Possible complications from wearing a pessary include:
>> Open sores in the vaginal wall.
>> Wearing away of the vaginal wall. In severe cases, an opening can form between the vagina and the rectum.
>> Bulging of the rectum against the vaginal wall (rectocele formation).
Complications can be minimized by having a pessary that fits correctly and that does not put too much pressure on the wall of the vagina.
In post menopausal women, estrogen (cream, ring, or tablets) is sometimes used with a pessary to help with irritation caused by the pessary.