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How Can a Shelf Pessary Help?
The wearing of a Shelf pessary is often recommended for women suffering from a prolapse of the top of vagina or uterine prolapse. They are often used by women with vaginal prolapse who want to avoid surgery such as hysterectomy to help keep the womb prolapse in place.
The use of a pessary along with pelvic floor exercise, is recommended as a first-line treatment for pelvic organ prolapse and whilst a pessary cannot cure prolapse, clinical results show that it has a positive effect and can stop from getting worse.
Shelf Pessary for Prolapsed Uterus
This diagram shows correct insertion of a shelf pessary.
The use of a shelf pessary is often recommended in the case of uterine prolapse and cases of vaginal prolapse when the woman has had a hysterectomy.
Kegel exercises with a pessary, vaginal weights, or other pelvic toner such as a Kegel8 will make your Kegels more effective in a shorter amount of time. The use of a pessary provides “resistance” which, as with any muscle training, makes it more effective faster. What happens is that when you wear a pessary during the day it causes you to perform pelvic floor exercises in an isotonic fashion, unconsciously (to keep the pessary in place). This is probably the mechanism by which using a vaginal pessary decreases the size of the genital hiatus ('sagging' or widening of the pelvic floor).
- Clinical studies show that after just 3 months of pessary use, genital hiatus size decreased significantly. Pessary use results in significant anatomic changes to the genital hiatus in patients with pelvic organ prolapse1.
1 Effect of Pessary Use on Genital Hiatus Measurements in Women With Pelvic Organ Prolapse - Jones, Keisha MD; Yang, Linda MD; Lowder, Jerry L. MD; Meyn, Leslie MS; Ellison, Rennique; Zyczynski, Halina M. MD; Moalli, Pamela MD, PhD; Lee, Ted MD
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- See the UK's best pelvic floor exercise machine the Kegel8 Ultra 20 Pelvic Toner - it can help with stress urinary incontinence, prolapse and intimate sensation.
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