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A nonsurgical option for pelvic support

If you’re experiencing pelvic pressure, urinary leakage, or the sensation of something “falling” in the vaginal area, you’re not alone, and there are solutions that don’t involve surgery. One of the most effective nonsurgical options is a pessary, which is a small, removable device inserted into the vagina to support the pelvic organs.

At Balance Medical, we offer personalized pessary fittings and insertions for women experiencing symptoms of pelvic organ prolapse or stress urinary incontinence. Whether you’re exploring alternatives to surgery or looking for symptom relief during your postpartum or menopausal years, a pessary can be a simple and empowering step forward.

What Is a Pessary?

A pessary is a soft, silicone device that’s placed inside the vagina to help support the bladder, uterus, rectum, or vaginal walls. It’s often used to relieve symptoms of:

  • Pelvic organ prolapse
  • Stress urinary incontinence (leakage with coughing, laughing, or exercise)
  • Vaginal pressure or heaviness
  • Discomfort during physical activity

Pessaries come in different shapes and sizes depending on your anatomy and the type of support you need. The right fit is key, and that’s where we come in.

Who Is a Pessary For?

Pessaries are a great option for women who:

  • Are experiencing pelvic organ prolapse
  • Want to avoid or delay surgery
  • Are postpartum and need temporary support
  • Have stress incontinence
  • Are not good candidates for anesthesia or surgery
  • Want a reversible, in-office solution with minimal downtime

Whether your symptoms are mild or more advanced, we’ll talk about your goals, walk you through the options, and help determine whether a pessary is the right choice for you.

What to Expect During a Pessary Fitting

Fitting a pessary is a comfortable, in-office process that starts with a gentle pelvic exam. We’ll determine the type and size that’s best suited to your anatomy and your symptoms. It may take trying a couple of styles before we find the perfect fit, and that’s completely normal.

Once the right pessary is inserted, we’ll ask you to walk, bear down, and use the restroom to make sure it stays in place and feels comfortable. You should be able to move, exercise, and go about daily life without noticing it’s there.

We’ll also talk about how often the pessary needs to be removed and cleaned, whether that’s something you’ll do at home or something we’ll manage for you with regular in-office care.

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Why Choose Balance Medical for Pessary Fitting?

We understand that pelvic floor issues are deeply personal and often under-discussed. At Balance, you’ll never be dismissed or told to “just live with it.” We take your symptoms seriously and offer real solutions that fit your lifestyle.

Here’s what sets our care apart:

  • We take the time to listen and understand your concerns
  • We offer a range of pessary types and sizes to find your best fit
  • We support you with education, reassurance, and ongoing care
  • We treat you like a partner in your own care, not just a patient

Dr. Rhonda Schafer-McLean brings years of experience in women’s pelvic health and is known for her patient, steady, and thorough approach. Whether you’re seeking relief from new symptoms or looking for an alternative to surgery, Dr. Schafer-McLean will walk you through each step with kindness and clarity.

We’re here to help you feel comfortable in your body, without pressure, shame, or discomfort.

Frequently Asked Questions About Pessaries 

Will I feel the pessary once it’s in place?

You shouldn’t. When properly fitted, a pessary sits comfortably inside the vagina and most women don’t feel it at all during daily activities.

Can I have sex with a pessary in?

Some types of pessaries need to be removed before intercourse, while others can stay in place. We’ll discuss what’s best for your lifestyle and preferences.

How often does the pessary need to be cleaned?

It depends on the type and whether you’re removing it at home or having us do it in the office. Many women come in every 2–3 months for a quick check and cleaning.

Is a pessary just for older women?

Not at all. Pessaries are used by women of all ages, including those who are postpartum or in their 30s–40s, looking for nonsurgical support.

What if I don’t like it or change my mind?

No problem, as pessaries are completely reversible. You can remove it at any time, and we’ll discuss other treatment options if your needs or preferences change.

Let’s Talk About What Feels Right for You

If you’re dealing with pelvic pressure, incontinence, or the feeling that something’s not quite right “down there,” you deserve real solutions and real support. A pessary may be just the thing to help you feel like yourself again.

Ready to explore your options? Schedule a visit or send us a message today. 

Founder & Medical Director at 

Dr. Rhonda Schafer-McLean is a board-certified OB/GYN with more than 15 years of experience caring for women throughout North Dakota. As the founder of Balance Medical and Bal Med Skin, she combines advanced medical expertise with a genuine, down-to-earth approach. Whether she’s performing surgery or helping someone feel more confident in their skin, Dr. Rhonda believes every woman deserves care that’s personal, approachable, and tailored to her life.