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full bladder. The pessary is inserted and you can check its correct position by

moving, coughing and squeezing, whereupon the gynaecologist will check the

fit of the pessary once again. The pessary, which is smallest in size, yet resting

securely should be chosen. You should also make sure that you are able to

urinate without any problems.

Your gynaecologist will assess the fit of your pessary after a few weeks or

months to see whether you can switch to a different size. The various sizes

allow for individual fitting. Treatment is often carried out with increasing pes-

sary sizes in order to achieve better results. Due to loosening of the tissue, a

larger sized pessary has to be used after 1 - 2 months.

medesign’s Cramer Pessaries are made from flexible, tissue tolerant silicone,

which is especially developed for medical use. If you should, despite this, noti-

ce a reaction, stop the use of the pessary and discuss the situation with your

physician. Normal Cramer Pessaries have an integrated metal inlay for stabili-

zation.

The pessaries are flexible and can thus be folded and squeezed, making inser-

tion and removal especially easy. The pessary may be used by one patient

only.

How do I insert the Cramer Pessary?

Pessaries can easily be inserted on your own. Check the Cramer Pessary for

intactness, cleanliness, discolouration, damage and wear marks. The pessary

has to be replaced by a new one should damage or changes on the surface be

visible.

You should insert the Cramer Pessary into the vagina in the mornings and re-

move it in the evenings in order for the sensitive vaginal tissue to be able to

recover overnight. In certain cases the pessary may remain inserted during