Ring Pessary Change Appointments

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If you have a pessary ring fitted for prolapse or incontinence, routine checks and management can feel like another strain on your schedule, especially if you’ve struggled to access care before. These appointments are designed for supportive, accessible pessary changes, which are important if you’ve had discomfort, discharge, or 3–6 months have passed since your last visit.

At our private clinic in Birmingham, we offer ring pessary change appointments with no GP referral required, no waiting lists, and same-day/next-day availability where possible.

How We Can Help

A ring pessary change is the routine process of removing your vaginal ring pessary, checking the vaginal tissues, cleaning the device, and reinserting your existing pessary, or replacing it with the same type/size where appropriate.

We’ll take time to understand how your pessary ring is feeling day-to-day, and we’ll talk you through each step of the appointment calmly and respectfully.

Who This Service May Be Suitable For

This appointment is for those who already have a pessary ring in place. These should be changed or cleaned every 3–6 months for hygiene. While some people can manage their pessary changes at home, clinical support helps make this more comfortable and can identify any issues with your pessary.

It can also be helpful if you feel the pessary ring has become uncomfortable, you’ve noticed new discharge or odour, or you’d like reassurance that the fit is still right.

What Happens During A Ring Pessary Change

During your appointment, your gynaecologist will ask about your day-to-day comfort and whether you’ve had any symptoms such as bleeding, discharge or discomfort.

When you're ready, the doctor will then:

  • Gently remove the pessary ring
  • Use a speculum to inspect the vaginal walls for irritation, soreness or ulcers caused by the device rubbing
  • Reinsert a cleaned pessary ring or replace it with a new device, depending on your pessary type and condition 

If we see soreness or irritation, we may recommend you leave the pessary out for a short period to allow the tissues to heal, and arrange a review.

What To Expect From Your First Appointment

You can expect a private, unhurried discussion first, so you feel heard and not rushed. Most people find the removal is briefly uncomfortable for a few seconds, and we’ll check in with you throughout.

Clinical Team & Expertise

Dr Fidan Bayli, Consultant Gynaecologist

Dr Bayli specialises in the management of benign gynaecological conditions, including menstrual disorders, pelvic organ prolapse, urinary incontinence, bladder and pelvic pain, and endometriosis. She has a particular interest in preterm birth and psychosexual counselling. Her expertise in ring pessary changes, fitting and management is associated with treating pelvic organ prolapse.

She is affiliated with the General Medical Council (GMC), British Society of Urogynaecology (BSUG), Royal College of Obstetricians and Gynaecologists (RCOG).

Do I Need An Appointment?

Yes: our ring pessary change appointments are booked in advance so we can allocate the right time and room setup.

You can book directly with us without a referral, and we aim to offer appointments promptly, including same-day/next-day where availability allows. 

Pricing

Pessary Change Appointment

£120

Includes replacement pessary of the same type/size if required.

This appointment is for ring pessary changes only for patients who already have a fitted pessary. If you require a new pessary fitting, resizing, re-measurement, or assessment for a different pessary type, you will need to book a gynaecology consultation first.

Our Clinic

We offer pessary change appointments at our Highfield Clinic. 

Parking options are available outside and near to the clinic. The clinic is also easily reachable by public transport, with Five Ways railway station just a 15-minute walk away. 

Why Choose Midland Health?

When you choose our pessary clinic, you’ll access straightforward, expert care that’s fast, transparent, and built around your needs. 

  • No GP referral required
  • No waiting lists
  • Same-day and next-day appointments when available

Next Steps & Booking

If you’re due your next ring pessary change, or you’re unsure whether your pessary rings still fit as they should, book an appointment, and we’ll guide you from there.

FAQ

  • Is a ring pessary change the same as a pessary change?

    Yes, a ring pessary change is a type of pessary change focused on pessary ring devices (vaginal ring pessaries), usually involving removal, tissue checks, cleaning, and reinsertion/replacement. 

  • How often do pessary rings need changing?

    Many services schedule changes around every 3–6 months, but the right interval can vary depending on the pessary type, fit, and how your vaginal tissues look on examination. 

  • Do I need to know my pessary ring size?

    If you’re attending for a routine pessary ring change, it’s helpful if you know the type/size you currently use. If your pessary no longer feels comfortable or you think you may need a different size or type, you will need to book a gynaecology consultation first.

  • What if you find soreness or irritation?

    We may advise leaving the pessary out for a short period to allow healing, and then arranging a review before reinsertion. 

  • When should I seek urgent help instead of booking a routine change?

    If you have heavy bleeding, severe pelvic pain, fever, or you cannot pass urine, seek urgent medical advice, rather than waiting for a routine appointment.  

  • Can I have a new pessary fitted during this appointment?

    This service is intended for patients requiring a routine pessary change with an existing fitted pessary. If you need a new pessary fitting, resizing, or reassessment due to prolapse symptoms or discomfort, you will require a separate consultation with a consultant gynaecologist first.

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Dr Rupa Parmar

Medically Verified

This content has been medically reviewed and verified by Dr Rupa Parmar.

Medical note: This page provides general information and is not a substitute for urgent medical care. If you have severe symptoms, seek urgent help.

Last updated: May 2026