Pessary Fitting
A pessary is a silicone device that goes in the vagina to support the pelvic organs. Pessaries come in different shapes and sizes and are used to help manage symptoms associated with pelvic organ prolapse and bladder leaks.
A doctor's referral for pessary fitting is required before your initial fitting appointment.
What is a pessary?
A pessary is a silicone device that goes in the vagina to support the pelvic organs. Pessaries come in different shapes and sizes and are used to help manage symptoms associated with pelvic organ prolapse and bladder leaks.
A pessary sits inside the vagina and provides support to the vaginal walls and/or pelvic organs. It is a non-surgical treatment option that can help improve comfort, function and quality of life.
Pessaries are available in several styles and sizes. The most appropriate option depends on your anatomy, symptoms, activity level and individual needs.
What might a pessary be used for?
Pessaries may be recommended for individuals experiencing:
- Pelvic organ prolapse
- Vaginal pressure, heaviness, or bulging
- Bladder symptoms: improvements in urinary leakage, particularly with physical activity, or difficulty emptying the bladder
- Bowel symptoms: supporting the vaginal wall may help with bowel movements
- Can be used alone or alongside pelvic floor physiotherapy; helpful for those who wish to delay or avoid surgery or want extra support during exercise
What is involved in a pessary fitting?
- 1
Initial consultation and assessment
Arrive with a full bladder if possible. We discuss your symptoms, medical history and goals, and perform a pelvic health assessment.
- 2
Pessary selection and fitting
With your consent, we perform an internal exam and speculum check, then trial an appropriate pessary style and size for fit and comfort. This may require a second visit or referral back for medical clearance.
- 3
Functional testing
You will be asked to stand, walk, cough, jump, squat and pee to confirm the pessary stays in place and allows normal urine flow.
- 4
Education and instructions
We go over care, cleaning, side effects and warning signs, and, if appropriate, self-removal and reinsertion.
- 5
Follow-up
Follow-up visits are scheduled at 1 week, 1 month, and 3 months after your fitting.
Pricing and Insurance Coverage
$242
Initial Pessary Fitting Assessment
60 minutes
$189
Follow-Up Appointments
45 minutes
$150+ tax
One-Time Pessary Supply Fee
The initial assessment and follow-up appointments are billed as physiotherapy services and may be eligible for reimbursement through your extended health benefits, depending on your individual plan.
The $150 pessary supply fee covers the pessary you take home and keep, regardless of how many styles or sizes are trialled during your fitting. This fee is billed separately as a medical product and cannot be claimed under physiotherapy benefits. However, some extended health plans may provide coverage for medical devices. We encourage you to check directly with your insurance provider.
Please note: A doctor's referral for pessary fitting is required before your initial fitting appointment. A new doctor's note is not required for routine follow-up visits.
Questions about your referral? Call (250) 999-0568 or email client care.
Frequently asked questions
Does getting a pessary fitted hurt?+
Pessary fitting involves an internal vaginal examination, speculum exam, and insertion of a device. You may experience some pressure or mild discomfort, but the process should not be painful. We will work at your pace, communicate throughout the appointment and respect your right to pause or withdraw consent at any time.
What is the follow-up schedule?+
Initial follow ups will be scheduled at approximately 1 week, 1 month, and 3 months. Those who are self-managing their pessary may not need ongoing follow ups. Those who need someone to insert and remove the pessary for them will need ongoing follow ups every 3 months.
Can I still exercise with a pessary?+
Yes! Many individuals find that a pessary helps them feel more comfortable and supported during exercise and physical activity. We will assess how your pessary responds to movement and discuss any activity-specific considerations.
Can I have sex with a pessary in place?+
This depends on the type of pessary. Some can remain in place during penetrative vaginal intercourse, while others need to be removed beforehand. Your physiotherapist will discuss this with you when selecting an appropriate device.
Will I need to wear my pessary forever?+
Not necessarily. Your needs may change over time, and pessary use can be adjusted or discontinued depending on your symptoms, preferences and pelvic health. You can discuss changes to your management plan with your physiotherapist.
Does a pessary replace pelvic floor physiotherapy?+
No. A pessary provides mechanical support, whereas pelvic floor physiotherapy addresses muscle function, coordination, strength, relaxation and strategies for managing pelvic floor symptoms. The two approaches can complement one another.
Can I stop using my pessary if I don't like it?+
Absolutely. Pessary use is voluntary. You can choose to discontinue use at any time, and your physiotherapist can discuss alternative treatment options with you.
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Learn more →Ready to book your pessary fitting?
Book your in-home fitting online, or call us at (250) 999-0568 if you'd like to chat first. A doctor's referral for pessary fitting is required before your initial fitting appointment.