Oval Pessary With or Without Support — Soft Silicone, 9 Sizes, Narrow Vault Alternative to the Ring Pessary

Narrower profile. Same proven support. Built for anatomy where a ring won't fit. The Oval Pessary is a soft silicone pessary available with or without a supporting membrane, designed as a narrower alternative to the standard ring pessary for women whose anatomy or surgical history prevents a proper ring fit. Oval pessaries are specifically indicated for patients with a narrow vaginal vault, a prior history of vaginal surgery, palpable sutures, or bladder suspension procedures — situations where a full-width ring pessary would be too wide to seat correctly. The oval is primarily used for mild first-degree uterine prolapse and cystocele, sharing the ring's ease of use and self-management potential while accommodating a broader range of anatomies. Available in 9 sizes with or without a supporting membrane, and disinfectable for ongoing reuse under clinical supervision.

✔ Available With or Without Supporting Membrane
✔ Narrower Profile Than Standard Ring — Designed for Narrow Vaginal Vault
✔ Indicated for First-Degree Uterine Prolapse & Cystocele
✔ Ideal for Patients with Prior Vaginal Surgery, Sutures, or Bladder Suspension Procedures
✔ Soft Silicone — Gentle to Tissue
✔ Patient Self-Insertion & Removal Capable
✔ Disinfectable for Ongoing Reuse
✔ 9 Sizes Available
✔ Rx Required — HCPCS A4562

Product Details

Indicated For — Conditions Treated

• Mild first-degree uterine prolapse — primary indication; least invasive pessary option for early-stage prolapse in patients with narrow anatomy
• Cystocele — anterior vaginal wall prolapse (bladder herniation); oval provides anterior support in anatomies where a ring cannot be properly fitted
• Narrow vaginal vault — the oval's reduced width makes it the preferred alternative when a standard ring pessary is too wide to seat correctly
• Prior history of vaginal surgery — scar tissue, altered anatomy, or palpable sutures may prevent a full-width ring from fitting; the oval accommodates these anatomies
• Bladder suspension procedures — patients who have had prior bladder suspension surgery often have anatomical changes that make the oval a better fit than a ring
• With Support version — supporting membrane adds anterior structural reinforcement, particularly beneficial for concurrent cystocele
• Without Support version — open oval profile for patients who prefer a simpler design or are managing primarily uterine prolapse without significant cystocele

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 — Oval vs. Ring & With Support vs. Without Support

The Oval Pessary functions on the same principle as the ring pessary — it sits in the vaginal canal with its outer edges resting against the vaginal walls, providing a mechanical lift that supports prolapsed pelvic structures. The critical difference is width: the oval's narrower profile makes it the clinical choice when a standard ring pessary is too wide to fit comfortably or seat properly. This situation arises most often in patients with a naturally narrow vaginal vault, or in patients whose anatomy has been altered by prior vaginal surgery, palpable sutures from previous repairs, or bladder suspension procedures. In these cases, attempting to fit a ring pessary can cause discomfort or improper positioning, whereas the oval seats correctly and provides equivalent functional support.

Like the ring, the oval is available with or without a supporting membrane across its interior. The With Support version provides additional structural reinforcement that benefits patients with a concurrent cystocele. The Without Support version offers a simpler, open profile that is often easier for patients to manage independently. Both versions are suitable for patient self-care, and patients can typically be taught to insert and remove the oval pessary themselves — making it a strong option for long-term independent pelvic support.

• Narrower than a standard ring pessary — the anatomically appropriate choice when vault width is a limiting factor
• Designed for patients with prior vaginal surgery, palpable sutures, or bladder suspension procedures that have altered anatomy
• Soft silicone construction — gentle to tissue, suitable for long-term vaginal wear
• Patients can typically be taught self-insertion and removal — supports independent long-term management
• Disinfectable — supports ongoing reuse under clinical supervision
• 9 sizes ensure accurate fitting across a range of narrow anatomies

Size Guide — Oval Pessary #1 Through #9

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

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.

Why Buy From Medical Department Store?

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