In normal female pelvic anatomy the vagina is a closed, airless, bi-axial, supportive space. Pessaries are not a perfect answer to prolapse because they keep the vagina slightly open and therefore vulnerable to intraabdominal pressure. This means, for instance, that if a woman has a prolapsed front vaginal wall, constant pessary use can result in worsening symptoms in the back vaginal wall (rectocele). It is not true that estrogen must be used with a pessary. There are other much safer lubricants available that are compatible with pessary use.
Women the world over are learning that prolapse is predominantly a postural problem and when they change the shape of the outer framework from which the pelvic organs are suspended (the spine), they change their symptoms. If a woman has her uterus, which is the hub of the wheel of pelvic organ support, she is much more likely to be able to improve her symptoms by returning to the natural pelvic organ support system. Change your posture, change your prolapse.
Christine Kent, Whole Woman Inc.