Question:

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
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The Correct Option is A

Solution and Explanation

Step 1: A vaginal ring pessary is a removable device placed in the vagina to support pelvic organ prolapse.
Step 2: Correct fitting is confirmed when the pessary stays in position even when intra-abdominal pressure is raised, for example by coughing or straining or bearing down.
Step 3: Hence option A is correct. Absence of bleeding does not confirm correct placement, and the patient feeling discomfort actually suggests an ill-fitting pessary rather than a correctly placed one.
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