A pessary is a soft, removable medical device inserted into the vagina that provides structural support for pelvic organs. The device is most commonly used to manage symptoms of pelvic organ prolapse or stress urinary incontinence. Maintaining its cleanliness is fundamental to reducing the risk of vaginal irritation or infection. Proper cleaning and care also help maintain the integrity of the device material, ensuring its long-term functionality and effectiveness.
Cleaning Frequency and Preparation
Before handling the device for removal or reinsertion, thorough hand-washing is the first line of defense against introducing bacteria. Hands should be washed with soap and water for a minimum of 20 seconds, scrubbing beneath the nails and between fingers, then dried with a clean towel. The required cleaning frequency varies based on the device type and management.
Individuals trained to remove and reinsert their own pessary, often those with a ring pessary, typically clean the device daily or at least once a week. Some people remove the device nightly, cleaning it and reinserting it the following morning. For those who rely on a clinician, the device may stay in place for up to three months before a scheduled removal, cleaning, and examination appointment.
Step-by-Step Cleaning Instructions
Once gently removed, the cleaning process begins with a rinse under running water to clear away discharge or mucus. Holding the device under a stream of warm water helps loosen debris lodged in grooves or openings. This initial rinse prepares the surface for cleansing with soap.
Next, apply a small amount of mild, non-scented soap to the device. Gently rub the pessary between the fingers, ensuring all surfaces, particularly textured areas or indentations, are covered. Use only the fingers for this step, avoiding abrasive materials that could damage the medical-grade silicone or rubber.
Following scrubbing, the pessary must be rinsed completely under warm running water for at least 30 seconds. Inspect the device carefully to confirm all traces of soap residue have been flushed away, especially from internal curves or edges. Remaining soap can cause significant irritation or an adverse reaction upon reinsertion.
Essential Do’s and Don’ts for Pessary Care
Selecting the correct cleaning agent is important to preserve the device’s material integrity and prevent local irritation. Always use lukewarm water, as excessive heat can cause the silicone or rubber material to degrade and become brittle. If the pessary is not immediately reinserted, dry it thoroughly and store it in a clean, dry container or on a clean surface until its next use.
Avoid harsh chemicals such as bleach, hydrogen peroxide, rubbing alcohol, or vinegar, as these substances can weaken the material structure. Scented or antibacterial soaps should not be used, as their chemical additives can remain on the device and disrupt the natural vaginal environment. Never use scouring pads, brushes, or boiling water, which can cause microscopic tears or warping that compromise function and potentially irritate vaginal tissue.
When to Contact Your Healthcare Provider
Regularly inspecting the pessary ensures its continued safety and effectiveness. Look for visible signs of wear, such as cracking, splitting, or a change in flexibility, which indicate replacement is needed. While some discoloration is common and not harmful, a physical breakdown of the structure warrants a call to your provider.
Patients should seek immediate medical consultation if they experience symptoms suggesting a complication with the device or vaginal health. These red flags include:
- Persistent pain or discomfort.
- Unusual or foul-smelling vaginal discharge.
- Unexplained vaginal bleeding or pink-tinged discharge.
- Difficulty inserting or removing the device.
- The pessary falling out regularly, which suggests an improper fit requiring adjustment.