A properly fit, properly placed pessary should not feel uncomfortable. In fact, it should hardly be felt at all.  You should also check the fit by bearing down or attempting to use the bathroom. The pessary should not fall out during either action, and you should not have any difficulties using the bathroom after placement. If altering the placement of your pessary does not resolve any discomfort or other problems, the pessary may not be the right size or style. You will need to consult your doctor at this point. You should remove the pessary at least once a week and clean it before inserting it back into place.  Ideally, you should remove the pessary and clean it once a day. Some women may even choose to remove it at night, clean it, and re-insert it in the morning, but you should check with your doctor to verify that leaving it out overnight is acceptable for your condition. When cleaning the pessary, use mild soap and warm water. Rinse the device and dry it with clean paper towels before inserting it again. If you are unable to easily remove and insert the pessary on your own, you should go to the doctor every three months for professional examination and cleansing. Never leave a pessary in for more than three consecutive months without cleaning it. While you should be able to urinate without difficulty, the pessary may fall out during a bowel movement. If it does, you will need to clean it thoroughly before inserting it again.  Check the toilet after each bowel movement to determine whether or not the pessary has fallen out. If the pessary did fall out, scrub it clean with mild soap and hot water. Allow the pessary to soak in rubbing alcohol for 20 minutes, then soak the device in clean water for another 20 minutes. Wash it once more with soap and water, rinse it, then dry it before inserting it into the vagina again. Even if you are able to remove, clean, and insert the pessary at home, you should still schedule an examination with your doctor every three to six months.  Your first examination should actually be after two weeks or so. Your second examination should occur within three months after that. Continue seeing the doctor every three months until a full year passes. After using the pessary for a full year, you can usually schedule an examination for only two or three times a year.
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