SciMed
Ring Pessary With Support, Sizes 0-8
Ring Pessary With Support, Sizes 0-8
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A ring pessary with support is a soft, flexible silicone ring with a built-in support membrane. It holds up the uterus, vaginal walls and bladder neck to manage pelvic organ prolapse with mild cystocele (bladder drop), without surgery. Available in sizes 0–8 (44–95 mm), FDA 510(k) cleared, no prescription needed. Recommended by OB-GYN clinics to their patients. Made in USA and ships from California. It costs from $49.99, is made in the USA, and needs no prescription; SciMed ships it same day from San Jose, California on orders placed before 2 PM PT (free US shipping on orders $99+), and sealed, unopened packs carry a 30-day size exchange with a free prepaid return label.
Pessaries should be fitted and used under the supervision of a qualified healthcare professional. This page is educational information about SciMed products, not medical advice. If you are unsure of your size or type, ask your clinician or start with a fitting pack.
Ships in a plain outer box. The sender reads "SciMed" only, no product name on the label.
The SciMed Fit Promise: if the size isn't right, exchange it free within 30 days — sealed, unopened packs only, and we email you a prepaid return label. No restocking fee, no return postage.
Rated 4.7★ from 52 verified reviews · 7,213 sold · Made in USA · ships same day from San Jose, CA on orders placed before 2 PM PT.
One ring lasts 1–2 years — a few dollars a month, instead of a recurring spend on pads or repeat clinic fitting visits.
First time? The three worries everyone has:
“Will it hurt to insert?” The ring is soft silicone — fold it flat, use a little water-based lubricant, and insert it like a tampon. Most wearers manage it themselves after the first try or two. Step-by-step guide
“Is discharge or odor normal?” A mild increase in discharge is common and usually nothing to worry about. Persistent odor, discoloration or irritation means it is time to check in with your clinician. What's normal, what isn't
“What if it slips or falls out?” That almost always means the size is off — go one size up, or find your fit first with the Fitting Pack. Sealed size exchanges are free within 30 days.
- ✓ Cystocele (bladder prolapse) or SUI (stress urinary incontinence)
- ✓ Stage I–II uterine or vaginal vault prolapse WITH bladder involvement
- ✓ Patients who want the reinforced support membrane
- ✓ Anyone whose gynecologist specified "ring, with support" or "ring, reinforced"
| Size | mm | Inches | Typical Patient |
|---|---|---|---|
| 0 | 44 mm | 1¾″ | Rare, post-op or small anatomy |
| 1 | 51 mm | 2″ | Small |
| 2 | 57 mm | 2¼″ | Smaller-than-average |
| 3 ★ | 64 mm | 2½″ | Common, first-timers, mild prolapse |
| 4 ★ | 70 mm | 2¾″ | Most common, start here if unsure |
| 5 ★ | 76 mm | 3″ | Common, post-childbirth, larger anatomy |
| 6 | 83 mm | 3¼″ | Larger-than-average |
| 7 | 89 mm | 3½″ | Large |
| 8 | 95 mm | 3¾″ | Largest, advanced prolapse |
- ✓ Helps keep your pessary clean between wears
- ✓ Keeps your pessary clean, dry and protected
- ✓ Sturdy, travel-safe hard case with silicone insert
- ✓ Fits Milex, Bioteque, Cooper Surgical and SciMed rings
Silicone vs PVC RCT (Int Urogynecol J, 2024): Silicone pessary users are significantly more likely to self-manage successfully than PVC users. DOI 10.1007/s00192-024-05933-x.
AUGS-SUNA Consensus (2023): Silicone ring pessary is first-line for early-stage prolapse.
Clinical Specification
| Device | Ring pessary, with support membrane |
| Material | Medical-grade silicone (USP Class VI) |
| FDA classification | Class II, 510(k) Cleared |
| HCPCS | A4562, Pessary, non rubber, any type (HSA/FSA eligible) |
| Sizes available | 0 to 8 (44 mm to 95 mm outer diameter) |
| Latex / BPA | None, latex-free, BPA-free |
| Ships from | California |
Clinical Indications (ACOG-Aligned)
- Stage I–II uterine or vaginal vault prolapse
- Coexisting mild to moderate cystocele
- Patients seeking non-surgical management of prolapse
- Bridging therapy pre- or post-surgical repair
ACOG Practice Bulletin No. 214 recommends pessary therapy as first-line non-surgical treatment for symptomatic pelvic organ prolapse.
How to Use & Care
Fitting, cleaning, and day-to-day care, step by step.
Frequently Asked Questions
Do I need a prescription?
No. A pessary is an FDA Class II device. We strongly recommend initial sizing be done by a qualified provider.
What's the difference between With Support and Without Support?
The with-support ring has an integrated membrane for additional bladder neck support, preferred for patients with cystocele or SUI. The without-support ring is the standard first-line ring for prolapse alone.
How do I know which size to order?
See the size chart at the top of this page. Most patients fit sizes 3–5 (64–76 mm). If you're between sizes, order the 3-size right-size pack.
How big is a size 4 ring pessary with support?
A size 4 ring pessary with support is 70 mm (2¾ inches) across. Size 3 is 64 mm (2½ inches) and size 5 is 76 mm (3 inches). Sizes match across US brands, so if your doctor gave you a size 4, order size 4. Sizes 0–7 are $49.99 and size 8 is $99.99.
Do you offer volume discounts?
Yes. Automatic discounts at checkout: buy 2+ pessaries save 5%, buy 3+ save 10%, buy 4+ save 15%. Applies to any combination of pessary products in your cart. No code needed.
Do I need a Storage Case?
Strongly recommended for daily-wear patients. Silicone pessaries need clean, dry storage between wears. The case helps keep your pessary clean and dry between wears. Add to cart above for $9.99 (vs $19.99 standalone).
Is the pessary FDA-cleared?
FDA 510(k) cleared as Class II under FDA Product Code HHW.
How long does a pessary last?
With proper care and clean storage, 1–2 years of regular daily wear.
HSA/FSA eligible?
Yes. HCPCS code A4562.
Can I wear during sex?
The with-support design generally cannot be worn during intercourse. The without-support open ring CAN be worn during intercourse for most patients.
How much is shipping and how fast?
US orders under $99 ship by USPS for a flat $4.99. Orders of $99 or more ship free by USPS. Orders placed before 2 PM PT ship the same day from California.
What if it doesn't fit?
Contact us within 30 days and we will exchange the sealed, unopened pack for the right size. We email you a prepaid return label, so the exchange ships back free. If you would rather have a refund, you can return the sealed, unopened pack within 30 days (return postage is paid by you). Opened pessaries cannot be returned, for hygiene reasons.
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Regulatory and Reimbursement
FDA 510(k) cleared as Class II medical device under FDA Product Code HHW, regulated under 21 CFR 884.3575. HSA/FSA eligible under HCPCS code A4562.
Buy 2, save 5% · Buy 3, save 10% on SciMed ring pessaries. Pairs well with the SciMed Pessary Storage Case ($19.99) for discreet storage and travel.
Our first-fit promise
New to pessaries? The Fitting Pack finds your size at home. You get $80 back for the two sealed pouches you return, with a free return label. Already know your size? Sealed packs exchange free within 30 days. We email a prepaid return label.
How to insert a pessary — the short version
- Wash your hands and empty your bladder first.
- Fold the ring in half so it forms a narrow oval, and add a little water-based lubricant to the leading edge — never use silicone lubricant on a silicone pessary.
- Get comfortable: stand with one foot on a chair, squat, or lie on your back with knees bent.
- Insert the folded ring folded-end first, guiding it up and back. Let it open once inside, then push it gently up behind the pubic bone.
- Check the fit: stand up, walk around and cough. Fitted well, you should not feel it at all. To remove it: Hook one finger over the rim, fold the ring slightly and ease it out slowly — never pull a ring with support out by its centre membrane.
Full walkthrough with diagrams: How to insert a pessary (and how to change one).
Choosing your size
This ring comes in Sizes 0–8 (1.75 in to 3.75 in across). Most wearers fit Sizes 3–5, and Size 4 is the single most common fit. If a clinician has already fitted you, order the same size — size numbers follow the same diameter ladder across brands.
Not sure of your size? Start with the Fitting Pack — three consecutive sizes to try at home. Keep the one that fits and return the two sealed pouches for $80 back, with a free prepaid return label. And if you order a single size here and it isn't right, sealed packs exchange free within 30 days.
Quick answers
Does inserting or removing it hurt?
It shouldn't. The ring is soft, flexible silicone — fold it flat, use a little water-based lubricant, and insert it like a tampon. Most wearers manage it themselves after the first try or two. Removal is the reverse: hook one finger over the rim, fold the ring slightly, and ease it out slowly.
How often do I take it out or change it?
Many wearers remove and wash their ring daily or a few times a week; others follow a schedule set by their clinician. Changing one is just removing it, washing it, and reinserting it (or swapping in a fresh ring). A ring pessary is designed for everyday wear, including overnight, unless your clinician advises differently.
How long does one ring last?
One SciMed ring lasts 1–2 years with normal care. Replace it sooner if the silicone cracks, stiffens, discolours, or stops holding its shape — and factor replacement into your routine at the 1–2 year mark even if it still looks fine.
How do I clean it?
Wash with warm water and mild, unscented soap, rinse well, and let it air dry before reinserting or storing it. Don't use harsh chemicals, bleach or scented washes on the silicone.
What if I can feel it, or it slips?
If you can feel the ring, it usually isn't in far enough — push it gently up behind the pubic bone. If it keeps slipping, especially when you use the toilet or exercise, the size is almost always too small: go one size up. The Fitting Pack removes the guesswork, and sealed single sizes exchange free within 30 days.
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I am extremely happy I am not uncomfortable anymore and also not in any discomfort from pain
It is the right size that I needed and works great for me. I got my mother in law to order one too. And it got here real fast. Thanks.
The pessary seems fine but I am not sure I inserted correctly. Also it just came out after about two weeks I have a drs appointment on Nov 19th, hopefully she can insert correctly.
I always had problems with a hard pessary. The soft silicone is comfortable and easy to use.
The sterile pessary came as advertised. It was the right size and smooth silicone just like in the doctor’s office.
Size 3 to small, size 5 to big, need a size 4 WITH a discount!
The product looked and felt of great quality yet I would not know because I chose the wrong size (size 6) "ring pessary with support" was much much too large...
I wish I had the funds to purchase another of the CORRECT SIZE! Use caution ⚠️ while choosing your sizes!!!
I was so happy to be able to order a new pessary ring without requiring my physician to write a prescription. Mine was a little dated and I just wanted new and my doctor had left his group for another and I could not contact him. I found you after researching and took a chance on the quality and it is EXCELLENT. I also ordered the case and very happy with it also.
it works well
Very similar to the one i received from my doctor.
Arrived quickly, very easy to insert and take out, very comfortable -ioverall very satisfied!
Perfect
perfect fit
Works great!
The Pessary has relieved the discomfort I had and the fear that I might’ve had something more serious . Since I bought this, I’ve been comfortable and without pain! The seller of this item was exceptionally courteous and fast with delivery!
Appreciated the price. The item is well made and smooth, and perfectly sized. Is more firm than my older one which this one is replacing, and this has created a minor amount of irritation since it sits a little farther in than the old one. Will keep it and let my body adjust. .
Ordered for my mom. She said product is great!! Fast delivery too. Thank you
Great service!
It fits great.
I love the SciMed Pessary I received. It is much softer and more flexible and more comfortable to use than the name brands I have gotten from my gynecologist, and did not require a prescription from a doctor to obtain. I found SciMed very responsive to communications and recieved my pessary in a timely fashion.
Quick service, great quality product, very reasonable pricing.
Super!!
Haven't used it yet but it seems we'll made.
Working as needed although sometimes it does slip if I need to use the bathroom
The fit is comfortable
I started with the size 4 as recommended by the person at Scimed I chatted with. It definitely helped , I felt it may have been too big in diameter so I’m now using the size 2 which I definitely still working wonders for my prolapse issue. Great product id recommend it !!
My old pessary was so difficult to fold before inserting and especially with some arthritis in my thumbs although I managed to do it my hand hurt afterwards and the pessary I purchased from you is so much more flexible and easier to insert because of that so I can’t thank you enough
This pessary has relieved some immediate issues I have while waiting for the surgeon it fits I don’t feel it It has allowed me to be in social situations with comfort I would encourage anyone woman wondering about using one to try my experience is positive
Great fit, very comfortable.
I like it better than the one I got from my doctor. It is cheaper and more flexible. I'd like another one for a spare.
Like the flexibility,material it’s made of.
It's great except for one thing - the two large rings in the middle need to be larger for ease of removal.
Thank you so much, Shirley! We're really glad it's working well for you overall. That's genuinely useful feedback on removal - we've noted it for our product team, and in the meantime our support crew is happy to share a few tips that many customers find make removal easier. Reach out to us anytime. - The SciMed Team