Under 40 and Pessary Questions

Body: 

First off is anyone here with prolaspe under 40? I am 39 and have the following pessary questions.

I have have history of fibroids and have had one child via IVF. I now have been diagnosed with stage 3 proslape. I was fitted with a pessary yesterday. The ring with support until I figure out when to have a hysterectomy.

1. Does anyone else that wears a pessary feel it? This is my 2nd day with it and I feel like I am wearing a tampon.

2. Do you take it out each night? I have been to clean it and have been inserting it in the morning.

3. Do you wear it during your period? The nurse said I could but I can't imagine doing that.

4. Does it fall out when having a bowel movement? Mind did today. Do you think I need a smaller or bigger one.

I guess my main concern is should I be feeling it in there?

Any advice would be great.

Robyn

Hi Robyn,

I am 34 and have a cystocele which I've had for almost 3 months now.
I have had ring (without support) pessary for a couple of weeks now and I take it out every night. I have worn it on my period with no probs except the obvious messiness when inserting/removing.
I could feel my pessary when it had slipped down from behind the pubic bone (where it is supposed to be held up) and this was because it was too small. I went and got progressively bigger sizes until I arrived at the one I have now which seems to fit great as I cant feel it the majority of the time.
The time I can sometimes feel it is if my colon is full and it then puts a little pressure there but is fine again once I have emptied my bowl.
Mine does not fall out with a bowl movement and I would have thought thats because its not the right size (too small probably) if it does, but check with your dr.

Hope this helps,
Zoe x

I have a beautiful 7 wk old baby boy and a wonderful 2 and a half yr old daughter who make it all worth while :-)

Hi - I just wanted to say my Prolapse started when I was 19 in my first birth (Wrigleys Forceps)So you can et this 'present' at any age...

1. Does anyone else that wears a pessary feel it? This is my 2nd day with it and I feel like I am wearing a tampon.

A - I had one in for one day (Before it came down and I took it out) Yes It felt like a tampon.

2. Do you take it out each night? I have been to clean it and have been inserting it in the morning.

A - In UK we are not told to do this - No idea why.

3. Do you wear it during your period? The nurse said I could but I can't imagine doing that.

A - I think you can. Probably makes no difference.

4. Does it fall out when having a bowel movement? Mind did today. Do you think I need a smaller or bigger one.

A - Mine didn't let me have a bowel movement - Then moved down - Hence removing it - Not sure if that is a size issue or just not fitted right etc etc

I guess my main concern is should I be feeling it in there?

A - My mother has one and cannot feel it at all - I guess it depends on the person

Sue

Look into the eyes - They hold the key!
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I'm not under 40 but I do wear a pessary and I'll answer your questions:

1. When it's positioned correctly, I do not feel it AT ALL. In fact, you're not supposed to feel a tampon when it's positioned correctly.

2. No I don't take it out each night. I wear it for up to a week without removing it.

3. No, I don't wear it during my period. I suppose I could, but that would be messy and besides, I wear tampons during my period.

4. Yes, it will try to fall out when I have a bowl movement. I just put my fingers on it and gently apply counterpressure so it stays inside.

Yes, you might need a bigger or smaller size. It is not uncommon for the first pessary you are fitted with to not be the correct one for you. Don't be shy about asking the doctor to try another type or size and see if you are happier.

Hi Robynmark

I hope you are not planning on having a hyserectomy anytime soon. Wholewoman techniques (posture, diet management, stopping straining on the toilet, clothing etc) with the help of a pessary should improve your prolapse symptoms a lot, and a hysterectomy will make it more difficult for you to benefit from these techniques, which rely on the presence of a uterus.

There are many women who have had fibroids who elect to keep their uterus for reasons of sexual response, hormone production and avoiding a largely unnecessary operation with a long recuperation time. It your uterus is removed it will leave a space that other prolapses can and do move into. Christine Kent's book goes into the reasons behind all this. It also has some alarming information from the research that has been done on surgical procedures about the incidence of risks and possible complications for hysterectomy and other surgical procedures. It is a very well referenced chapter. The evidence comes from mainstream peer-reviewed medical journals. The book will be money well spent and may save you a lifetime of unnecessary suffering.

Cheers

Louise

I will be 28 this month and developed my rectocele with the birth of my 1st baby but it wasn't diagnosed until 3 years later after the birth of my 3rd baby. So there you have it - you have been given 10 prolapse free years more than I have.
and just so you know...I am fit, don't strain, have never been constipated, eat organic, exercise, and birth naturally and gently, and have never stood tail turned under-
my prolapse was caused by excessive tearing at all my births.
I have had some success with an ab isolation exercise lately.