Before inserting the pessary, prolapsed organs must be replaced to their correct anatomical position. Pessary is take out from the package, and its insertion must be performed (as in the figure below). To facilitate the insertion, the pessary should be lubricated with a small amount of lubricant, squeezed and, once compressed, inserted inside the vagina (fig. 2).Then, the pessary must be turned so that flat parts fit to vaginal walls (fig. 3). The wire for the removal must be user-friendly. To insert the pessary by herself, the woman will choose the most comfortable position (lying, standing, etc.). To remove pessary, you must catch the wire with fingers and softly moving and swinging, remove the pessary from vagina. Due to the elastic properties of silicone, the bother of the patient during insertion/extraction of the pessary is minimal.
To insert the pessary by herself, the patient can lay the leg on the chair or on the side of the bed and in this position proceed inserting the cube pessary inside the vagina. In case of some difficulties occur during the insertion by outstretched legs, it is suggested leaning against a wall or pronate.
