Recommended for a woman with a low or shallow pubic notch
It is recommended for a woman with a low or shallow pubic notch who cannot retain a ring pessary. It is ideal for a woman who wishes to maintain sexual activity but requires more support.
Pessary use is part of a shared decision‑making process and can be continued long‑term if effective and well tolerated, enabling many women to maintain normal daily activities with reduced prolapse symptoms. The POGP guidelines emphasises the importance of assessing fit and symptom relief during the initial fitting and during scheduled reviews, and adjusting size or type if necessary to achieve optimal comfort and retention. [1]
Silicone cube pessaries are available from Mediplus in a variety of sizes. These are more pliable than the PVC pessaries and as they can fold, are often easier to insert. Silicone pessaries are more expensive to buy but can be washed and re-inserted on many occasions. [1]
To learn more about different pessary types please click here.

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References:
1. Pelvic Obstetric and Gynaecological Physiotherapy (2025). POGP Clinical Competency Framework for Pelvic, Obstetric and Gynaecological Physiotherapy. United Kingdom: POGP Education Committee. pgg_guidance_v8copy_2.pdf