pessary fitting

Support that fits — comfort, confidence, and control.

Pessary fitting is a non-surgical intervention used in pelvic floor therapy to manage pelvic organ prolapse (POP) and, in some cases, stress urinary incontinence. A pessary is a medical device, typically made of silicone, that is inserted into the vagina to support the pelvic organs and alleviate symptoms such as pressure, discomfort, or urinary dysfunction. Fitting a pessary involves a detailed assessment by a trained healthcare provider, including a pelvic exam to determine the appropriate size, shape, and type of device. The process may require trial and error to ensure optimal comfort, support, and functionality. Proper fitting is crucial, as an ill-fitting pessary can cause irritation, discharge, or even ulceration.

Ongoing maintenance is essential for safe and effective pessary use. Patients are typically taught how to remove, clean, and reinsert the device at home, though some may require regular office visits for these tasks, especially if they have limited dexterity or other health concerns. Cleaning should be done with mild soap and water, usually on a weekly basis, depending on the type of pessary and patient needs. Follow-up appointments are important to monitor vaginal health, reassess the fit, and address any complications. Education on signs of infection or discomfort ensures that the patient can use the pessary confidently as part of their pelvic floor rehabilitation plan.

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symptoms related to pelvic organ prolapse:

Custom Comfort: Pessary Fittings Tailored to You

Pessary fittings are personalized to match each patient’s anatomy and symptoms. There are various types—such as ring, donut, cube, and Gellhorn pessaries—each designed for different levels of pelvic organ support or incontinence relief. Your provider may try a few styles and sizes to find the best fit for comfort, support, and ease of use.

planning to become pregnant? Already pregnant? postpartum?

Pelvic floor health plays a vital role in every stage of the motherhood journey—from trying to conceive to pregnancy and postpartum healing. At Heart and Sole Therapy, we offer expert pelvic floor therapy to support fertility by improving circulation and reducing pelvic tension, ease pregnancy-related discomfort, and promote faster, safer postpartum recovery. Whether you’re preparing your body for baby, for birth or healing after delivery, our personalized care helps strengthen your core, reduce pain, and restore balance.

Our Mission

Our mission at Heart & Sole Therapy is to provide a safe space for women, men and children to feel heard and seen. We are devoted to enhancing each individual's quality of life and ensuring that your needs are being addressed.

Why heart and Sole therapy?

At Heart and Sole Therapy, we understand the challenges men face with pelvic floor dysfunction. We offer a comprehensive approach, combining targeted pelvic floor therapy with personalized lifestyle adjustments. We aim to empower you to take charge of your health and reclaim your comfort and confidence. This therapy offers a safe and effective way to manage a wide range of pelvic floor disorders and open, honest communication with your therapist.

Whether you’re experiencing urinary leakage, urinary frequency, or erectile dysfunction, our pelvic floor specialists are dedicated to providing the personalized care you need to reclaim your strength and live life to the fullest.

Whole-Body Wellness for the Whole Family

At Heart and Sole Therapy, we believe in caring for the whole family—because life skills and pelvic health matter at every age. From pediatric therapy to prenatal and postpartum care, and support for active adults and aging seniors, our team provides compassionate, expert care tailored to each stage of life. Whether it’s helping your child build strength or supporting your wellness, we’re here for your family every step of the way.

Pediatric therapy provides valuable guidance and education for parents and caregivers. Our therapists teach families how to support their child’s development at home, offering strategies to manage challenges and encourage progress.

we’re here to answer your questions

There are a variety of treatments and interventions that may be used to support or complement pelvic health recovery. These treatments can depend on the specific issues. Some of those treatments may include but are not limited to;

Are pessaries covered by insurance?

Though some providers may offer insurance coverage, our pessary services are self-pay and our team can work with guide you through our self-pay options.

How do I get a pessary fitting?

Pessary fittings are typically done by a pelvic health therapist, OB/GYN, or urogynecologist. At Heart and Sole Therapy, we can evaluate and work with your provider on whether a pessary may benefit you and connect you with the appropriate provider if needed.

Does insertion of pessary hurt?

Pessary insertion is typically not painful, though you may feel slight pressure. Our therapists or partnering providers take time to ensure proper fit and comfort during the process.

What are signs that something is wrong with a pessary?

If a pessary causes discomfort, unusual discharge, bleeding, or changes in urination or bowel habits, it may need adjustment. Always follow up with your provider if something feels off — discomfort isn’t normal.

Are pessaries only for older women?

No. While pessaries are often used by postmenopausal women, they can be helpful for younger women too — especially those with pelvic organ prolapse, incontinence, or postpartum issues.