Physio-Led Vaginal Pessary Fitting in Norwich
Ellie Yuen Physiotherapy provides private pessary assessment, fitting, and follow-up led by a Chartered Pelvic Health Physiotherapist. A vaginal pessary can offer non-surgical support for symptoms of pelvic organ prolapse and may be considered alongside supervised pelvic floor physiotherapy. Appointments take place in a calm, confidential setting, and no GP referral is required.
Which Cliniko appointment should I book?
For a first fitting, choose Initial Pessary Fitting – 90 mins. For a review of a pessary already fitted by Ellie, choose Follow-up – 30 mins within the Pessary Fitting category.
What is a vaginal pessary?
A vaginal pessary is a small, removable medical device worn inside the vagina to support the pelvic organs and reduce prolapse or urinary leakage symptoms. It offers:
- Support for prolapse symptoms such as heaviness, bulging, or pressure while the pessary is in place.
- A non-surgical option that may help you continue everyday activity or exercise more comfortably.
- An option for people who wish to avoid or delay surgery, or who are not currently considering surgery.
- A treatment that can be used alongside supervised pelvic floor muscle training.
- A removable device with different shapes and sizes available; more than one fitting may be needed to find a suitable option.
Why choose a physio-led pessary clinic?
- No GP referral required.
- Direct access to a private, physiotherapist-led service.
- Integrated pelvic floor rehab for better long-term results.
- Ongoing support and pessary care education.
- A holistic, trauma-informed, consent-led approach.
This service combines expert vaginal assessment, pessary fitting, and physiotherapy-led rehab in one appointment.
Evidence and informed choice
NICE recommends considering a vaginal pessary for symptomatic pelvic organ prolapse, either alone or alongside supervised pelvic floor muscle training. NICE also advises explaining that more than one fitting may be needed and discussing possible issues such as discharge, bleeding, expulsion, difficulty removing the pessary, and changes in urinary symptoms.
The International Urogynecological Association’s patient information explains that different pessary types suit different needs and that finding the right size and shape can take more than one attempt.
- NICE: urinary incontinence and pelvic organ prolapse recommendations
- International Urogynecological Association: vaginal pessary information
What happens in a fitting appointment (up to 90 minutes)
- Initial consultation and health history.
- Full pelvic health assessment.
- Internal vaginal examination with a speculum (with your consent).
- Measurement of vaginal length, width, and cervix position.
- Assessment of prolapse severity.
- Trial of the most suitable pessary type (e.g. ring, ring with support, or cube).
- Guidance on insertion, removal, cleaning, and follow-up.
The pessary device itself costs £90, in addition to the appointment fee. See current appointment fees.
Our two-week success guarantee
If your trial is not suitable within two weeks, we offer a free follow-up re-fitting appointment, a review of size and style, and continued support to find the right solution.
FAQ
Do I need a GP or gynaecologist referral? No — as a trained pelvic health physiotherapist, Ellie can assess and fit pessaries independently in line with current guidelines.
Is the fitting painful? The assessment and fitting are carried out gently and with your consent. You may feel pressure or discomfort during examination or while trying a pessary, and you can ask to pause or stop at any time. A pessary should not remain uncomfortably painful once fitted.
What types of pessary do you fit? Support pessaries including ring, ring with support, and cube pessaries.
Can I still exercise with a pessary? Yes — many clients return to walking, Pilates, dancing, or lifting with more confidence once fitted.
Struggling with prolapse symptoms or bladder leakage? View appointments and book for expert, evidence-based support without the wait.