Pelvic Floor Health and Pessary Fittings by Brenda Surabian : Sacopee Midwives Blog
Sacopee Valley Birthing Services

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Pelvic Floor Health and Pessary Fittings by Brenda Surabian

by Your Midwives on 04/10/19

We need to start speaking openly about the health of our pelvic floor and how to care for it throughout our lives.  Pelvic floor dysfunction can impact our lives adversely and we can do something about it! 
Folks that are at risk for Pelvic Floor Dysfunction are not just those who have given birth vaginally!  Straining with bowel movements and poor positions while defecating, lifting heavy loads, high impact sports, C sections and other abdominal surgeries, lack of core strength, poor posture, excess weight, Perimenopause, and menopause can all impact the pelvic floor.  

There are various preventative practices and holistic health routines that can help you maintain a healthy pelvic floor. One of the most important practices that we can change easily and daily is how we sit on a toilet.  A squatty potty or Wells step is an important addition to everyones routine! 
It is wise to see a Physical Therapist that specializes in pelvic floor health if you have incontinence, pressure, bulging, constipation or a feeling of fullness.  I suggest people who are postpartum see a PT by 6 months for an evaluation.   
Primary steps to a treatment plan are pelvic floor exercises, biofeedback, and mechanical devices that help build coordination in the forgotten muscles of the pelvis. 
Both the lack of strength and ability to relax the pelvic floor muscles is often the cause of incontinence, pain during sex and can lead to more severe prolapses.

Pessary use is the secondary step.   It is  a useful first choice for stress incontinence, bladder or rectal dysfunction. Pessary use dates back to the 5th century!  Do you wear a panti liner when you run?  A ring pessary can be a helpful tool for those folks who enjoy running and experience stress incontinence.  In order to use a pessary, a person needs to be comfortable with their body and able to insert the pessary in their vagina.  Simple ring or dish pessaries are valuable for first and second degree prolapse and space filling pessary use helps 3rd degree. In cases where surgery is not an option then pessary use for 4th degree prolapse can be tried.  Surgery should be the last step in treating pelvic floor issues.  

The key to comfortable use is a good fit.  A practitioner needs to allot the time needed to fit a person well and provide education and future support. 

If your pelvic floor therapist recommends a pessary please call for more information and check out the resources  listed below. 

I provide

  • free phone consult to answer any questions you may have  
  • an initial fitting visit that lasts between 1- 1 1/2 hours
  • I will order a pessary that fits your needs  
  • a follow up visit in order to confirm the fitting and provide more education for use  
  • follow up visits as needed
  • discounted fee schedule   I do not bill insurance but will provide you a statement to request reimbursement.  

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