Incontinence and Pregnancy

Vaginal pessaries are a common medical device used to treat a variety of gynecological conditions. Although not often discussed openly, these devices can significantly improve quality of life for many women experiencing pelvic floor issues. In this blog, we’ll explore what vaginal pessaries are, how they work, their benefits, and key considerations for using them. What Are Vaginal Pessaries? A vaginal pessary is a small, flexible device that is inserted into the vagina to provide support to the pelvic organs. It comes in various shapes and sizes, depending on the specific condition it is meant to treat. These devices are typically made of medical-grade silicone or rubber, ensuring they are both durable and comfortable for long-term use. Vaginal pessaries are primarily used to treat pelvic organ prolapse (POP), urinary incontinence, and other conditions related to the pelvic floor. Pelvic organ prolapse occurs when one or more of the pelvic organs (such as the bladder, uterus, or rectum) slip out of their normal position due to weakened or stretched pelvic floor muscles and tissues. Common Uses for Vaginal Pessaries Pelvic Organ Prolapse (POP): Prolapse occurs when pelvic organs, such as the bladder, rectum, or uterus, drop or bulge into the vaginal canal. This can happen due to childbirth, aging, menopause, or other factors that weaken the pelvic floor muscles. Vaginal pessaries help by supporting the organs and keeping them in place, preventing discomfort and improving symptoms like vaginal bulging and urinary leakage. Urinary Incontinence: Many women experience urinary incontinence, particularly stress incontinence, which involves leaking urine during activities like coughing, sneezing, or laughing. Pessaries can help reduce these symptoms by providing support to the bladder and urethra. Post-Surgical Support: After certain surgeries, such as a hysterectomy or pelvic floor surgery, a pessary may be used temporarily or long-term to provide support during the healing process. Benefits of Vaginal Pessaries Non-Surgical Solution: For women who are not ready or unable to undergo surgery, vaginal pessaries provide a non-invasive, low-risk alternative to manage pelvic organ prolapse and other conditions. Cost-Effective: Compared to surgical options or long-term treatments, vaginal pessaries are generally affordable, especially when considering the ongoing costs associated with surgeries or more complex medical interventions. Customizable Treatment: Pessaries come in a range of sizes and shapes, allowing healthcare providers to customize treatment based on the patient's specific needs and anatomical considerations. Improved Quality of Life: Many women report significant improvement in symptoms, including reduced vaginal bulging, pelvic discomfort, and urinary incontinence, leading to a better overall quality of life. Minimal Maintenance: Pessaries are relatively easy to maintain with regular cleaning and occasional adjustments by a healthcare provider. They can also be used temporarily or long-term, depending on the severity of the condition. How to Use a Vaginal Pessary Using a vaginal pessary is straightforward but requires some instruction from a healthcare provider. Generally, the pessary is inserted into the vagina, where it rests against the pelvic organs to provide support. Many individuals can insert and remove the pessary themselves, while others may need help from us. Here are the basic steps for using a vaginal pessary: Consult with a Healthcare Provider: Your physio will assess your condition and recommend the appropriate type of pessary for your needs. Insertion and Removal: Pessaries are typically inserted when lying down or standing with one leg raised. After insertion, the pessary should be checked periodically to ensure it stays in place. Your physio will also provide instructions for cleaning and maintaining the device. Regular Checkups: While vaginal pessaries can be worn for long periods, regular follow-up appointments with your healthcare provider are essential to monitor the condition and ensure the pessary remains effective and comfortable. Considerations and Possible Side Effects While vaginal pessaries are a helpful treatment option for many individuals, there are some considerations to keep in mind: Discomfort: Some individuals may initially experience discomfort or irritation when using a pessary, though this often improves as the body adjusts. A well-fitted pessary should not cause pain or excessive pressure. Vaginal Discharge or Infection: Regular cleaning of the pessary is essential to avoid vaginal infections or discharge. It is also important to use the pessary as directed by a healthcare provider to minimize risk. Need for Replacement: Over time, pessaries may need to be replaced due to wear and tear or changes in the shape of the vagina. Not for Everyone: While pessaries are an effective option for many, they are not suitable for everyone. Individuals with severe vaginal atrophy or other complicating factors may require alternative treatments. Vaginal pessaries are an essential tool in the management of pelvic floor disorders, particularly pelvic organ prolapse and urinary incontinence. They offer a non-invasive, customizable solution for many who seek relief from symptoms without opting for surgery. While the device may take some getting used to, the benefits—such as improved comfort and quality of life—make it a valuable treatment option for those affected by these conditions. If you think a vaginal pessary might be right for you, consult with your gynecologist, healthcare provider or pelvic health clinician to determine the best approach for your individual needs. With the right guidance and care, vaginal pessaries can help restore pelvic health and provide lasting relief.

We cover what is peyronies disease and conservative and surgical approaches to this condition. At Pelvic Health Melbourne we offer support and treatment for curvature, pain, and difficulty with intimacy.

Vulvodynia is a chronic and often misunderstood condition that affects the vulva, the external part of a woman’s genital area. Despite its impact on many women’s lives, vulvodynia remains underdiagnosed and underdiscussed. This blog aims to shed light on the condition, provide information on its symptoms, causes, and available treatment options, and offer guidance to those navigating life with vulvodynia. What is Vulvodynia? Vulvodynia is characterized by persistent pain or discomfort in the vulvar area, without an obvious cause or visible signs of injury or infection. This pain can vary in intensity and may feel like burning, stinging, itching, or soreness. For some women, the discomfort can be constant, while others may experience flare-ups triggered by specific activities, such as sitting for long periods, wearing tight clothing, or having sexual intercourse. While vulvodynia is not a life-threatening condition, it can have a profound effect on a woman’s daily life, affecting her physical health, emotional well-being, and quality of life. Common Symptoms of Vulvodynia Vulvodynia symptoms can vary greatly between individuals. Some women experience mild discomfort, while others endure more severe pain. The most common symptoms include: Burning or stinging sensations: This is the most frequently reported symptom, often described as a hot or sharp pain. Pain during sexual intercourse (dyspareunia): Many women with vulvodynia report pain during or after sex, making intimacy difficult or impossible. Soreness or tenderness: The vulva may feel sore or tender to the touch, making everyday activities like sitting uncomfortable. Itching or rawness: Some women experience a sensation of itching or irritation, similar to an allergic reaction, though it’s not caused by an allergy. Pain with prolonged sitting or tight clothing: Activities that put pressure on the vulvar area, such as sitting for long periods or wearing tight clothing, can increase discomfort. The pain can be sporadic or continuous, and there may be periods of relief between flare-ups. What Causes Vulvodynia? The exact cause of vulvodynia remains unclear, but several potential factors may contribute to its development. Understanding these potential causes can help women explore possible treatment options: Nerve Irritation or Damage: One of the leading theories behind vulvodynia is that it may result from nerve damage or hypersensitivity. The nerves in the vulvar region may become irritated, leading to chronic pain even without any obvious physical injury. Pelvic Floor Dysfunction: The muscles of the pelvic floor can become tight or weak, leading to pelvic pain and discomfort. Tight pelvic floor muscles can put pressure on the vulvar area, causing pain during daily activities and sexual intercourse. Hormonal Fluctuations: Changes in hormone levels, particularly during pregnancy, menopause, or after birth control use, may affect the vulva’s sensitivity and lead to vulvodynia in some women. Previous Infections or Inflammation: A history of yeast infections, urinary tract infections, or other inflammatory conditions in the genital area may be linked to the development of vulvodynia. In some cases, an infection can trigger a lasting pain response in the nerves. Genetic and Environmental Factors: While not fully understood, genetics and environmental factors such as stress or trauma may increase the likelihood of developing vulvodynia. For example, a history of sexual abuse may make women more prone to experiencing vulvodynia. Allergies or Irritants: Sensitivity to certain soaps, lotions, or laundry detergents can cause irritation to the vulvar area, and in some cases, this irritation may trigger vulvodynia symptoms. Diagnosing Vulvodynia Diagnosing vulvodynia can be challenging because there are no visible physical signs or tests to confirm the condition. Instead, doctors rely on a combination of medical history, a physical examination, and ruling out other potential causes of pain, such as infections or skin conditions. If you suspect you have vulvodynia, it’s important to consult with a healthcare professional, such as a gynecologist or pelvic floor physiotherapist. Your doctor or physio may perform a pelvic exam, including a tender point examination, to assess areas of discomfort. Treatment Options for Vulvodynia While there is no one-size-fits-all treatment for vulvodynia, several options can help manage symptoms and improve quality of life. Treatment often involves a combination of approaches tailored to the individual’s needs. Medications: Topical treatments: Over-the-counter or prescription creams, such as lidocaine or estrogen, may be used to reduce pain and inflammation. Oral medications: Antidepressants, anticonvulsants, or pain relievers may be prescribed to help manage nerve pain and chronic discomfort. Hormonal treatments: If hormonal changes are contributing to vulvodynia, hormone therapy or local estrogen treatment may help. Pelvic Floor Physiotherapy: Pelvic floor physiotherapy focused on relaxing and strengthening the pelvic floor muscles can be incredibly beneficial. A pelvic floor physiotherapist can teach relaxation techniques and help alleviate muscle tension in the vulvar area. Lifestyle Modifications: Avoiding irritants: Using gentle, unscented products for hygiene, avoiding tight clothing, and refraining from using harsh soaps or detergents can reduce irritation. Dietary changes: Some women find that certain foods, like acidic or spicy foods, can exacerbate symptoms. Keeping a food diary and adjusting your diet may help identify triggers. Psychological Support: Dealing with chronic pain can be emotionally challenging. Many women benefit from counseling or therapy to help cope with the anxiety, depression, or stress that may accompany vulvodynia. Support groups, either online or in person, can provide a sense of community and reduce feelings of isolation. Alternative Therapies: Some women find relief through alternative treatments, such as acupuncture, biofeedback, or mindfulness meditation. These therapies can help with pain management and stress reduction. Living with Vulvodynia Living with vulvodynia can be frustrating and emotionally challenging, but it’s important to remember that you are not alone. Many women are affected by this condition, and support is available. Reaching out to healthcare professionals, joining support groups, or simply sharing your experience with loved ones can make a world of difference. Vulvodynia is a condition that requires patience, persistence, and self-care. By educating yourself, seeking appropriate treatment, and advocating for your health, you can take steps toward managing symptoms and improving your quality of life. Conclusion Vulvodynia is a complex and often misunderstood condition, but with the right support and treatment, it is possible to live a fulfilling life. If you suspect you have vulvodynia or are dealing with unexplained pain in the vulvar area, don’t hesitate to reach out to a healthcare professional. Early diagnosis and intervention are key to finding relief and managing symptoms. Remember: your health is important, and you deserve care, understanding, and compassion on your journey to healing. If you found this post helpful, consider sharing it to raise awareness about vulvodynia. Together, we can help break the silence around this condition and support those who are affected by it.