While pessaries are an effective non-surgical option for managing pelvic organ prolapse, they can have several potential downsides that users may experience. These issues can vary in their frequency and severity among individuals.
Potential Problems with Pessary Use
The discomforts and issues associated with pessary use are generally manageable, but it's important to be aware of them. The common downsides include:
| Potential Problem | Frequency |
|---|---|
| Irritation and discomfort | Common |
| Discharge that can be smelly, colored, or bloody | Uncommon |
| Trouble passing urine or wetting yourself | Uncommon |
| Difficulty or pain with bowel motions | Uncommon |
Understanding the Downsides:
- Irritation and Discomfort: This is the most frequently reported issue. It can manifest as a feeling of pressure, soreness, or general irritation within the vaginal area. Regular cleaning and proper fit can help mitigate this.
- Discharge: Users may notice an increase in vaginal discharge, which can sometimes be odorous, discolored, or even tinged with blood. This can be a sign of irritation or, in some cases, infection.
- Urinary Issues: Some individuals might experience new or worsened difficulty emptying their bladder, or conversely, an increase in involuntary urine leakage (wetting themselves).
- Bowel Difficulties: Less commonly, a pessary might contribute to difficulty with bowel movements or cause pain during defecation.
Regular follow-ups with a healthcare provider are essential to ensure the pessary fits correctly, to address any side effects, and to maintain vaginal health. Adjustments to the pessary type or size can often resolve these issues.
