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Pessaries can be a fantastic support for women who experience prolapse. They can be fitted and prescribed by a pelvic health physiotherapist, doctor or continence nurse. The ring pessary (with or without supportive membrane across the middle) provides a moderately strong level of structural support for the bladder and uterus. Here are some helpful tips for inserting and removing your pessary. 1. Wash your hands and use lubricant as needed 2. You can lie down or stand to insert your pessary 3. You can fold it at the notches to make it more comfortable to insert and ensure it sits above the urethra and pubic bone. 4. To remove, get a finger through one of the larger holes and start to bring it down. Some people find doing a gentle Kegel as the remove it can help to narrow the width of the ring and create less stretch on the tissues. While other women prefer relaxing their muscles as much as possible during the removal. For pessary fitting in Calgary - visit www.lakeviewphysio.ca. No referral needed. This information is for educational purposes only and is not intended as personalised medical advice. Please seek professional guidance if you have any pain or concerns.