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How should I advise my patient if she is unable to remove the uresta® pessary?

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How should I advise my patient if she is unable to remove the uresta® pessary?

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If your patient is having difficulty removing the uresta® pessary, advise her not to panic and to take a deep breath to relax her muscles. Suggest she try bearing down as if she were trying to move her bowels. This should move it down to a point where she can grasp the handle and remove it. She may need to bear down several times. She should keep her fingers on the handle when relaxing between efforts to bear down. She can also try inserting a finger beside the uresta® pessary or rocking it back and forth to break the suction. Then, grasp the handle and pull downwards to remove it. Advise your patient that she will not harm herself if she cannot remove the uresta® pessary. It can be removed by you or any healthcare professional.

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