In-Home 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.
What is a pessary?
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?
1Initial consultation and assessment
Arrive with a full bladder if possible. We discuss your symptoms, medical history and goals, and perform a pelvic health assessment.
2Pessary 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.
3Functional 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.
4Education and instructions
We go over care, cleaning, side effects and warning signs, and, if appropriate, self-removal and reinsertion.
5Follow-up
Follow-up visits are scheduled at 1 week, 1 month, and 3 months after your fitting.
Pricing and insurance coverage
- Initial Pessary Fitting Assessment (60 minutes): $242
- Follow-Up Appointments (45 minutes): $189
- One-Time Pessary Supply Fee: $150 + tax
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.Ready to book? See in-home pessary fitting.
Want care tailored to you?
Connect with one of our mobile physiotherapists or kinesiologists for an assessment and a plan built around your body and goals.