What is better: a pessary or suturing. Choosing a pessary: ​​types, forms, use. Mechanism of action of the obstetric pessary

Pessary Doctor Arabin or Juno - which is better according to customer reviews?

A woman’s inner peace and satisfaction directly depend on her intimate health, lack of women's diseases, as well as the ability to bear and give birth healthy baby. In order to avoid some women's problems, and also feel the joy of motherhood, sometimes you have to turn to specialists for help. Doctors in the field of gynecology, using special devices, help make every girl’s dream come true. Such devices include, for example, pessaries. They are a special product made of plastic or silicone, which is inserted into the vagina to hold the uterus in the required position. Now many women are wondering: which is better - the Juno pessary or the Doctor Arabin?

Types of urological products

– a real assistant in the field of gynecology. For about a hundred years, the family has been treating urological and gynecological pathologies. Pessaries produced by them are used for severe pathological processes, namely disorders of the ligamentous apparatus of the uterus and vagina, leading to prolapse or loss of the genitals.

The above medical products have several varieties.

1. Urogynecological. They are divided into filling and supporting. The latter include cup-urethral, ​​cup and ring pessaries. Such devices are recommended for the treatment moderate degree genital prolapse.

2. Obstetrics. Intended for the treatment of isthmic-cervical insufficiency (ICI) and are used to avoid premature birth. The mechanism of their effect is to reduce pressure on the cervix. They are also used for preventive purposes of suture failure during surgical correction of ICI.

The use of the above products makes it possible to do without surgical intervention when eliminating pathology.

Choosing the optimal model

Some women are interested in: which is better - the Doctor Arabin or Juno pessary? Due to the fact that the range of these products is quite wide, when choosing the required size and type, you should follow the recommendations of a professional. An experienced gynecologist, taking into account the structural features of the genital organs, will help you select them.

The differences between Doctor Arabin and Juno lie in the material of manufacture and the country of origin. Juno's pessaries are made from a biologically inert plastic compound, and Doctor Arabin's are made from high-quality silicone. Juno pessaries are produced by JSC " Medical Enterprise Simurg" (Republic of Belarus), and Doctor Arabin products are produced in Germany.

So which one better pessary German or Belarusian? Of course, unlike silicone, plastic is a harder material, and some believe that after installing such devices, an unpleasant feeling of discomfort may occur. However, it is worth noting that a properly selected device should not cause any concern.

A pessary during pregnancy is a device that is used to correct isthmic-cervical insufficiency. The material for manufacturing can be silicone or flexible plastic, and the shape of the product can be different.

What is an obstetric pessary and what is it for?

A uterine ring can be placed on the cervix to correct anatomical or functional isthmic-cervical insufficiency. Installation of this device is alternative option surgical correction of ICI during pregnancy.

What is a pessary? Most often, the product is made in the shape of a concave pyramid from a series of connected rings, which are distinguished by smooth semicircular edges. Wide part The device is directed towards the rectum, and the narrow one is directed towards the location of the symphysis pubis.

Compression of nearby organs does not occur due to the concave shape of the bases. The central part of the structure has a hole shifted towards wide base. To the side of the central hole there are holes of smaller diameter, the presence of which allows the discharge of secretions. There are jumpers between them, which are necessary to maintain the rigidity of the structure.

The mechanism of action of the device is based on the following components:

• reducing the load on the cervix due to the redistribution of fetal pressure;
• prevention of premature opening of the cervix;
• closing the cervix with the walls of the hole in the middle of the device;
• preservation of the mucus plug in the cervix, reducing the risk of infection.

Types of obstetric pessaries

This product is also called a uterine ring and is used to maintain pregnancy by fixing it on the cervix. However, in gynecology it can be used not only during pregnancy, but also during uterine prolapse. There are several varieties of these devices used in gynecological practice:

1. Urethral. They are distinguished by their ring-shaped shape, thickened outward. Used for simultaneous fixation of the urethra and uterus.
2. Cup perforated. They are distinguished by their cup-shaped shape. It has a large hole or perforations. Used in case of initial and medium degree uterine prolapse.
3. Calyceal-urethral. They combine the design features of previous types of devices.
4. Cubic perforated. They are a cubic device, the walls of which are concave inward. A cubic pessary has a hole designed to drain secretions. It is used in cases of severe uterine prolapse. It is worn for a short period of time (from 8 to 12 hours).
5. Mushroom-shaped. Looks like a ring on a stem, used in case of severe drooping uterus. Removed during the night's rest.
6. Hodge device. It is used in special situations when a woman’s uterus and vagina have certain anatomical features. Can take various forms.
7. Thin and thick rings are used for the initial degree of prolapse. The thin one maintains its shape due to the internal metal spring, and the thick one thanks to its thickness.

Quite often, a midwife pessary is used in one of these varieties:

• Arabin. It is made of silicone, the country of origin is Germany. It has the shape of a bowl, in the side parts of which there are perforations.

The assortment includes several standard sizes of the device, the specific one of which is selected based on the number of fetuses, the number of births in the anamnesis, the presence of changes cervical canal, type of opening internal pharynx. The dimensions of the device differ in terms of height and diameter. The device is produced in non-sterile form.

• Juno. It is made of plastic, the country of production is the Republic of Belarus. It is distinguished by its flat shape and has the appearance of a trapezoid due to the presence of additional rings. Sold sterile and available in several sizes.

These types of products are common in obstetric practice because they are reliable and do not cause discomfort or complications when worn.

Why install an obstetric pessary

The list of indications for installing the product during pregnancy includes:

• organic or functional isthmic-cervical insufficiency;
• prevention of dehiscence of sutures that were placed on the cervix during surgical correction of cervical incompetence;
• multiple pregnancy with increased risk early delivery;
• increased risk of developing ICI;
• aggravated medical history (including recurrent miscarriage).

Most of the clinical situations requiring the use of these devices are associated precisely with cervix failure. It is determined using, assessing the length, width of the cervix, as well as the condition of the cervical canal and internal os.

The results are compared with the gestation period to determine the appropriateness of corrective measures.

In such a clinical situation as true isthmic-cervical insufficiency (hyperandrogenism of ovarian or adrenal origin), in addition to the installation of the uterine ring, it is necessary to take certain medications that suppress excess amounts of male sex hormones (such drugs include Dexamethasone).

In the case of uterine tone, it is rational to prescribe tocolytic medicines(Azotiban) because constant tone may provoke early maturation cervix.

Which is better: sutures or pessary

Previously, ICI was only used to correct surgical method— a suture was placed on the neck. However, to replace this invasive technique a gentle decision was made about the possibility of installing a special fixing device. This method has these positive features compared to surgical correction:

• non-invasive;
• reducing the risk of infection;
• the possibility of installation in an outpatient setting (that is, there is no need for hospitalization);
• no need for anesthesia;
• ease of installation;
• no traumatic effect on the cervix and amniotic sac, that is, no stimulating effect on labor;
• less frequent development of disturbances in the natural balance of vaginal flora.

However, you need to understand that some clinical situations may require suturing with subsequent installation of the uterine ring, that is, there is not always a need for surgical correction measures.

The appropriateness of both methods is determined by the doctor depending on the clinical situation and the presence of contraindications, so it is impossible to unequivocally answer the question of which is better: sutures or a pessary.

The mechanism for installing a pessary during pregnancy

You should understand in detail how the pessary is placed. This product is installed between 16 and 34 weeks, most often in the second trimester.

Before installation, some preparation is required, which includes the following activities:

1. Exclusion of infectious and inflammatory diseases in the female genital tract. Carrying out rehabilitation if the situation requires it. At this stage it is required to take cervical smear and biomaterial from the cervix for bacterial culture with identification of susceptibility to medications.
2. If during the study it was recorded increased amount leukocytes, while there was no growth of pathogens, the doctor prescribes a course of suppositories with antiseptic components. In some cases an appointment is required antibiotic drugs.
3. Immediately before the administration procedure, you should empty bladder.
4. An hour before installation, antispasmodics (drotaverine) are taken.

The installation procedure itself is carried out on a gynecological chair, lasts several minutes and should be performed subject to sanitary rules. The following stages of ring insertion are provided:

• if the device itself is non-sterile, then before installation it must be disinfected according to the instructions;
• before installation, the specialist must wash his hands with soap twice, then perform an antiseptic treatment, and then put on sterile disposable gloves;
• antiseptic treatment of the vagina and cervix is ​​carried out;
• the device is lubricated with a sterile glycerin solution;
• the doctor installs the product;
• If the size is correct and installed correctly, the pregnant woman does not feel the device; to make sure of this, the specialist may ask the woman to cough.

Is it painful to have a pessary inserted?

Painful sensations during the installation process are determined to a greater extent psychological mood pregnant woman. Cervix does not have pain receptors, therefore during the procedure only discomfort due to overstretching of the vaginal walls. Future mom should not worry about being in pain during the procedure.

How to behave after installing a pessary

After this procedure, the woman is recommended to take vaginal smears every 2-3 weeks in order, if necessary, to identify colpitis in time and take measures to correct it. Also, after installing the pessary, every 3-4 weeks ultrasonography cervix to assess his condition. Every two weeks, the device and vagina are antiseptically treated with chlorhexidine and furatsilin.

If a woman has an obstetric pessary, she should:

• exclude active sex life, lifting heavy things, taking a bath and swimming in a pool or open water;
• regularly visit a gynecologist for smears and antiseptic treatment;
• watch your character vaginal discharge- with him pathological changes you should seek medical help immediately.

Possible complications while wearing

To the list of possible adverse reactions After installation the accessories are included:

• discomfort after prolonged sitting;
• displacement of the product and its movement into the vagina, which provokes the progression of colpitis;
• increased nature of vaginal discharge.

If colpitis is recorded, then curative measures, if they do not have the desired effect within 10 days, the pessary is removed.

One more serious complication is chorioamnionitis, that is inflammatory process, affecting shells amniotic sac and causing infection to enter the amniotic fluid.

You should also remember that if the size is incorrectly selected, the device may move and fall out, in which case a more suitable device must be inserted.

Can the ring fall off?

If the size is selected correctly and the installation procedure is carried out correctly, then the ring cannot fall out. If the device falls out, you should contact your doctor for the correct selection and installation of a new device.

Discharges after installation

Wearing the device may cause an increase in the volume of discharge from the cervical canal. Normally, they should be translucent or white, there is no itching. This is a physiological reaction of the body to the introduction foreign object.

It is important to remember that if the nature of the discharge changes, it becomes yellowish or greenish and is accompanied by uncomfortable sensations, then you should contact a specialist to determine measures to correct the condition.

When to remove an obstetric pessary

The product is removed at 37-38 weeks of gestation. In addition, removal may be required if:

• early departure amniotic fluid;
• bleeding;
• intrauterine infection of the fetus.

Childbirth after pessary removal

Childbirth after the procedure for removing the pessary can begin either after a few days or after 2-3 weeks. It is worth noting that the effectiveness of using this device in order to ensure normal gestation is 70-80%.

Sometimes doctors find out that a woman will have to get a pessary during pregnancy. Yes, there is nothing pleasant about this, but sometimes the installation vaginal ring simply necessary. Thanks to this device, a woman will be able to safely carry a child.

Why during pregnancy painful sensation
when changing position Violation in nature
woman comfortable

The device has justified itself, because thanks to it, in approximately 90% of cases, it is possible to prolong pregnancy to due date. More recently, instead of a ring, it was necessary to put stitches on the cervix. The operation required anesthesia, which can have negative consequences.

A gynecological pessary installed during pregnancy is often called a ring because of its shape. However, modern devices are very diverse and differ in appearance, according to form and purpose. You need to know that the device is used not only in gynecology and obstetrics, but also, for example, in urology. There are special urological rings. Also read about and.

During pregnancy, a silicone or plastic pessary is installed. Don’t be afraid, because this device will not interfere with the baby’s development. On the contrary, it will make the process of bearing a fetus as comfortable as possible. The devices vary in shape.

• donut type;
• mushroom-shaped;
• cup;
• stripes;
• cubic;
• round;
• oval.

In addition, devices come in several types: obstetric, therapeutic, pharmaceutical. Each of them is used for a specific purpose.

Only purchased from a pharmacy

What is the remedy for?

Let us dwell in more detail on why exactly a pessary is needed during pregnancy. The fact is that not all expectant mothers fully understand this. Not much evidence:

• suture failure after surgical treatment of isthmic-cervical insufficiency;
• prevention of ICN.

These are exactly the conditions where the cervix is ​​very soft or short and therefore dilates prematurely, causing miscarriage or labor.

Sometimes necessary for prevention

The ring allows you to preserve the process of bearing a child and prolong a pregnancy that is in danger of failure. Often the device has to be installed when carrying twins or triplets. It prevents premature birth in women diagnosed with ICI and those who are pregnant. multiple pregnancy. However, this device should not be the only treatment for ICI.

An unloading obstetric pessary allows you to keep the cervix closed, relieve tension from it and prevent premature softening. In addition, the pressure on the cervix is ​​reduced.

Many women are very worried when they are prescribed a pessary during pregnancy, look for photos of the device on the Internet and read reviews of those who have encountered the same problem. At the same time, it is with the obstetric ring that the process of bearing a baby will go smoothly.

However, there are several contraindications to ring installation. First of all, there is a suspicion of a frozen pregnancy. In addition, the procedure is prohibited if an inflammatory process appears in the genitals, or if bloody issues from the vagina.

Features of device installation

Previously, it was possible to suture the uterus only from the 20th week of pregnancy, since anesthesia had to be used. Nowadays, the installation of a pessary is possible during pregnancy for more than early stages. You just need to pick certain type rings. But most often the device is installed after 20 weeks. Usually between 28 and 33 weeks.

First of all, it is necessary to prepare the genital tract. To do this, it is necessary to carry out sanitation.

If there is any infection (thrush, for example), it will worsen while wearing the ring. Usually the doctor prescribes vaginal suppositories for treatment or prevention, and only after that the vaginal ring is installed.

Probably every woman is interested in how exactly the doctor will place a pessary during pregnancy. The procedure is simple and takes minimal time. It will take literally a few minutes. The woman empties her bladder and then sits in the gynecological chair. The doctor carefully inserts the ring through the vagina and installs it, after bending it. Before installation, the ring is lubricated with glycerin or any other moisturizer to facilitate its insertion into the vagina by increasing slip.

Woman feels discomfort when moving

Everyone’s sensitivity threshold is different, so during pregnancy, some girls will think about whether it hurts to put on an obstetric pessary. Sometimes girls celebrate severe pain, but doctors say that this is normal discomfort and psychosomatics. The discomfort, although unpleasant, is bearable.

If the uterus is toned or different high sensitivity, then half an hour before the procedure you need to take an antispasmodic. This will make it easier to move the installation of the ring. Doctors do not use anesthesia for this procedure. During pregnancy, a woman usually does not experience pain after installing a pessary.

Need to pay attention Special attention device care. After installation, the doctor tells the woman exactly how to care for the pessary during pregnancy. First of all, you need to maintain physical peace. Having sex is prohibited. Sometimes you have to use vaginal suppositories to prevent the development of sexually transmitted infections.

The doctor must monitor the condition of the vaginal microflora, so a smear is taken every 3 weeks. You will also have to go regularly gynecological examination so that the doctor monitors the correct placement of the device and possible complications. You should not touch the pessary yourself or try to adjust or remove it.

Can the ring fall off?

The expectant mother will feel the ring when changing position

Usually women quickly get used to vaginal rings. They do not cause discomfort and are almost not felt. However, during pregnancy, many people worry about whether the ring (pessary) might fall off. Yes, this happens. But this is rather an exception to the rule. Usually, the main reason for what happened is too big ring or violation of installation rules. When the device moves out of place, the woman immediately begins to feel that it is pressing. The expectant mother will feel it when changing position, it will be uncomfortable for her to sit.

If the doctor has chosen right size rings, and you follow all instructions, there is no reason to worry. The likelihood that the device will fly off is minimal. Sometimes girls feel that the pessary is set too low, because when washing it you can feel it. If you feel the sensations described above, you should not touch the vagina again. The main thing is not to forget about regular examinations with your gynecologist.

During pregnancy, the doctor individually selects an obstetric pessary. The shape and size of the device must correspond to the size and anatomical features of the woman’s internal genital organs.

Safe, hypoallergenic, biological materials. Usually special plastic or silicone, elastic, flexible, so it easily adapts to female anatomy. At the same time, it is quite dense. The pessary has a shelf life during which it is sterile. Please note that the device is disposable.

Discharges after installation

Sometimes you have to see a doctor ahead of schedule. In some cases, vaginal discharge may occur while wearing the device. You should immediately inform your doctor about this. Discharges are:

• bloody, cinnamon;
• greenish or yellow;
• liquid, odorless and colorless.

Be aware that a pessary installed during pregnancy very often causes an increase in leucorrhoea. This is a completely natural phenomenon. But some time after the procedure they become transparent liquid discharge manifest themselves in large quantities. This phenomenon means that the body is trying with all its might to get rid of a body that is foreign to it. If you are still worried that something has gone wrong, it is worth taking a water leak test.

Bloody or brown discharge may occur immediately after ring installation. They are usually quite scarce. There is no need to worry about this. If they occur while wearing the ring, you should immediately call a doctor.

If there is discharge, consult a doctor

Greenish and yellow discharge indicate bacterial infection. She demands compulsory treatment. In this case, the doctor prescribes therapy. If the course of treatment is ineffective, the ring will have to be removed for a while.

Violation of the integrity of the fetal bladder is characterized by liquid heavy discharge odorless and colorless. Sometimes a weak one appears sweetish smell. This condition also needs immediate treatment.

After removing the vaginal ring, mucous discharge may appear. It's coming out cervical mucus, which has accumulated over the entire period of wearing the device. There is a significant lack of adaptation. Due to its decrease, inflammation of the vaginal mucosa may begin to develop - colpitis. Pay attention to possible unpleasant sensations that are observed during discharge: itching in the vagina, severe irritation. This is also a reason to call the gynecologist.

When is the gynecological ring removed?

During pregnancy, you need to know at what weeks the pessary should be removed. If the process of bearing a child goes well and no complications arise, then the obstetric ring should be removed at 38 weeks. Sometimes it starts soon birth process. The removal procedure is as quick as installation. After the manipulation, it is necessary to sanitize the birth canal.

Sometimes during pregnancy, the doctor removes the pessary ahead of schedule. The indications are.

1. The need for urgent delivery.
2. The emergence of infectious gynecological pathology.
3. Infection of the amniotic sac.
4. Rush of amniotic fluid.
5. The beginning of labor.

According to reviews on the Internet, a pessary during pregnancy allows you to carry the fetus to term as safely as possible. This is very important, because the life and development of the baby is at stake. Expectant mothers say that after having the ring installed, they worry much less about the consequences of ICI. A .

Ekaterina Trofimova:

I was treated for a too soft cervix. The pessary during pregnancy became a real salvation for me. It was just a little painful to install it, but you can be patient. The ring saved me from premature birth. It was not felt at all, so I led my usual lifestyle and worked almost until the 9th month.

Oksana Filatova:

I was being treated for threatened miscarriage. I read many reviews of girls who had a pessary installed during pregnancy. In the first days, my stomach hurt a lot, so I was under the supervision of doctors. A week later I stopped feeling the ring altogether. It was removed at 39 weeks, after which labor began almost immediately.

Lidiya Pekhtereva

I was treated for the threat of premature labor, and the doctor said that a pessary was necessary. There are a lot of expenses during pregnancy, so price was a deciding factor, and the cost of the method was relatively low. I wore the ring for about 10 weeks, but there was no discomfort. They removed it right before giving birth. It hurt. But they managed to deliver the baby calmly.

Dear girls:) For 3 years I’ve been here honestly answering questions about poop, colostrum, breastfeeding, threats, who’s age, whether the dress is good and whether the world will end. I understand that it’s more interesting to discuss mothers-in-law and fights on platforms, I’m a sinner myself, but now I kindly ask everyone who is “in the know” to respond to a question that’s very important to me important question.

During my first pregnancy I had ICI - isthmic-cervical insufficiency, which is when the cervix softens, shortens and tends to open long before the due date. They discovered it at 9 weeks, kept it until 18, and put a ring on it. This time, everything I drank and did to prevent the diagnosis, at 19 weeks my cervix was just beautiful - 37 mm, but yesterday, at 23 weeks, it was already 26. And it needs to be corrected in any case.

All four of me are in favor of a ring or a pessary, but the doctor (paid, I haven’t gone to a consultation yet and don’t want to yet) suggests stitches on the cervix. The argument is my symphysitis (symphysitis is inflammation of the symphysis pubis, separation of the pubic bones, it is painful and it threatens to rupture the symphysis during childbirth, which is what I had last time). He says that the ring will put pressure on the bones, and they will diverge even more.

So - attention - question!

Who had cervical stitches stitched - was a ring offered as an alternative? Have you asked yourself? What were the arguments for the stitches? Or simply no one mentioned rings and pessaries, and you didn’t know?

Who had the ring put on - were there any complications from the pelvis or pubic symphysis? Was it painful to put it on? On the forum I read the opinion of girls (not doctors) that it hurts especially those who have symphysitis. It hurt me the first time.

The experience of friends and relatives is also suitable if the information is reliable, and not “my mother’s friend said about the daughter-in-law of her godfather’s brother.”

Below is background information for those who are interested:

Obstetric pessary

An obstetric pessary is a small plastic or silicone medical device that is inserted into the vagina to hold the uterus in a certain position. An obstetric pessary is used in obstetrics to prevent premature birth in pregnant women with isthmic-cervical insufficiency (ICI) and to prevent the development of this pathology. The effectiveness of this method of correcting ICI is 85%. The obstetric unloading pessary has been used in a number of countries (Germany, France) for more than 30 years, in the CIS countries (Russia, Belarus, Ukraine) for more than 18 years.

Mechanism of action of the obstetric pessary

The mechanism of action of the obstetric unloading pessary is based on reducing the load on the cervix due to a decrease in the pressure of the fertilized egg.

Indications for use of an obstetric pessary

• functional and organic isthmic-cervical insufficiency;
• prevention of isthmic-cervical insufficiency in pregnant women;
• prevention of suture failure during surgical correction of ICI.

Obstetric pessary

Meyer ring

Suturing the cervix

Indication To surgical treatment serve as progression of ICN: change in consistency and shortening of the cervix, gradual increase(“gaping”) of the external pharynx and opening of the internal pharynx.

Contraindications to surgical treatment of ICN in pregnant women they consider: diseases and pathological conditions which are a contraindication to continuing pregnancy (severe forms of disease of cardio-vascular system, liver, kidney, infectious, mental and genetic diseases), symptoms of threat of interruption, birth defects fetal development, non-developing pregnancy, III-IV degree purity of the vaginal flora, the presence of pathogenic microflora in the discharge of the cervical canal. AT 2 recent cases preliminary sanitation of the genital tract is necessary.

The most effective for prolonging pregnancy at the 17th Congress International Federation obstetricians and gynecologists (FIGO) was recognized surgical correction ICN using a circular suture in the area of ​​the internal os according to the Shirodkar method (the suture is almost completely immersed in the mucous membrane of the cervix). If they produce caesarean section, the suture is usually not removed.

The second method of suturing the neck is the Mac Donald method - simple procedure, which occurs with less blood loss, is less traumatic for the cervix compared to the Shirodkar method. A simple purse-string suture is placed on the cervix.

Suturing the cervix for ICN

Article outline

Age-related changes that occur in women in adulthood, as well as the presence of various gynecological diseases can contribute to a change in the position of the uterus, its descent down and movement towards the exit from the vagina, towards the natural passage and out. This is inconvenient and is fraught with the appearance of various infectious diseases. Good decision When the uterus prolapses, a uterine ring becomes present.

Prolapse and prolapse of the uterus - what is it?

Classification

Used in gynecology different kinds pessaries. They differ depending on the diagnosed form of prolapse, individual anatomical features buildings internal organs women, as well as with accompanying urinary problems.

There are several types of pessaries - ring and ring thick. This type used for mild to moderate cases, it has an internal elastic element that helps to effectively correct prolapse of the uterine body.

Cup and cup perforated pessary used for mild to moderate prolapse.

Urethral has a special device that supports the urethra. Used for urinary incontinence caused by uterine prolapse.

Urethral cup pessary used for mild to moderate prolapse. It is cup-shaped and helps support the urethra and prevent urinary incontinence.

Khoja Pessary– an elastic device helps in cases where it is not possible to use conventional means. It is used for severe forms of uterine prolapse, when identifying the anatomical features of a woman’s structure. It is made in the form of a ring, inside of which there is elastic reinforcement, which allows you to change and give the desired shape to the structure.

Perforated cervical pessary made in the form of a deep bowl. It has a large main hole and small holes all around. The device helps to correct moderate uterine prolapse, and is also actively used as prophylactic to prevent early birth in women with short neck uterus.

Cubic and cubic perforated pessary made in the shape of a cube, but without sharp corners. There are holes for the outflow of vaginal secretions. For convenient removal of the device from the vaginal cavity, a strong thread is provided. These models are used when severe degrees prolapse and are intended for use in a short time(from 6 to 12 hours).

Mushroom-shaped pessary has a mushroom-like configuration. There is a thickening at the base of the leg. Designed for maximum deep insertion into the vagina. This type of device is used for a short time when it is not possible to use traditional forms. It installs on daytime and leaves for the night.

All designs have a size, which is very important and is selected individually. The parameters obtained as a result of clinical calculations of vaginal capacity are taken into account. This is done using special fitting rings. Self-determination of size is fraught with consequences that promise ineffectiveness and futility in using this device.

Indications for use

You need to start using the ring for prolapse in the initial phase of the disease. An analysis is performed before the procedure. They take a smear to check for the presence various infections. There are cases when a doctor mandatory prescribes the use of the device. This:

• the patient's categorical refusal to undergo surgery;
• the need to conduct a preliminary procedure before surgery;
• significant prolapse or prolapse of the uterus;
• the appearance of urinary incontinence;
• need for analysis after operations;
• an ideal way to maintain pregnancy.

Contraindications

Despite the excellent characteristics and significant assistance to the woman uterine rings have some contraindications. They are not recommended for:

• pathologies of development of the genital organs;
• cervical erosion;
• colpitis;
• inflammation of the cervix;
• various formations in the pelvis;
• bleeding with unknown causes;
• acute infectious diseases.

When using the product, it is possible that side effect. As a result, inflammation of the urinary canal or vaginal walls in areas of contact may occur.

How to use it correctly

The doctor or the patient under his supervision must select the device, install and remove the gynecological ring for the first time. The main task of the pessary is to hold the uterus in correct position. In this regard, there should be no discomfort or inconvenience when wearing. Stages of the procedure:

• Since the rings are non-sterile, you must thoroughly wash the product with soap before use. This is done before and after each use;
• to prevent injury and avoid internal damage the device needs to be lubricated special compounds, facilitating sliding;
• Before administering the drug, the organ that has changed its position is returned to its natural position. The patient is in a gynecological chair, in cases where the procedure is performed in a clinic and lying on his back at home;
• the compressed ring is inserted into the vagina. It opens up inside. It is important that the device does not cut into, but tightly touches the cervix. Only after completing all the actions can you rise.