Question:medium
In uterine prolapse managed with a ring pessary, how do you know the ring is correctly in place?
In uterine prolapse managed with a ring pessary, how do you know the ring is correctly in place?
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A well-fitted pessary stays put when the patient bears down.
Updated On: Jun 24, 2026
- If it is not expelled after increased abdominal pressure
- If bleeding does not occur
- If the patient feels discomfort
- None
Show Solution
The Correct Option is A
Solution and Explanation
Step 1: The test of a good pessary fit is mechanical retention, so think about what happens when the pelvic floor is loaded.
Step 2: A properly sized ring pessary remains seated when the patient coughs, strains or bears down, that is, when intra-abdominal pressure rises. Retention under that stress is the confirmation.
Step 3: The other clues mislead: lack of bleeding says nothing about position, and discomfort points to a poor fit, not a correct one. Retention under raised pressure is the right marker.
\[\boxed{\text{If it is not expelled after increased abdominal pressure}}\]
Step 2: A properly sized ring pessary remains seated when the patient coughs, strains or bears down, that is, when intra-abdominal pressure rises. Retention under that stress is the confirmation.
Step 3: The other clues mislead: lack of bleeding says nothing about position, and discomfort points to a poor fit, not a correct one. Retention under raised pressure is the right marker.
\[\boxed{\text{If it is not expelled after increased abdominal pressure}}\]
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Top Questions on Pessary in uterine prolapse
Assertion (A): Supravaginal elongation of cervix occurs in uterovaginal prolapse.
Reason (R): There is gaping genital hiatus but the ligamentous support of uterus is strong.
- NEET (PG) - 2003
- Gynaecology and Obstetrics
- Pessary in uterine prolapse
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