A urogynecologist prescribed physical therapy for me, which I had in 2018. It was covered by both Medicare and our Medigap policy, which is the federal Blue Cross/Blue Shield plan known as CareFirst. I am probably going to need surgery because the pessary I was using was causing an ulcer with bleeding. I had to take a vacation from the pessary to allow the ulcer to heal. After the second vacation, the pessary would come out when I went for a walk, even when the doctor had inserted it.He tried the next size, but determined that it was too large. When it worked, the pessary held things up well. Without it, the vaginal wall bulges out, which is very uncomfortable and sometimes causes some incontinence. I was in touch with the physical therapist again recently to ask whether the exercises are still helpful at this point. She said that even if I have surgery, strengthening those muscles will help in recovery. I hope this is somewhat helpful.

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