Ring Pessary With or Without Support — Soft Silicone, 10 Sizes, Treats Prolapse & Cystocele

Simple insertion. Patient self-management. First-line prolapse support. The Ring Pessary is one of the most widely used and clinically preferred pessary designs for managing mild to moderate pelvic organ prolapse. Available with or without a supporting membrane, the ring is primarily indicated for first and second-degree uterine prolapse and cystocele — though it can be successful across all stages of prolapse. The highly flexible, soft silicone construction folds in half for easy insertion, then unfolds naturally once positioned above the pubic symphysis. Patients can typically be taught to insert and remove the ring independently, making it an excellent option for long-term self-managed pelvic support. Available in 10 sizes and disinfectable for ongoing reuse under clinical supervision.

✔ Available With or Without Supporting Membrane    ✔ Treats First & Second-Degree Uterine Prolapse and Cystocele    ✔ Highly Flexible & Soft Silicone — Folds for Easy Insertion    ✔ Patient Self-Insertion & Removal Capable    ✔ Disinfectable for Ongoing Reuse    ✔ 10 Sizes Available    ✔ Rx Required — HCPCS A4562

Product Details

Indicated For — Conditions Treated

• First-degree uterine prolapse — primary indication; least invasive pessary option for early-stage prolapse
• Second-degree uterine prolapse — effective for stage II POP with appropriate sizing
• Cystocele — bladder prolapse requiring anterior vaginal wall support
• All stages of pelvic organ prolapse (POP) — ring can be successful across all stages with correct fitting
• Patients seeking a self-managed, non-surgical prolapse management option
• With Support version — additional membrane provides support for patients with concurrent cystocele or where added structural support improves symptom relief
• Without Support version — open ring design for patients who prefer or require a simpler profile

Note: Pessary fitting and ongoing management should be performed or supervised by a qualified healthcare professional. A Pessary Sizing Chart is available for clinical reference. This product is Rx only — a valid prescription or professional license is required prior to shipment.

How It Works — With Support vs. Without Support

The Ring Pessary is the most commonly fitted pessary type globally, valued for its simplicity, patient tolerability, and ease of self-management. The ring works by sitting in the vaginal canal with its outer edges resting against the vaginal walls, providing a mechanical lift that supports prolapsed pelvic structures. The soft, flexible silicone construction allows the ring to be folded in half for insertion — a small amount of lubricant on the tip eases placement. Once inserted, the ring naturally unfolds above the pubic symphysis, positioning itself to provide support. Removal follows the same fold-and-pull technique, and a string can be attached to the ring to assist patients with limited dexterity.

The choice between the With Support and Without Support versions depends on clinical assessment and patient anatomy. The With Support version includes a supporting membrane across the ring interior, providing additional structural support that can be particularly beneficial for patients with a concurrent cystocele. The Without Support version is an open ring, offering a lighter profile that is often easier to manage for patients who do self-care.

• Highly flexible silicone folds for a smaller insertion profile — patient-friendly insertion technique
• Unfolds naturally once positioned above the pubic symphysis
• String attachment option available to assist with insertion and removal
• Patients can typically be taught self-insertion and removal — supports independent, long-term management
• Disinfectable — supports ongoing reuse under clinical supervision
• Soft, gentle material suitable for long-term vaginal wear
• 10 sizes ensure accurate fitting across a wide range of anatomies

Size Guide — Ring Pessary #0 Through #9

• #0 Ring Pessary — Smallest size — for the narrowest vaginal canal measurements
• #1 Ring Pessary — Small size
• #2 Ring Pessary — Small-medium size
• #3 Ring Pessary — Medium size — commonly fitted starting point for many patients
• #4 Ring Pessary — Medium size
• #5 Ring Pessary — Medium-large size
• #6 Ring Pessary — Large size
• #7 Ring Pessary — Large size
• #8 Ring Pessary — Extra-large size
• #9 Ring Pessary — Largest size — for the widest vaginal canal measurements

A Pessary Sizing Chart is available for clinical sizing reference. For product or sizing questions, call 1-866-218-0902 — Mon–Fri, 9am–5pm EST.

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Questions about the Ring Pessary or any of our women's health products? Call 1-866-218-0902 — our team is ready to help.