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

Tsia Shu Lo, Chang Gung Memorial Hospital
Chun Kai Chen, Chang Gung Memorial Hospital
Anil Krishna Dass, Chang Gung Memorial Hospital
Leng Boi Pue, Chang Gung Memorial Hospital
Eileen Feliz M. Cortes, Chang Gung Memorial Hospital


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.