Q. Pessary Use Simplified: A New Look at an Old Device (18-04-25)

21st Annual Premier Women's Healthcare Conference (18-04)

1.25 CE (NCC Code 2A)


Helen Carcio, MS, MEd, ANP-C


The Health & Continence Institute of New England

South Deerfield, MA

Intended Audience:
Nurse practitioners (NPs), Certified Nurse-Midwives (CNMs), and other advanced practice clinicians who care for women.


  • CE Approval Period: Now through December 2019
  • Estimated Time to Complete This Activity: 1.25 hours
  • CE Approval Hours:  1.25 Contact Hours of CE Credit


Educational Objectives:
At the conclusion of this activity, clinicians should be better able to:

  • Explore the myths surrounding pessary use.
  • Describe the steps in fitting and removing a pessary and appropriate follow-up care.
  • Differentiate between the different types of prolapse.
  • Discuss strategies for proper coding for optimal reimbursement.

Successful Completion of the Activity:

Successful completion of this online activity, 18-04-25, requires the participant to:

During the approval period (now through December 2019);

  1. Read the educational objectives, disclosures, and disclaimers on the front page;
  2. Study the material in the learning activity by watching the session;
  3. Complete the post test with a score of 70% or higher;
  4. Complete the session evaluation;
  5. After successful completion you may print your CE certificate.  Your certificate will be stored for you on the NPWH E-Learning site under My Transcripts


Program description:

The pessary is a thing of beauty! It's use has been around since before the days of Cleopatra. It has fallen end in and out of favor over the years. However today there is a resurgence in the demand for pessaries, especially for those baby boomers who desire a temporary, "low-tech",non-surgical approach. Clinician must be poised to meet this demand. However, many practitioners are slow to add this valuable service to their practice because of the many false myths surrounding its use. Two of the many barriers to its use is the preception that there is a slow "learning curve" in the fitting process and just too many pessaries to chose from creating a "burden of overchoice". To simplify matters, only two types of pessaries will be explored, the ring and the gelhorn. With this approach each practitioner can quickly develop an extertise and confidence when offering it to women. Women will be gratefull since a pessary helps reduce bothersome symptoms of prolapse, makes performing Kegel exercises more effective, and eliminate incontinence. Reimbursements are high.

Accreditation Statement:

This activity has been evaluated and approved by the Continuing Education Approval Program of the National Association of Nurse Practitioners in Women’s Health (NPWH), and has been approved for 1.25 contact hour(s) of CE credit.  Each participant should claim only those contact hours that he/she actually spent in the educational activity.


Activity Number: 18-04-25


Faculty Disclosures:
NPWH policy requires all faculty to disclose any affiliation or relationship with a commercial interest that may cause a potential, real, or apparent conflict of interest with the content of a CE program. NPWH does not imply that the affiliation or relationship will affect the content of the CE program. Disclosure provides participants with information that may be important to their evaluation of an activity. All conflicts of interest were resolved according to NPWH policy. In addition, all content has been peer reviewed by a WHNP with no conflicts of interest to ensure the content is evidence-based, un-biased, and uses the best available, highest strength evidence for recommendations. Faculty are also asked to identify any unlabeled/unapproved uses of drugs or devices made in their presentation.


Helen Carcio, MS, MEd, ANP-C has nothing to disclose.


Disclosure of unlabeled use:
NPWH policy requires authors to disclose to participants when presenting information about unlabeled use of a commercial product or device or an investigational use of a drug or device not yet approved for any use.

Therapeutics Disclaimer:

Participating faculty members determine the editorial content of CE activities; this content does not necessarily represent the views of NPWH. This content has undergone a blinded peer review process for validation of clinical content. Although every effort has been made to ensure that the information is accurate, clinicians are responsible for evaluating this information in relation to generally accepted standards in their own communities and integrating the information in this activity with that of established recommendations of other authorities, national guidelines, FDA approved package inserts, and individual patient characteristics.


Commercial Support:
No commercial support was provided for this activity.  


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Q. Pessary Use Simplified: A New Look at an Old Device (18-04-25)