Exploring the Pessary: A Non-Surgical Option for Pelvic Support
(Free Mini-Course with Video Resource)
At The Pelvic Acu, we believe that understanding both Eastern and Western approaches to pelvic health makes us stronger practitioners and better advocates for our clients. That’s why we’ve created another free mini-course, this time focused on the pessary—a non-surgical medical device that can provide support for those experiencing pelvic organ prolapse or incontinence.
What is a Pessary?
A pessary is a silicone device inserted into the vagina to help support pelvic organs. It is often used in cases of:
Pelvic organ prolapse (uterine, bladder, rectal, or vaginal vault)
Stress urinary incontinence
Pre-operative preparation for surgery
For clients who prefer to avoid or delay surgery, a pessary can serve as a helpful option. While it doesn’t “fix” the prolapse, it can relieve symptoms, reduce discomfort, and allow clients to maintain their quality of life.
Types of Pessaries
There are two main categories of pessaries:
Support pessaries – such as the ring, lever, or incontinence ring. These are often suitable for stages 1–2 prolapse and can sometimes be worn during intercourse.
Space-filling pessaries – such as the Gellhorn, donut, or cube. These are more common for higher-grade prolapse, but some may be harder to remove or not compatible with sexual activity.
Each type comes with its own benefits and challenges, which is why it’s so important for clients to have open conversations with their providers—and for us, as pelvic care acupuncturists, to understand the options.
Why This Matters for Acupuncturists
Our role isn’t to prescribe or fit pessaries, but to support clients who may be considering or already using them. By learning about these devices, we can:
Offer compassionate, informed conversations
Provide integrative care alongside Western options
Use pelvic floor acupuncture to help improve awareness, muscle tone, and comfort—whether or not a pessary is in place