Is your pessary a mistake?

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Is your pessary a mistake?

Рет қаралды 8,903

Күн бұрын

If you failed, this was where you ended up...
But is how we use pessaries changing?
Does earlier fitting give your tissues & your nervous system a break?
Can we think of them as temporary orthotics or are pessaries for life?
What do YOU think?
carriepagliano...
Dr. Carrie Pagliano has been a dynamic leader in clinical care and education in the areas of women’s/pelvic health and orthopedics for nearly 20 years. Dr. Pagliano received her Masters in Physical Therapy from the University of the Sciences in Philadelphia in 1999 and Doctor of Physical Therapy from the University of St. Augustine for Health Sciences in 2007. Dr. Pagliano is a double Board Certified Clinical Specialist in Orthopaedics and Women’s Health and holds Manual Therapy Certification from the University of St. Augustine for Health Sciences. Dr. Pagliano is the founder of Carrie Pagliano PT, LLC. For over 10 years she was the program lead/founder for the Pelvic Physical Therapy clinical program/physical therapy residency at MedStar Georgetown University Hospital in Washington, DC.

Пікірлер: 64

@elinsd 4 ай бұрын

I'm 64, had stage 2 prolapse in August, 2023 and Kagel made the leakage worse so I stopped doing it right away. It had gotten worse to stage 3 in early 2024 so I decided to try the ring pessary. It was a god sent and gave me all the support I needed. I didn't feel a thing and was able to get back to normal right away for the most part. I first tried a smaller size and it fell out in two days. I tried to put it back in myself but wasn't able to push it in deep enough while keeping it folded. Then I was re-fitted with a larger size and this one has been staying in pretty well. I requested to schedule a cleaning/refitting every three month as I couldn't do it myself. The pain, discomfort, and leakage before using the pessary stopped me from doing anything that requires standing for as short as 3~5 minutes and it was horrible. I thought about going for surgery as soon as possible and the pessary saved me. I still want to fully enjoy my go-go retirement years.

@carriepaglianopt 4 ай бұрын

Glad you found something that worked for you!

@jeanspella2672 2 ай бұрын

I didn't hear of a pessary until a few months ago when my sister got one as she waited for the procedure to get a hysterectomy. Im 69. In last four years I have not seen a doctor on a regular basis. I looked on the internet as to why I had fullness feeling in the uteres area. I was surprised to find prolapse is common for women that went through child birth. I don't remember a doctor ever mentioning anything about this condition as being something to watch for. I bought myself a belt that holds the pelvic floor and that helped a lot for more than a year. After hearing about the pessary I made a doctor appointment and got one before a 3 week long road trip that I came back from just days ago. Wow! I'm so thankful for this device. It has been a big relief regarding the ease of it and not having to fumble with velcro closure tabs that were losing their grip. I didn't bother with it during the trip other than to use a cream a few days each week. ( I cleaned it after I got home) I plan to use indefinitely but not sure of negative side effect the pharmaceutical cream may have after a long period of time. I prefer not to have a hysterectomy.

@carriepaglianopt Ай бұрын

Great to hear! SO many more conversations about pelvic health concerns including prolapse. There's a lot more that we can do now as we're understanding why these things happen & we don't have to just accept it! Glad you found what works for you!

@grtex-tk1ok 6 ай бұрын

The doctor put it in. I can take it out but can get it in. It is to difficult to get in even though it is folded in half using lubricant.

@carriepaglianopt 4 ай бұрын

Some people have an issue with it for sure

@marissagonzalez7195 6 ай бұрын

My pessary was a mistake😢 made me bleed therefore gave me infection. Today Im worse.

@carriepaglianopt 4 ай бұрын

Sorry. Sounds like the tissues may not have been in good shape or the pessary wasn't fit well

@DebbieStarrJacksonActor 5 ай бұрын

MY 88 YR OLD MOM HAS HAD A PESSARY IN FOR 6 YEARS WITHOUT HAVING IT TAKEN OUT. SHE HAS BEEN BLEEDING FOR OVER 2 YRS STRAIGHT. I HAVE FOUND HER 6 SPECIALISTS, AND NOT UNTIL I GOT HER INTO A SMART FEMALE OB/GYN DID ANYBODY MENTION THEY SAW THIS PESSARY WAY UP INSIDE HER. SHE WAS TOLD SHE CAN'T HAVE SURGERY ON IT OR IT WOULD CAUSE A COMPLETE PROLAPSE. SHE HAS BEEN AND OUT OF HOSPITALS AND MEDICAL CARE FOR THE LAST 2 YRS. SHE GAS HAD MANY TESTS, XRAYS, SCANS, AND EVEN SURGERIES WITHOUT ANY DOCTOR SEEING THIS PESSARY. WHAT WOULD YOU SUGGEST DR.CARRIE?

@DebbieStarrJacksonActor 5 ай бұрын

😢

@carriepaglianopt 4 ай бұрын

I think your mom is lucky to have you advocating for her & needs providers who will help her make the safest choices for the best quality of life!

@naturegirl4074 4 ай бұрын

Omg that is just insane. Someone needs to get it out of her

@naturegirl4074 6 ай бұрын

Yes using it only sometimes is better for me because the weak back wall….

@carriepaglianopt 4 ай бұрын

Makes sense

@mmej726 6 ай бұрын

my uterus is down n out. i have a pessary for 20 yrs. i can do anything. i take off clean it, put gel on it n i put it back in. i rather have a pessary than surgery. why PT fitting the pessary not an OBGYN?

@carriepaglianopt 4 ай бұрын

This is a newer option. Easier to get appointments & less barriers to access.

@marissagonzalez7195 6 ай бұрын

I was fitted January 26 and it was good for a couple of days. I was so happy to feel so comfortable guess what? Ive been bleeding super irritated and now it feels like the prolapse is coming back down a little. I only feel comfortable laying down😢

@carriepaglianopt 6 ай бұрын

Definitely worth a recheck & fitting. Super important that the tissues aren't irritated and also in good health. Shouldn't be uncomfortable at all.

@marissagonzalez7195 6 ай бұрын

Thank you so much for your support. I went to my gyno she checked it and said it was twisted I guess by itself or a movement that I made have no idea. She examined me and said I had an infection and irrigated the area, put me on a vaginal cream and antibiotics. Im reschedule fir tomorrow 16th but have decided not to use it again. My prolapse has gotten worse. Supper upset and frustrated She also mentioned that my urethra is not looking normal and referred me to a specialist. Im 73 and not looking forward to getting older. Thank you for your video.

@marissagonzalez7195 6 ай бұрын

I was fitted last Friday. I hope ot works im super doubful.

@carriepaglianopt 6 ай бұрын

Why are you doubtful?

@marissagonzalez7195 6 ай бұрын

I was bleeding had to remove it and now my urethra is messed up.

@naturegirl4074 4 ай бұрын

@@marissagonzalez7195 wow! What kind of pessary? How are you doing now?

@user-zj3xf7so8o 2 ай бұрын

I have my third pessarium now. First was out in 40 meters walk and 2 stair steps. The second managed to stay in for 50 meters and a full stair. The second I have taken home. After a few days I tried to insert the pessarium myself at home. It stayed in for several hours. Walking and cycling no problem. Peeing was fine, but with pooping the pessarium came out. Shit. But the support was just fine. The first two were with disks with supporten membrane and holes. Then the gynaecologist fitted me a third, a simple ring. It felt unpleasant, with pressure all over the pelvic area. We agreed to give it a bit more time. After a few hours I took it out. Immediately the headache was gone. Actually, today I have inserted it again. Unpleasant. I try to keep it in for the 8 hours. Luckily I still have the second pessarium.

@carriepaglianopt 2 ай бұрын

Getting a good pessary fitting can be challenging. Sounds like you have a provider who's willing to work with you

@shirleymancino6809 2 ай бұрын

I have had a pessary for about 10 years…ring type…first one was larger but was causing abrasions so my gym switched me to a smaller one. No more leaking when I walk, dance, play tennis, cough. It is a godsend and I highly recommend his device. My attempts at kegels don’t work and I sometimes have mild infections after removing or inserting. Don’t have a prolapse. I have difficulty getting it out myself but I use a dental floss string to help me get it out. I am 78 …are you suggesting that I can get along without it at some point?

@carriepaglianopt Ай бұрын

We don't have a lot of information around tapering off pessaries. As we start to use them on patients who are earlier in their postpartum journey, that's when there's more opportunities for the anatomy to change in that first year & need support- more likelihood there to taper off. At 78, (of course depending on WHY you're having symptoms) I wouldn't mess with what's working! Glad it's helping you!

@4698mags Ай бұрын

I have had a pessary put in two weeks ago...the ring type, i suddenly had a sharp pain coming up to my navel and it was not gojng away, also i found when i went to urinate i had a burning in my bladder and that was stopping me from wanting to go to the bathroom just because i did not want the burning, so i promptly took it out, im a heart patient and i didnt want inflammation, i used some herbal stuff included aloes, probiotics and its stopped burning. I have a clinic appointment soon but i don't think I want the risk of a pessasry sgsin, im 78years

@carriepaglianopt Ай бұрын

If you're in pain definitely follow up with your referring provider. Super important that the fit is good, the tissue is healthy & tolerates the pessary. Should never hurt & you shouldn't feel it when it's in

@juneblack3513 8 ай бұрын

The round one falls out right away the tubular one I can't get out properly

@carriepaglianopt 7 ай бұрын

May need a re-fit or a different kind

@ResponsibleParties 22 күн бұрын

Hi, is it true that once you’ve reached stage 2 prolapse, no exercises will help?

@carriepaglianopt 11 күн бұрын

Nope. Not true at all. Prolapse stage doesn't always equate to symptoms. The goal isn't necessarily to change the anatomical stage, but to change the symptoms. Is this something you're navigating?

@ResponsibleParties 11 күн бұрын

@@carriepaglianopt thanks for your kind response. I am just about to start trying a series of exercises I found on KZfaq because at the very least I don’t want my stage 2 (bladder) and stage 1 (uterus) to become any worse. I was checked and so far no urine is being trapped, and I no longer have incontinence issues after a few therapy sessions that specifically addressed that

@ResponsibleParties 11 күн бұрын

Regarding symptoms, wanted to add that I hadn’t had any leakage when coughing, sneezing, etc…. Only when running to the bathroom due to stress .. Doctor thinks some of that was also psychological, partly because I’d had many UTIs in the past.

@sadaftaqvi4278 7 ай бұрын

Doctor insert 78mm ring pessery it came out when i went toilet.same as with 80mm.. I have blader and 2nd degree uterous prolapea

@844184411 6 ай бұрын

Hi - I also have a 2nd degree prolapse and my Pessary also fell out in the toilet.

@carriepaglianopt 4 ай бұрын

Sounds like it wasn't fitting

@sadaftaqvi4278 4 ай бұрын

Yes it was.not.fitted properly and was some small in size.. now i used 80mm and senior doctor fit it and check properly...now 3months after it is perfect and life is perfect easy mashaAllah..

@naturegirl4074 6 ай бұрын

I can’t because my back wall is so bad. I have hEDS and it presses against rectum. I’ve tried quite a few. Even the sponge does it :(

@carriepaglianopt 4 ай бұрын

Typically cube only works with mid level rectocele, not a low one.

@naturegirl4074 4 ай бұрын

@@carriepaglianopt mines very low. Ugh. Will PFPT help reverse it at all? I also have hEDS

@leonebritt4879 6 ай бұрын

What is a pessary anyway?

@carriepaglianopt 6 ай бұрын

Medical device inserted to support organs in the context of pelvic organ prolapse

@shirleymancino6809 2 ай бұрын

@@carriepaglianoptor urinary leakage

@grtex-tk1ok 8 ай бұрын

I hate a pesisary.

@carriepaglianopt 6 ай бұрын

I'm sorry to hear that.

@naturegirl4074 6 ай бұрын

I often wonder if the cube with its suction can actually make my prolapse worse?

@carriepaglianopt 4 ай бұрын

Any pessary needs to meet specific prolapse issues. No we'll fitting pessary should be making anything worse

@naturegirl4074 4 ай бұрын

@@carriepaglianopt thanks!

@naturegirl4074 6 ай бұрын

DM on what platform?

@carriepaglianopt 4 ай бұрын

@carriepagliano on IG

@naturegirl4074 6 ай бұрын

It’s sad to see women are getting the cube, which is supposed to be removed nightly, and they are being told it can be left in for days or weeeks

@carriepaglianopt 4 ай бұрын

Correct, it needs to be removed for cleaning. Education regarding proper care is paramount!

@naturegirl4074 4 ай бұрын

@@carriepaglianopt I’m in a group on FB called pessaries and pelvic organ prolapse. You would probably be appalled at how many women are fitted with a pessary and leave with no instructions to insert and remove it, and some get it placed and their providers don’t have them come on for 3 months to get it checked. The first pessary! There are at least 2 women now in horrible pain. Can’t remove the pessary on their own and have to wait weeks to get into their providers! It’s a travesty!

@StarreSierens 6 ай бұрын

This is a good idea as an option for younger bodies, however, after hysterectomy, post menopausal with a subsequent prolapse, this would not help 🫤

@naturegirl4074 6 ай бұрын

Have you tried?

@StarreSierens 5 ай бұрын

@naturegirl4074 I tried a pessary, no go. I now use a sea sponge; with no way to strengthen the vaginal tissue itself after lising elasticity, I don't see how this would work. Curious as to your thoughts.

@carriepaglianopt 4 ай бұрын

First conversation here would be hormones and pressure management. The architecture of the "neighborhood" changes when you remove parts. Makes it more challenging. Wasn't a concern years ago when that was our primary option but definitely a point for discussion these days

@naturegirl4074 4 ай бұрын

@@StarreSierens I also have trouble with pessaries and I do have recurrent prolapse as well. I used the sea sponge for a while. Are you using it estrogen cream topically? I feel like this is helped the tissue. I also have a Eds so it’s complicated

@StarreSierens 4 ай бұрын

@naturegirl4074 I use vaginal estrogen 2x/wk. I feel a difference the next day after, but seriously can't tell if it helps, other than my Urogyn telling me my tissues look healthy.