Vaginal Pessaries for Pelvic Organ Prolapse and Their Impact on Sexual Function

Sexual Medicine Reviews
Angie Rantell

Abstract

Pelvic organ prolapse (POP) is a common condition among parous women and its prevalence increases with age. Vaginal pessaries are one of the management options for women with prolapse. In the current health climate, where there are controversy surrounding surgical procedures, an increasing number of women are considering a pessary over surgical management. This article aims to provide an overview of POP, its associated symptoms, and the different types of pessaries available. It will go on to describe how sexual activity (SA) and sexual function (SF) needs to be considered as part of the pessary selection discussion, and common concerns expressed by women. A literature review was undertaken to record the current evidence regarding SA and pessary use, and clinical practice and experience are discussed. The main outcome of this study was to consider the preservation or restoration of SF in women using a pessary for prolapse. There are several pessaries available on the market that enable women to maintain SA, and for many of these it will not be noticeable to their partners. If, however, the woman or their partner finds the pessary uncomfortable or obstructing during intercourse, women can be trained to remove and reinsert their ...Continue Reading

Citations

Jun 20, 2020·Nature Reviews. Urology·Brigitte FattonStéphanie Huberlant
Oct 29, 2020·Female Pelvic Medicine & Reconstructive Surgery·Yi-Ting WangJin-Song Han

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