Inserting or removing a pessary involves washing the hands thoroughly, using a water soluble lubricant and a folding technique for insertion, and using the finger to gently pull downward for removal, according to the University of California San Francisco Medical Center. Caring for a pessary involves weekly removal at minimum.
To insert a pessary, first locate the notches on the open ring and the openings in the support ring, suggests UCFS Medical Center. Next, hold the pessary between these points firmly and fold the device in half, making sure the curved area is turned upward. Place a water-soluble lubricant on the top area for more comfortable insertion, and gently push the pessary into the vagina as far as possible. It may be more comfortable to sit, squat or prop one leg up during insertion.
To remove a pessary, it often helps to bear down, according to UCFS Medical Center. This allows the pessary to move further down the vaginal canal. Use one finger to locate the rim of the pessary in the pubic bone area. Gently use the finger to tilt the pessary to a slight angle and gently pull down.
To care for a pessary, WebMD recommends following the instructions given by the physician. The schedule for cleaning a pessary varies according to the type and brand of device used. Regular cleaning is very important and reduces the risk of complications.