@pammunson I have used a pessary for about the last 12 years, I am 72. I have a cystocele (bladder prolapse). I didn't want to do the mesh sling, as it was getting a lot of negative reviews at the time. It may be more improved now but I am not sure-the pessary is a good way to go if you don't like the idea of a surgery and long recovery time. I use a cube pessary which was the best fit for me. At a uro-gynecologist's office you should be able to try different types of pessaries to see the one that best fits your body. I am able to take mine in and out myself, which does seem to be a problem for some women. Just takes a bit of perseverance as you adjust to using it. You can usually resume your sex life, just take it out beforehand.