to the pelvic organs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pessaries are available in different shapes and sizes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A correctly fitted pessary should provide useful support without causing significant discomfort or interfering unnecessarily with normal everyday activities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finding the most suitable size or type can sometimes require more than one fitting.<\/span><\/p>\n<h2><b>What is pelvic organ prolapse?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pelvic organ prolapse occurs when the muscles and supporting tissues in the pelvis are no longer providing enough support and one or more pelvic organs move downwards towards the vagina.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This may involve:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The bladder<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The uterus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The bowel<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The top of the vagina following hysterectomy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The type and degree of prolapse vary between individuals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not everyone with prolapse requires treatment. Management is usually based on how much the symptoms affect everyday life.<\/span><\/p>\n<h2><b>Symptoms a pessary may help with<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary may be considered if prolapse is causing symptoms such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A feeling of heaviness in the pelvis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A dragging sensation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A feeling of pressure in the vagina<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A visible or noticeable vaginal bulge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms that become worse after standing for longer periods<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Discomfort during physical activity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty remaining active because of prolapse symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some bladder or bowel difficulties associated with prolapse<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Prolapse can affect people differently, so the aim is to determine whether supporting the prolapse improves the symptoms that are important to you.<\/span><\/p>\n<h2><b>Who may consider a pessary?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary may be suitable if you:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Want to manage prolapse without surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prefer to delay or avoid surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are waiting for prolapse surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are not currently suitable for surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Want additional support during everyday activities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Experience prolapse symptoms during exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Want to explore conservative management before considering other options<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A pessary can also be used alongside pelvic floor rehabilitation where appropriate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Using a pessary does not mean that surgery will necessarily be required later.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For some people, pessary management provides satisfactory long-term symptom control.<\/span><\/p>\n<h2><b>What happens during your first appointment?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Your first appointment begins with a discussion about your symptoms and how they affect everyday life.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The clinician may ask about:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic pressure or heaviness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A vaginal bulge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bowel symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic discomfort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous pregnancies and childbirth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous pelvic surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hysterectomy where relevant<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Menopause<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexual activity where relevant to pessary choice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Current exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Work and daily activities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous prolapse treatment<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous pessary use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your goals and preferences<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This information helps establish whether a pessary may be an appropriate option.<\/span><\/p>\n<h2><b>Pelvic examination<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A vaginal examination is normally required before fitting a pessary so that the prolapse and vaginal tissues can be assessed and an appropriate pessary size or type considered.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The assessment should be explained before it begins and carried out only with your consent.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can ask questions, request a chaperone and ask for the examination to stop at any point.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The aim is to understand the support required and choose a pessary that is likely to be both comfortable and effective.<\/span><\/p>\n<h2><b>Choosing the right pessary<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pessaries are available in different designs and sizes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most appropriate option depends on factors such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The type of prolapse<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Degree of prolapse<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal shape and size<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Comfort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder and bowel symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifestyle<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexual activity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether you would like to remove and replace the pessary yourself<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ring pessaries are commonly used, but other designs may be appropriate depending on the individual situation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The clinic will consider these factors rather than using the same pessary for everyone.<\/span><\/p>\n<h2><b>Pessary fitting<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">During fitting, the selected pessary is gently inserted into the vagina and positioned to support the prolapse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may then be asked to perform movements such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Squatting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bending<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving around the room<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This helps determine whether the pessary remains comfortably in position during normal movement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may also be asked whether you:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feel pressure or discomfort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can feel the pessary excessively<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feel that the prolapse is better supported<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have difficulty passing urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feel that the pessary may fall out<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The pessary should provide support without creating significant discomfort.<\/span><\/p>\n<h2><b>Finding the correct size<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The first pessary tried is not always the correct one.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A pessary that is too small may:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Move excessively<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fall out<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Provide inadequate support<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A pessary that is too large may:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cause pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feel uncomfortable<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Make bladder or bowel function more difficult<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It can therefore take more than one attempt to find the most appropriate fit.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is a normal part of pessary management rather than a sign that pessary treatment will not work.<\/span><\/p>\n<h2><b>What should a correctly fitted pessary feel like?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Once fitted appropriately, you should generally not be constantly aware of the pessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You should usually be able to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walk comfortably<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sit<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stand<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bend<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Complete normal household activities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use the toilet<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The aim is for the pessary to reduce prolapse symptoms without creating a new physical problem.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you experience ongoing discomfort, the pessary may need to be reviewed.<\/span><\/p>\n<h2><b>What happens after fitting?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">After your pessary has been fitted, you will receive information about what to expect and when review is required.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may be advised about:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Normal activity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor exercises<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cleaning or pessary care where relevant<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexual activity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms that require review<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your next follow-up appointment<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Follow-up is an important part of pessary care because the vaginal tissues and the fit of the pessary need to be checked regularly.<\/span><\/p>\n<h2><b>Pessary review appointments<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary should not normally be fitted and then forgotten.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Regular review allows the clinician to assess:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether your symptoms have improved<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether the pessary remains comfortable<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether it stays in position<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal tissue health<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bleeding or discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder or bowel symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether the pessary still fits appropriately<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether a different size or type may be useful<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The timing of review depends on the pessary, your symptoms and whether you manage it yourself.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For pessaries managed by a healthcare professional, regular removal, cleaning and reinsertion or replacement is generally required.<\/span><\/p>\n<h2><b>Self-management of a pessary<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Some people can learn to remove, clean and replace their own pessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whether this is appropriate depends on:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The pessary type<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hand strength and dexterity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mobility<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confidence<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Comfort with self-management<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Individual preference<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If self-management is suitable, you can be shown how to remove and reinsert the pessary safely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is no requirement to manage the pessary yourself if you would prefer regular clinic reviews.<\/span><\/p>\n<h2><b>Pessary care<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pessary care depends on the device being used and whether it is self-managed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You will receive individual instructions about:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Removal where appropriate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cleaning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reinsertion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Follow-up<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When the pessary needs reviewing or replacing<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Avoid following generic online cleaning instructions if they differ from the advice provided for your particular pessary.<\/span><\/p>\n<h2><b>Pelvic floor rehabilitation alongside pessary use<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary provides physical support to the prolapse, but pelvic floor rehabilitation may still be useful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Treatment may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor muscle training<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing and pressure management<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strengthening<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder or bowel advice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Return-to-exercise guidance<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting strategies<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Pelvic floor muscle training can be used alongside pessary treatment as part of conservative prolapse management.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The two approaches do different things and may complement each other.<\/span><\/p>\n<h2><b>Exercise with a pessary<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Many people want to remain active while managing prolapse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A pessary may provide additional support during activities that normally increase symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on your individual situation, this may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gym exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength training<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise classes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Household activity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Work involving physical movement<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Exercise should still be adjusted according to symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you continue to experience heaviness, pressure, pain or difficulty keeping the pessary in position, the fit or activity programme may need reviewing.<\/span><\/p>\n<h2><b>Returning to running<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Some people mainly notice prolapse symptoms during higher-impact activities such as running.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Where appropriate, pessary support can form one part of a wider return-to-running programme.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rehabilitation may also consider:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hip and leg strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Impact tolerance<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running volume<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pressure management<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The aim is to help you remain active rather than automatically avoiding impact exercise permanently.<\/span><\/p>\n<h2><b>Lifting with prolapse<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Lifting increases pressure through the abdomen and pelvis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This does not mean that everyone with prolapse needs to avoid lifting.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Where appropriate, treatment may involve:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor coordination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting technique<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gradual progression of load<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pessary support<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The approach depends on your symptoms and the physical demands of work or everyday life.<\/span><\/p>\n<h2><b>Pessary use after childbirth<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Prolapse symptoms can sometimes develop following pregnancy and childbirth.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A pessary may be considered as part of conservative management where appropriate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Treatment may also include pelvic floor rehabilitation to address:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor weakness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pressure management<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Return to exercise<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Management should take account of recovery after childbirth, future pregnancy plans and individual symptoms.<\/span><\/p>\n<h2><b>Pessary use around menopause<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pelvic organ prolapse becomes more common with age and after menopause.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Changes in vaginal tissues may sometimes affect comfort with pessary use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Where clinically appropriate, vaginal oestrogen may be discussed with your GP, gynaecologist or another prescribing clinician.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is considered individually according to symptoms, medical history and suitability.<\/span><\/p>\n<h2><b>Bladder symptoms and pessary use<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Prolapse can sometimes affect bladder function.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urgency<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent urination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leakage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty starting urination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A feeling that the bladder has not completely emptied<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some bladder symptoms may improve when the prolapse is supported, while others may remain or occasionally become more noticeable.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bladder function is therefore considered during fitting and follow-up.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you develop significant difficulty passing urine after fitting, the pessary should be reviewed.<\/span><\/p>\n<h2><b>Bowel symptoms<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Prolapse can also be associated with bowel symptoms such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty emptying<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A feeling of incomplete emptying<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The need to strain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Pessary support may help some symptoms depending on the type of prolapse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bowel habits and pelvic floor function may also need to be addressed as part of wider treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Persistent or changing bowel symptoms should receive appropriate medical assessment where required.<\/span><\/p>\n<h2><b>Sexual activity with a pessary<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Whether sexual intercourse is possible with a pessary in place depends on the type of pessary being used.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some pessaries can remain in place during vaginal intercourse, while others may need to be removed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If sexual activity is important to you, mention this during your assessment so it can be considered when selecting the most appropriate pessary.<\/span><\/p>\n<h2><b>Vaginal discharge<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Some change in vaginal discharge may occur while using a pessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, new or significant changes should be discussed at review, particularly if there is:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">An unpleasant smell<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irritation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A significant change from your usual discharge<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These symptoms may indicate that the pessary or vaginal tissues need assessment.<\/span><\/p>\n<h2><b>Vaginal bleeding<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Bleeding while using a pessary should not simply be ignored.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Possible causes include irritation or pressure from the pessary, but bleeding can also have causes unrelated to pessary use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You should contact an appropriate healthcare professional if you experience unexpected vaginal bleeding.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is particularly important for new bleeding after menopause.<\/span><\/p>\n<h2><b>What if the pessary falls out?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary can occasionally move or fall out, particularly during bowel movements, coughing, heavy activity or if the fit is not suitable.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If this happens repeatedly, the pessary may need to be:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Repositioned<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Resized<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changed to another type<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Do not assume that pessary treatment is unsuitable simply because the first device does not remain in position.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finding the correct fit can take more than one attempt.<\/span><\/p>\n<h2><b>What if the pessary feels uncomfortable?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary should not cause persistent pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Arrange a review if you experience:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ongoing pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty sitting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New bladder difficulties<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New bowel difficulties<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Repeated slipping<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty walking comfortably<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A different size or type may be required.<\/span><\/p>\n<h2><b>Possible problems with pessary use<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Most pessaries can be used without significant problems when appropriately fitted and reviewed, but possible issues include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased vaginal discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irritation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pressure areas or ulceration<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Discomfort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The pessary falling out<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty removing the pessary<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in bladder or bowel symptoms<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Regular follow-up helps identify and manage problems early.<\/span><\/p>\n<h2><b>When should the pessary be reviewed sooner?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Do not wait until your routine appointment if you develop:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent vaginal bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foul-smelling or unusual discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty passing urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New difficulty emptying the bowel<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Repeated pessary displacement<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A pessary that falls out frequently<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant vaginal irritation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty removing a self-managed pessary<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A noticeable change in prolapse symptoms<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">An earlier review can determine whether the pessary needs adjusting, temporarily removing or changing.<\/span><\/p>\n<h2><b>When further medical assessment may be needed<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Not every pelvic symptom is caused by prolapse or the pessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Further medical assessment may be appropriate if you experience:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unexplained vaginal bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New bleeding after menopause<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in the urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Repeated urinary infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant pelvic pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty passing urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant changes in bowel function<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unexplained weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New or rapidly worsening pelvic symptoms<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If symptoms are severe or significantly different from your normal prolapse symptoms, seek appropriate medical advice.<\/span><\/p>\n<h2><b>Pessary or surgery?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A pessary and prolapse surgery are different management options.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A pessary:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Does not require an operation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can usually be removed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can be reviewed or changed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">May be used temporarily or longer term<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Requires ongoing care and follow-up<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Surgery aims to repair or improve support to the pelvic organs but involves an operation and its associated recovery and risks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some people prefer pessary management, while others eventually choose surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The right option depends on your symptoms, health, preferences and how prolapse affects your everyday life.<\/span><\/p>\n<h2><b>Pessary treatment does not need to be permanent<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Choosing a pessary does not mean you have committed to using one permanently.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your management can be reviewed if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms change<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The pessary becomes uncomfortable<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You wish to try another treatment<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You want to consider surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your activity or lifestyle changes<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Likewise, someone who initially uses a pessary temporarily may later decide that it works well enough to continue.<\/span><\/p>\n<h2><b>Treatment based on your goals<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pessary management should focus on the symptoms and activities that matter to you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your goals may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing pelvic heaviness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling less aware of a vaginal bulge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking more comfortably<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercising<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to the gym<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Managing work<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing for longer periods<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding or delaying surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling more comfortable during everyday activities<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The pessary and wider pelvic health programme can be reviewed according to these goals.<\/span><\/p>\n<h2><b>How long can a pessary be used?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Pessaries can be used for different lengths of time depending on individual circumstances.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some people use a pessary temporarily.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Others choose it as a longer-term way of managing prolapse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Long-term use requires appropriate follow-up, with removal, cleaning and review at intervals based on the type of pessary and the way it is being managed. RCOG advises regular removal and review because pessaries can occasionally cause discharge, bleeding, infection or vaginal ulceration.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e62daac e-con-full e-flex e-con e-child\" data-id=\"e62daac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51bee65 at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"51bee65\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Frequently asked questions<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff461e6 elementor-widget elementor-widget-accordion\" data-id=\"ff461e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"accordion.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2671\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2671\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Does a pessary cure prolapse?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2671\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2671\"><p><span style=\"font-weight: 400;\">A pessary supports the pelvic organs and aims to reduce prolapse symptoms. It does not permanently repair the underlying prolapse.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2672\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2672\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is pessary fitting painful?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2672\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2672\"><p><span style=\"font-weight: 400;\">Fitting may feel unfamiliar or uncomfortable, but it should not cause significant pain. If a pessary remains uncomfortable after fitting, the size or type may need to be changed.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2673\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2673\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Will I feel the pessary once it is fitted?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2673\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2673\"><p><span style=\"font-weight: 400;\">A well-fitting pessary should generally be comfortable and should not constantly feel as though it is pressing or falling out.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2674\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2674\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What happens if the first pessary does not fit?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2674\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2674\"><p><span style=\"font-weight: 400;\">This is not unusual. Different sizes or types may need to be tried before the most suitable option is found.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2675\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2675\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can I exercise while wearing a pessary?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2675\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2675\"><p><span style=\"font-weight: 400;\">Often yes. One reason for using a pessary may be to provide additional support during everyday movement or exercise. Your activity should still be guided by symptoms and individual assessment.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2676\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2676\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can I have sex with a pessary in place?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2676\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2676\"><p><span style=\"font-weight: 400;\">This depends on the pessary type. Some can remain in place during vaginal intercourse, while others need to be removed.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2677\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2677\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can I remove the pessary myself?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2677\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2677\"><p><span style=\"font-weight: 400;\">Some pessaries can be self-managed. If this is appropriate, you can be shown how to remove, clean and reinsert the pessary safely.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2678\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-2678\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Do I still need pelvic floor exercises if I use a pessary?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2678\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-2678\"><p><span style=\"font-weight: 400;\">Pelvic floor rehabilitation may still be useful. A pessary provides mechanical support, while pelvic floor exercises work on muscle function and control.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2679\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-2679\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Will I need regular appointments?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2679\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-2679\"><p><span style=\"font-weight: 400;\">Yes. Pessaries require appropriate follow-up so that the fit, symptoms and vaginal tissues can be reviewed.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-26710\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-26710\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What if I decide I no longer want to use the pessary?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-26710\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-26710\"><p><span style=\"font-weight: 400;\">Pessary management can be reviewed at any stage. Other conservative treatments or referral to discuss surgical options may be considered depending on your symptoms and preferences.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Does a pessary cure prolapse?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">A pessary supports the pelvic organs and aims to reduce prolapse symptoms. It does not permanently repair the underlying prolapse.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Is pessary fitting painful?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Fitting may feel unfamiliar or uncomfortable, but it should not cause significant pain. If a pessary remains uncomfortable after fitting, the size or type may need to be changed.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Will I feel the pessary once it is fitted?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">A well-fitting pessary should generally be comfortable and should not constantly feel as though it is pressing or falling out.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"What happens if the first pessary does not fit?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">This is not unusual. Different sizes or types may need to be tried before the most suitable option is found.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can I exercise while wearing a pessary?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Often yes. 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If this is appropriate, you can be shown how to remove, clean and reinsert the pessary safely.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Do I still need pelvic floor exercises if I use a pessary?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Pelvic floor rehabilitation may still be useful. A pessary provides mechanical support, while pelvic floor exercises work on muscle function and control.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Will I need regular appointments?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Pessaries require appropriate follow-up so that the fit, symptoms and vaginal tissues can be reviewed.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"What if I decide I no longer want to use the pessary?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Pessary management can be reviewed at any stage. Other conservative treatments or referral to discuss surgical options may be considered depending on your symptoms and preferences.<\\\/span><\\\/p>\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86b0970 e-con-full e-flex e-con e-child\" data-id=\"86b0970\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-771797d at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"771797d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Arrange a pessary clinic assessment<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a48286 elementor-widget elementor-widget-text-editor\" data-id=\"8a48286\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">An initial pessary clinic assessment can help establish how pelvic organ prolapse is affecting you and whether a vaginal pessary may be an appropriate management option.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If suitable, the pessary can be fitted and reviewed alongside advice on pelvic floor rehabilitation, exercise and everyday activity to help you manage prolapse symptoms with greater confidence.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d3d16d elementor-align-left elementor-widget elementor-widget-button\" data-id=\"9d3d16d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/teque7.in\/crestwell\/book-appointment\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book a Pessary Clinic<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Services Musculoskeletal Physiotherapy General physiotherapy Sports injury clinic Back and neck pain [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1600,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4338","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/comments?post=4338"}],"version-history":[{"count":4,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4338\/revisions"}],"predecessor-version":[{"id":4350,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4338\/revisions\/4350"}],"up":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/1600"}],"wp:attachment":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/media?parent=4338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}