Go from unsure and intimidated to clinically confident in pessary care.
A complete path through pessary screening, selection, fitting considerations, patient education, and follow-up planning, built to turn hesitation into a skill you trust, so you can help more of the patients already in your caseload.
Where most providers land after the lab
You know the feeling.
You see the bulge on exam. You know something is prolapsed. But then the clinical questions start. Does this patient need a pessary? Do they need pelvic floor muscle training? Do they need both? And if they already have a pessary, why are they still leaking?
That hesitation is not a sign that you are not a good provider. It is usually a sign that you were never actually trained to manage prolapse with confidence. Most providers receive a quick lecture, a brief overview of assessment, and maybe a few minutes of exposure to pessaries, then are expected to translate that into real-life clinical decision-making. But prolapse care requires more than identifying that "something is down." It requires understanding the full assessment, the contributing factors, the patient's symptoms, the role of pressure management, pelvic floor function, tissue support, pessary selection, and how all of those pieces work together.
Without that training, many providers either refer out for pessary fitting or avoid pessary care altogether. Meanwhile, these patients are not rare. Some degree of pelvic organ prolapse is seen on exam in roughly 41 to 50% of women, even though far fewer report symptoms. Urinary leakage is also incredibly common, with urinary incontinence affecting a large percentage of adult women and stress urinary incontinence being one of the most common types, especially as women age, after childbirth, and through midlife and menopause. These patients are already in your caseload, asking questions you may not feel fully prepared to answer. Questions like, "Why am I still leaking with the pessary?" "Why did my leaking get worse now that my prolapse is better supported?" "Do I still need pelvic floor therapy if I have a pessary?" "Can pelvic floor muscle training help my prolapse?" and "What type of pessary is right for me?"
That is exactly why this course was created: to help pelvic health providers move from uncertainty to clinical confidence in prolapse assessment and pessary fitting.
A course is not the same as a skill.
You can sit through lectures, learn the terminology, understand the theory, and still feel unsure when a real patient is in front of you. Skill comes from knowing what to look for, how to interpret what you find, what clinical decisions to make next, and how to adjust when the presentation does not follow the textbook.
Prolapse care is not just about knowing that pessaries exist or that pelvic floor muscle training may help. It is about knowing when to use each option, when to combine them, when to pause, when to refer, and how to explain the "why" to your patient with confidence.
Built to close both gaps.
PelviEd's Pessary Fitting Course was built by Dr. Tara Sullivan specifically to close the distance between knowing the material and being able to use it on a patient the next day. Both parts are required to fit pessaries independently.
Self-Paced Online Modules
Your clinical foundation.
- Anatomy, biomechanics, and pathophysiology of POP and SUI
- Indications, contraindications, and predictors of success
- Evidence-based selection frameworks and staging systems
- Tissue health, vaginal estrogen, and pessary tolerance
- Pessary versus surgery data, and combining care with PFMT
Hands-On Lab
Where knowing becomes doing.
- Advanced prolapse screening under direct supervision
- Vaginal sizing and measurement practice
- Hands-on work with a range of pessary styles
- Real-time feedback on selection and fitting decisions
- Schedule the lab at your convenience after completing the online portion
- Required to complete your certification
What you will walk away able to do.
Screen and stage prolapse using standardized terminology your referring providers already use
Identify predictors of fitting success and difficulty before you even start
Select between support and space-filling pessaries based on anatomy, not guesswork
Recognize and manage occult stress urinary incontinence after a fitting
Address tissue health and vaginal estrogen as part of long-term pessary success
Build a follow-up system that catches complications early instead of reacting to them
Dr. Tara has treated bowel, bladder, sexual dysfunction, and pelvic pain since 2012. She holds certification as a Pelvic Rehabilitation Practitioner, is a board-certified clinical specialist in women's health, and is a Fellow of the International Society for the Study of Women's Sexual Health.
She built the pessary program the way she wishes she had been trained: grounded in evidence, but never separated from the hands-on practice that actually builds competence.
What's included when you enroll.
Every path through this course includes the same foundation of support.
- 01 4 hours of self-paced online education covering the full clinical foundation
- 02 A 2-hour hands-on lab experience, group or one-on-one
- 03 Continuing education credit for both the online and lab portions
- 04 A 30-minute one-on-one call with Dr. Tara after the online course, to prepare you for lab
- 05 One free month of PelviEd Membership for continued mentorship
- 06 Downloadable clinical resources: fitting guidance, patient education language, and follow-up tools
Choose your path.
Full certification requires both parts, the online modules and a hands-on lab. Bundling them together also saves you nearly $100 compared to purchasing them separately.
This is the complete path most providers choose. You get the full 4-hour self-paced online course plus a 2-hour hands-on group lab, scheduled at one of our Phoenix clinic locations, or hosted at your clinic pending instructor and travel availability.
Enroll in Online Modules + Group LabPrefer a more individualized lab experience? Two upgrade options are also available.
A private 2-hour virtual lab with real-time instructor guidance. Requires a live model, a camera operator, and your own pessary supplies.
EnrollIndividualized, in-person instruction at our Phoenix clinic. Direct feedback and hands-on practice, one-on-one.
EnrollJust want to start with the clinical foundation? The online modules are available on their own for $397. This option alone does not qualify you to independently fit pessaries. Online continuing education credits will be earned, however, a hands-on lab is still required to complete your certification. Interested in a private training for your whole clinic? Email us for a custom quote.
Is this course for you?
This Is For You If
- You already have patients with prolapse or stress urinary incontinence in your caseload and you want to stop referring them out
- You have taken a course before and still do not feel confident fitting a pessary without a mentor in the room
- You want your clinical decisions grounded in evidence you can point to, not a slide you half remember
Keep In Mind
- The online modules alone will not certify you to fit pessaries independently
- This training does not replace your state's scope of practice requirements or your employer's policies
- You remain responsible for practicing within your professional scope and individual clinical competency
Frequently asked questions.
Do I need to complete the online modules before the lab?
Yes. The online modules build the clinical reasoning you will apply during your hands-on lab. Many participants complete the online portion, take the online test, and receive that continuing education credit before scheduling their lab date.
Will I be able to fit pessaries after the online modules alone?
No. Completion of the online modules and test alone does not qualify you to independently fit pessaries. The hands-on lab is required to complete the full training.
What happens during the telehealth lab option?
You will need a live model for pessary fitting practice, a camera operator so your instructor can clearly observe and guide the fitting, and your own pessary supplies. Dr. Tara guides you in real time through the fitting process.
How is continuing education credit handled?
Online and in-person lab training are categorized separately for continuing education purposes, so credits are awarded separately for each portion.
Can my whole clinic go through this together?
Yes. Hosted clinic trainings are available by custom quote based on group size, location, and instructor availability. Email [email protected] for details.
Your patients are not waiting for a referral.
They are waiting for you to be ready. The online modules give you the clinical foundation. The hands-on lab gives you the skill.
Enroll in the Pessary Fitting Course