trouble inserting pessary

Body: 

I'm so embarrassed. I got my pessary last week and the dr. told me just to fold it and slip it in. After I left I thought she didn't tell me much about this. I have the round ring pessary for my rectocele. I have to lay down to insert it. So I know you fold it like a taco to insert. So if I'm lying down and have it folded does the part that is curved up like a taco (with the outer edge) go up toward the ceiling when inserting it. Isn't this right? The first time I did it I didn't have a problem. Now I am having trouble and get so upset. I have called the dr. & no return calls. Not in office. I feel like a real dumbie. Someone please help! I don't have my uterus and it comes out when I have bowel movement.

The first dr. (family dr.) examined me and said mine wasn't that bad and that some actually protrude out of the vagina. Then the so called gyn. said it was pretty bad. Had a pessary in her office. She tried 3 and left the third one in. It is round with the outer round edge and holes.

I have ordered the book and can't wait to get it. I'm hearing different stories about surgery and don't have insurance anyway. I'm just confused.

Yes, the folded curved part toward the ceiling is what I did. I just got one too like that and the doctor had me put it in myself while at the office and walk around with it in to be sure it was comfortable. But any way you can get it in that doesn't damage you is fine. If it's easier doing it upside down try it that way. Just relax and take your time. Use a little lubricating gel if you like although that may make it slippery and hard to hold onto! Practice will make things easier. Don't give up.

I had the doughnut before and it always tried to come out when I had a bowel movement. I don't know about this new one but it probably will too. With the old one, I simply put my fingers on it and held it in place during the movement. I usually have to brace my rectocele anyway unless the movement is extremely soft so I kind of braced and held the pessary there simultaneously. It might not be possible to get a pessary that doesn't come out with a movement depending on how supple your tissues are. After all, pushing with a movement is similar to pushing a baby, and a baby will come through the vagina and a pessary is no bigger than a baby head... hopefully smaller!

Use some kind of balm or cream to sooth the tissues if you begin to feel irritated trying to insert/remove the pessary. Wait a day and try again. You did it once, you'll get the hang of it. Try not to feel stressed or pressured about it. Give yourself plenty of time.

Thanks for your reply. It made me feel better. Okay now another question. I am taking Miralax every day for constipation which has been a big problem for me all my life. Yuck! I do get a lot of gas. How embarrassing to say this but I'm finding out others experience embarrassing things to. After I have the pessary in for about 2 hrs I start to feel discomfort in the lower abdomen. Do you think the gas could be causing this. I know you are not a dr. but does this ever happen to you. Before I ever started this whole thing I sometimes would get trapped gas that hurt for hours. I did manage to get an appt with the gyn tomorrow but she will just blow it off I know. I'm not impressed with her although she did my hysterectomy several years ago. She finally had her nurse call me back and said discomfort could be cramps from the Miralax - no big deal. Well I want to know. I'm afraid it could cause damage - like the pessary could be too big.

Oh well, sorry to bug you but hearing other experiences helps me. I have been so worried about this. Like it is consuming my life. Anyway I do go back to see her tomorrow but just would like to know if you ever get any discomfort. Thanks again for your advice.

I went to be fitted with a pessery for my prolaspe and neither the nurse nor I could get it in...I left without one.
Anyone out there...do you know of anyone who has had successful surgery for prolaspe? The gyn says that I can have it fixed, my daughter's Gyn says, "why doesn't she just have it fixed?", A friend whose husband is a Dr. says, "why do you live with that, why don't you just have it fixed." Even when I went to my regular Dr. she said, "O, you can have that fixed it is no problem." Has anyone had IT fixed successfully and is just moving on with life?.
I am tired of dealing with this and am about to "just have it fixed."

anytime I read posts like this one I feel like I have been charged to "talk someone down from the ledge"-
Before you go and just have it fixed please read Saving the Whole Woman. It details specifically what each surgery is and what the success rate is for each of them.
What exactly do you have going on?
I don't use a pessary but I have heard about the trouble fitting them. I have also heard that once you get a good design and fit for your body you can have some relief of symptoms. And of course I have read that a pessary can cause more prolapse in some situations.
I have had good success working with my body to reduce symptoms from my rectocele.
So go ahead and ask any questions you might have and get the information you need.

Thank you for your encouraging comments.
my diagnosis from my regular Dr., an Ob/Gyn, and a Uro/Gyn is mild to moderate rectocele, cystocele and enterocele and am now seeing a PT for treatment for all this. I am a mess and didn't even know these things could happen to a woman. I had a hysterectomy 20 years ago in my thirties (wish I had not done that.) I have never had any indications of problems with this until I had a severe case of bronchitis with 3 weeks of hard coughing....then it all fell out! The PT says that it can be helped by doing kegels to stregenth the pelvic floor, and I can be without symptoms, but but that nothing can put it all back up except surgery of which she doesn't recommend unless it is a desparate case... The nurse who tried to fit me with the pessery didn't even voice much hope that the PT would even work at all. I wish all the doctors and physical therapist could get on the same page with information so I wouldn't be so confused. Right now I am in the denial, discouraged and desperate state. I imagine all women feel this way upon first discovery of this odd physical condition. I did purchase the book and after Christmas is over and all the visiting family are gone home I will read it.

This is the hardest part of it -- the mental agony -- and it seems to initially be part of the process, for most of us, at least. You are in a situation different from many of us, which is that you had surgery 20 years ago. While Christine didn't have a hysterectomy, she did also have surgery, and is living proof that you can live well with the condition. I would definitely go through your grief and explore all of your options -- it's easy to think of surgery as a quick fix -- in reality, and once you read the book, you'll see this, the surgery is not a cure-all and in many cases, makes the issues worse. It IS frightening being out of control of your body -- that's what's hard; but, listen to the healing voice expressed in this community, and most importantly, from within -- and you might find Hope. There are many of us, including myself, living well with this condition. I've been here 3 years, and I am more active, and my life is better than before. Ironic, yes, but true.

Blessings on your journey.

Marie

Try a new position maybe. I could never insert it on my back. I insert it crouched over like inserting a tampon. Also I've had some success with using tampons and now want to try the sea sponge or 2. I don't want the pessary for long periods of time anyway. I want to have something that I can use temporarily when I need it because I don't like the thought of something in there so foreign for long. I would try different things because some people have no problems with pessaries while others say using a tampon is better or a sea sponge. Goodluck. I know it is frustrating.

I have been wearning the pessary after I finally figured out to get it in and now it is easy. But I'm like you I only wear it part of the time. I don't like the idea of wearing something foreign for long periods of time either. I have ordered two sponges and hopefully they will work too. I don't know what stage I am but maybe they will work. Thanks your all replies. They have all been very helpful and I know I'm not the only one with the rectocele. I'm dealing with it better and it's not ruining my life. There for a while when it got worse about a month ago it's like that was all I thought about. Ugh!