• Jodi Forster-Molstad

It has been one year since the clinic officially opened, and the overwhelming emotion I feel is an incredible sense of gratitude. On September 15, 2019 I officially opened the doors to Pelvic Plus Physio after what was an idea that I had over the years turned into a goal. The goal was to create a space for patients where they felt welcome, safe and comfortable. I wanted people to know that when they came to Pelvic Plus Physio, they were deserving of and would receive my full and undivided attention. After having established pelvic health programs in many clinical settings over the years, I felt that having a clinic out of my home would be conducive to achieving these goals.

I look forward to going to work and seeing my patients every day. It has been an absolute pleasure getting to be your partner in health over the past year. We have tackled pregnancy-related issues in both the ante-natal and post-natal period, incontinence, back pain, tail bone pain, chronic pelvic conditions, common aches and pains spanning from the neck to the feet, headaches, and more. We have done so as a team, and I owe a lot to you, my patients, for following my advice and putting in the work to achieve your health goals.

I want to thank the doctors who have referred patients to my clinic; your trust in me is invaluable.

Thank you to my patients for your faith as you recommend my clinic to your friends and family.

Thank you to my husband (my carpenter, computer technician, and sounding board) for all that you have done.

And thank you to my kids for your support along the way (to Ella for cooking on my late nights at work, especially).

I am very optimistic about what the next year will bring!

I look forward to continuing to help you find freedom in motion!

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  • Jodi Forster-Molstad

What is a pessary?

A vaginal pessary is a device made of silicone that is inserted in the vagina to support and protect the vaginal tissues from pelvic organ prolapse. A pessary can provide a conservative, non-surgical option to help reduce the symptoms caused by a uterine, bladder or bowel prolapse. (To learn more about pelvic organ prolapse, see my previous blog: June is Pelvic Organ Prolapse Awareness Month @ It does this by keeping the pelvic organs and the pelvic floor muscles in an improved position that facilitates a better pelvic floor muscle contraction.

Sadly, the symptoms of pelvic organ prolapse can make women avoid certain activities or exercises that they enjoy for fear of worsening their symptoms

A well-fitting pessary along with an individualized pelvic floor strength program can eradicate or minimize the symptoms of pelvic organ prolapse, including:

  • The sensation of a bulge at the vaginal or rectal opening that can be seen or felt, and that may change depending on position, physical activity, or bowel movements.

  • Heaviness or pressure felt in the perineal region (between the vagina and anus).

  • Incomplete emptying of or difficulty evacuating the bladder or bowels.

  • Difficulty initiating urination.

  • Pain is not typically a defining characteristic of prolapse.

Pessaries are also used to prevent the progression of a prolapse and in certain cases will help relieve urinary and/or fecal incontinence.

Pessaries come in different shapes and sizes. Your doctor or your pelvic health physiotherapist with specialized training in pessary fitting is able to determine the best type and fit for you. Their aim is to reduce the symptoms of heaviness in the pelvic region, incontinence, etc, without feeling the pessary itself. A pessary should never cause vaginal discomfort or pain while it is being worn.

A pessary will last for 2-3 years. It is important to have regular follow-ups with a pelvic health physiotherapist or your doctor to ensure there is no injury or tissue erosion occurring. It is important to make the more frequent follow-ups initially and then on an annual basis to ensure that the vaginal tissues are tolerating the pessary well. It is also important that the pessary user is able to insert, remove, and perform the proper hygienic procedures for that specific pessary.

This is something a pelvic health physiotherapist with the training is able to teach you.

Interested in knowing more? I can be reached by email or phone contact, click on the contact tab at the top of this page. I am ready to answer your questions about pessary use for pelvic organ prolapse.

Pessary fitting is a service that is provided at Pelvic Plus Physio!


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  • Jodi Forster-Molstad

Did you know that 33-50% of women will have some form of pelvic organ prolapse in their lifetime, and most have never even heard of it?⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

Pelvic organ prolapse can be defined as the descent of the pelvic organs (the bladder, urethra, uterus, vagina, rectum, or small intestine) toward or through the vaginal or anal opening. Some women with pelvic organ prolapse have no symptoms at all, and some will experience:⠀⠀⠀⠀

  • A bulge at the vaginal or rectal opening that can be seen or felt and that may change depending on position, physical activity or bowel movements.

  • Heaviness or pressure felt in the perineal region (between the vagina and anus).

  • Incomplete emptying of or difficulty evacuating the bladder or bowels.

  • Difficulty initiating urination.

  • Pain is not typically a defining characteristic of prolapse.

There are different degrees of severity of pelvic organ prolapse, that can be identified by a grading system such as the one below.

Baden–Walker half way system [6]. It consists of four grades: grade 0 – no prolapse, grade 1–halfway to hymen, grade 2 – to hymen, grade 3 – halfway past hymen, grade 4 –maximum descent.

While a woman with minimal prolapse may experience no or relatively minimal symptoms, the severity of a woman's symptoms increase along with the grade of organ descent. When a woman presents with a relatively minor grade of prolapse, they will tend to respond quite well by making lifestyle modifications that ensure good bowel health, activity modifications and a progressive pelvic floor exercise strength program. As the pelvic organ prolapse goes up in grade of severity, so does the need for intervention required to help manage the symptoms. Other options include the use of a vaginal pessary that is inserted vaginally to support the organs, or by surgical intervention. Vaginal pessaries offer a less invasive option than surgery, and it is advised that a woman complete 3 months of pelvic floor exercises before deciding on either option.

For more information about pessaries, see my next blog: A Pessary: what is it good for?

Pelvic health therapists can examine a woman and identify the type and grade of pelvic organ prolapse that she has, and help her determine the best plan of care to eradicate, minimize, or manage pelvic organ prolapse. Some pelvic health therapists who have the training and special equipment needed are able to offer a pessary service. They can determine the right type and size of vaginal pessary for a woman, provide them with a pessary, and teach them how to properly care for and mange a pessary to ensure good vaginal health is maintained.

If you are experiencing any of these symptoms and want to learn conservative options, ask your pelvic health physiotherapist to determine what the best treatment plan is for you.


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