When prolapse is diagnosed, many women assume surgery is the only option. In fact there are two main routes, suited to different circumstances, and the choice depends more on individual factors than on severity alone.
A pessary is a silicone device fitted into the vagina to support the organs in position. Its advantages are considerable: no surgery, and it can be trialled and abandoned immediately if it does not suit you. It is a good fit for women who may still want children, those for whom surgery carries added risk, and anyone who wants symptom relief while deciding. The limitations are periodic review appointments and the fact that some women find it uncomfortable.
Ask whether you need to be seen
Message us with what you are experiencing and we will tell you whether an examination is worth making, and what the appointment involves.
WhatsAppLINESurgery offers a more durable correction with no device to manage, and suits women with significant symptoms who have completed their families. What should be said plainly is that prolapse can recur years later, and that the contributing factors — chronic cough, constipation, weight — need addressing either way, or the same pressures will produce the same result.
Worth doing before either decision: pelvic floor training. It genuinely helps milder prolapse, and it improves outcomes after surgery too.