I have had a prolapse for about nine years, I assumed it was the uterus but apparently it is a rectocele. I was 70 when it first occurred and at first pessaries held everything in place reasonably well but as time went on they began to slip out and because of infection I had to go without one for weeks at a time. I asked to be referred to explore surgery but the consultant I saw said I was too old to risk surgery, I was about 75 then and in very good health. The GP prescribed topical oestrogen as the pessary slipping was due to vaginal atrophy but when I had breast cancer she cautioned against this. Just before COVID I was due to see the GP and was going to ask for another referral as I was completely unable to keep the pessary in place so I have been without a pessary since then and manage the prolapse by wearing support knickers and avoiding walks of more than a mile which is frustrating as I could walk much further and enjoyed it. I should see the GP again but I know there is little point in having another pessary inserted as it will slip out so keep putting it off.
In contrast my sister-in-law who is two years younger than me has a prolapse involving her bladder and hers is managed by the hospital rather than her GP. She has had it for about three years and her pessary now slips out of place. Right from the start the consultant said she would refer her for surgery if she wanted it it is her choice.
In summary I would say pessaries are a temporary measure and I wish I had been more proactive about seeking surgery. I would also recommend topical oestrogen to improve matters. I have also found that pelvic floor exercises are of little help.
Soops kitchen, a place of reflection, refuge and at times revelry.
Two years and still heartbroken
