How Long Does a Pessary Last?

If you're using a pessary or considering one as part of your pelvic health plan, you're already taking an important step toward comfort and support in daily life. But a common question many people have is: “How long does a pessary actually last?”

Pessaries can be life-changing devices for managing pelvic organ prolapse or incontinence, but like any medical device, they have a certain lifespan.

Let’s take a look at how long you can expect your pessary to last, how to care for it, and when a replacement may be needed.

Typical Lifespan of a Pessary

Most pessaries are designed to last between 1 to 5 years, but this depends on several factors including material, frequency of use, care, and type.

1. Silicone Pessaries: Silicone models are the most common and medically preferred. With proper hygiene and regular check-ins with your healthcare provider, they can last up to 3-4 years.

2. Rubber Pessaries: Less commonly used today, rubber pessaries tend to break down faster and may need replacing every 6 to 12 months.Regardless of the type, your care provider should guide you on the best timeline based on your needs and usage.

lifespan of pessary

Key Factors That Influence Pessary Longevity

The actual lifespan of a pessary isn’t one-size-fits-all. These factors play a big role in how long your pessary remains safe and effective:

1. Type and Material

Silicone = longer-lasting, hypoallergenicRubber = shorter lifespan, breaks down quicker

2. Frequency of UseWorn daily vs. occasionally

Removed regularly vs. worn continuously

3. Individual Body Chemistry

pH levels and discharge can impact longevity and material wear

4. Hygiene and Maintenance

Regular cleaning can prevent infections and extend functionality

Proper Cleaning and Maintenance

Cleaning your pessary properly is a simple yet powerful way to support both comfort and lifespan.

General Cleaning Tips:

Remove and wash your pessary according to your healthcare provider’s instructions, usually every 1-2 weeks, or more frequently if advised.
Use mild soap and warm water, avoiding harsh chemicals.

Check for the Following During Cleaning:

Cracks or splits
Discolouration or texture changes
Unusual smell

If you notice any of these, it might be time for replacement.

Signs It May Be Time to Replace Your Pessary

It’s important to regularly monitor the condition of your pessary alongside your provider. Some signs it might be time for a replacement include:

Discomfort or increased pressure that's new
Cracking, splitting, or visible wear
Staining or change in texture
Reduced effectiveness (urine leakage, prolapse symptoms returning)
Irritation or discharge that’s new or unusual

Your provider may check your pessary typically every 3 to 6 months if you don't remove it yourself. Regular follow-ups are vital not only for comfort but for safety.

Common Types and Durability Patterns:

Ring Pessary: Often used for mild prolapse or incontinence and typically has a long lifespan.
Gellhorn Pessary: Designed for more severe prolapse. May be more prone to stress due to its design.
Cube Pessary: Offers suction support but often needs more frequent removal and cleaning.

Your choice of pessary will heavily influence the maintenance and replacement cycle.

When to Talk to a Health Professional

If your pessary no longer feels comfortable, provides support, or is showing signs of damage, don’t delay reaching out to your provider. It's also the right time to talk if:

You’re experiencing vaginal dryness or irritation
You’re planning lifestyle changes (e.g., increased activity postpartum recovery)
There’s a noticeable change in your pelvic symptoms

A professional reassessment can ensure continued protection and function.