Spontaneous pregnancy after pessary placement in a patient with infertility and advanced pelvic organ prolapse

Abstract

To highlight possible association of advanced pelvic organ prolapse with infertility and its successful outcome following conservative management. We report herein a 38-year-old para 1, non-overweight woman who presented with secondary infertility without any factors for infertility except for an advanced POP. She had intrauterine insemination (IUI) performed twice at a local clinic and in vitro fertilization-embryo transfer (IVF-ET) program twice in our institute unsuccessfully. She conceived spontaneously after vaginal pessary placement and delivered, vaginally, a healthy female baby weighing 3,365 g at the 38th week of gestation. Advanced POP appears to be an important risk factor for infertility. After completing an infertility workup, pessary application can be the first-line treatment modality for women with unexplained infertility due to advanced POP.

Keywords

• advanced pelvic organ prolapse
• infertility
• vaginal pessary