Services
Pessary Fittings
Pessaries are medical-grade silicone devices that go into the vaginal to help to support the pelvic organs. They can help relieve symptoms of pelvic organ prolapse or stress urinary incontinence. When a pessary works well (which it does at least 2/3 of the time) your symptoms are resolved and you don’t feel the pessary at all! You can use a pessary alone or in conjuction with Pelvic Physiotherapy treatment or exercises, whether to postpone pelvic surgery or avoid it all together.
I have taken extra training to be able to fit pessaries, and I teach one of the few pessary courses for clinicians available in North America. I have worked hard to be able to provide you with as much guidance and expertise about pessaries as possible.
When I see you for a pessary fitting appointment, I want to have ample time to get your full history and to try as many pessary sizes and types as we need to in order to find a good fit for you. Please visit my pessaries page to find out more about pessary fitting appointments.
Pelvic Physiotherapy
My current clinical focus is for clients who have the following:
- bladder concerns including frequency, urgency, leaking (incontinence)
- pelvic organ prolapse concerns (heaviness, pressure or falling out sensations at the vagina)
- pessary use for incontinence or prolapse
Other common pelvic health concerns include:
- bowel concerns including pain, smearing/leaking, constipation
- pregnancy related pelvic girdle pain, back pain or pubic symphysis pain
- exercise through pregnancy and birth preparation
- recovery after vaginal or cesearean birth, including return to exercise, bladder leaking or rectus diastasis (abdominal stretch) management
- pelvic pain including low back, tailbone, hip and pubic pain
- sexual pain including pain on the outside (vulvodynia), at the entrance (vestibulodynia or vaginismus) or inside the vagina with touch or penetration (dyspareunia)
- pain associated with menstruation or endometriosis (dysmenorrhea)
- prehab (before) and rehab (after) care for abdominal or pelvic sugeries, including gender affirming procedures
I have taken additional courses that allow me to perform internal assessment and treatment of the pelvic floor muscles as part of our Pelvic Physiotherapy plan together. This is done via digital exam into the vagina or rectum, depending on your anatomy and concerns. This part of the assessment is always dependent on your comfort and consent, and is only one part of a holistic approach to your pelvic health concerns. Pessaries are only used vaginally and an internal exam is mandatory for pessary fitting and use. For more information about pelvic health assessments, please visit my pelvic health page.