Sometimes women need to have the size of the pessary adjusted after long term use (typically to a smaller pessary) but that is after a few years of
use. Biggest concern is irritation causing ulcers but this does not occur
in all women. If you are on estrogen replacement therapy, it will help the internal and external tissues maintain strong, pliable integrity. If you have difficulty with vaginal irritation you should ask your physician about vaginal estrogen therapy.