@harper7745

Hi,
There are a lot of discussions on this and yes, it is very common. I was diagnosed about 3 years ago with stage 4 prolapse. The pessary was the best thing I did. You will need to try a few different options as there are different types and sizes. I take mine out twice a week overnight and use a low dose estrogen cream at those times. I also do pelvic floor exercises. My doctor scheduled pelvic floor PT sessions but I only went to two sessions because I was going out of town for an indefinite period of time and never resumed.

I tried 3 or 4 different types and sizes until I found the right one. You should not be even aware you have one inserted so, if it is uncomfortable or hurts or falls out, try another type or size. The doctor will show you how to insert and remove. It does help suppress the urge to urinate. If he does suggest pelvic floor therapy and your insurance pays for it I would recommend trying that also or goggling some exercises to do on your own.

Estrogen decision depends on your age and discussion with your Doctor and my dose is very low…it is to prevent or help vaginal dryness as you age. Usually , along with a cystocele comes a rectocele in some cases. UTIs are common in the elderly and for those with a prolapse who don’t do anything about it.

I would avoid any surgery…my personal opinion . The good thing about a pessary is the ability to remove it whenever you want. The PT I went to that time had one…a ring with a hole, and said she did not have to remove for intercourse and her husband (also a PT in the practice) could not feel it.

Try the pessary…it’s not permanent and I recommend it highly. You should not have any problems inserting and removing if you are not troubled with arthritic joints or have a dexterity problem.

Good luck

FL Mary