Vaginal Pessaries Market Forecast 2035: Rising Prevalence of Pelvic Organ Prolapse and Preference for Non-surgical Management Drive Market Demand | Transparency Market Research, Inc

The global vaginal pessaries market is poised for steady expansion over the next decade, supported by demographic trends, rising awareness of women's pelvic health, and technological advancements in medical devices. According to the latest industry analysis, the market was valued at US$ 473.4 million in 2024 and is projected to reach US$ 864.4 million by 2035, growing at a CAGR of 5.7%. This growth trajectory highlights how evolving patient needs, clinician education, and supportive healthcare systems converge to create opportunities for manufacturers and healthcare providers alike.

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Growing Awareness and Shifts in Treatment Preferences
Pelvic floor disorders, including pelvic organ prolapse (POP) and urinary incontinence, affect millions of women worldwide-particularly those over the age of 50. Traditionally, treatment often centered around surgical interventions; however, prolonged recovery times, surgical risks, and lifestyle considerations have driven a significant shift toward non-surgical options. Vaginal pessaries, which are medical devices inserted into the vagina to provide internal support for pelvic organs, have become an effective first-line solution.

Recent data reveal that the prevalence of POP among women over 50 is around 50%, according to the International Urogynecology Association (IUGA). In countries with aging populations, such as Germany, Japan, and the United States, the number of pessary fittings has risen significantly. For instance, Australia's Royal Women's Hospital reported a 35% increase in pessary fittings from 2019 to 2022, driven by increased media attention and greater clinician engagement. This growing acceptance reflects broader societal changes, where pelvic health discussions are no longer taboo and women actively seek solutions that fit their lifestyles.

Technological Advancements and Customization
Innovation in vaginal pessary design and materials has contributed substantially to market growth. Modern devices, often made of flexible silicone, offer greater patient comfort, improved hygiene, and lower complication rates compared to older rigid models. Companies now explore custom 3D-printed pessaries to address unique anatomical needs, enabling clinicians to provide truly individualized care.

Ring pessaries remain the most popular type, accounting for nearly 48% of global unit volumes in 2024. Their adaptability for mild to moderate POP and their ease of insertion and removal by patients themselves make them particularly appealing. The introduction of ring pessaries with integrated retention wings has further reduced adverse events by about 15%, while also enhancing patient adherence and clinician confidence in recommending pessary use.

These product improvements are reinforced by clinical evidence and growing collaboration between manufacturers, hospitals, and research institutions. As medical device companies continue to focus on patient-centered design, the market is expected to see even greater adoption among women previously hesitant to try pessaries.

Market Drivers: Prevalence, Education, and Policy Support
Several factors fuel the growth of the vaginal pessaries market. First, the rising global prevalence of POP and urinary incontinence drives demand for accessible, effective, and minimally invasive treatment options. Studies show that nearly 12% of women in the U.S. will undergo surgical intervention for POP or incontinence by age 80, highlighting the potential scale of the market for non-surgical alternatives.

Second, education initiatives from public health organizations, medical societies, and non-profits have reshaped perceptions of pessary use. Updated guidelines, like those issued by the American College of Obstetricians and Gynecologists (ACOG) in 2022, encourage clinicians to consider pessaries as first-line management for Stage I and II POP. In countries such as India, educational campaigns led by the Ministry of Health and FOGSI have reached women in rural areas, leading to increased clinic visits and pessary fittings. In Kenya, Amref Health Africa successfully conducted over 2,000 pessary fittings in a single year, proving the effectiveness of community-level interventions.

Finally, favorable reimbursement policies in developed markets lower financial barriers for patients, further boosting adoption. For instance, in North America, coverage from Medicare and private insurers has reduced out-of-pocket expenses, making pessary fitting consultations more accessible.

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Regional Insights: North America Leads, Asia Pacific Rising
North America continues to dominate the vaginal pessaries market, benefiting from robust healthcare infrastructure, widespread patient education, and established clinical practices. The region's strong reimbursement frameworks and the presence of leading manufacturers with R&D facilities contribute to steady innovation and market leadership. Academic medical centers in the U.S. report sustained growth in pessary fitting appointments-approximately 40% increase over two years-correlating with higher awareness and clinical guideline updates.

Meanwhile, Asia Pacific shows significant potential due to its large and aging population, increasing healthcare investments, and education campaigns aimed at reducing stigma around pelvic health. Countries like Japan, China, and India are witnessing higher demand, particularly in urban centers with specialized gynecological care.

Segmentation: Diverse Product Portfolio
The market encompasses various product types including:
Ring Pessary, Gehrung Pessary, Gellhorn Pessary, Cube Pessary, Shaatz Pessary, and others such as Lever and Inflatable pessaries.

By material, products are classified as Silicone, Rubber, and PVC.
By application, pessaries are used for Pelvic Organ Prolapse and Stress Incontinence.
The market also segments by distribution channel into:
Online (Company-own Websites, E-commerce Sites) and Offline (Hospital Pharmacies, Retail Pharmacies, Online Pharmacies).

Key Players and Competitive Landscape
Major companies shaping the vaginal pessaries market include:
Narang Medical Limited, Bray Group, Mediplus Ltd., Deluxe Scientific Surgico Pvt Ltd (DESCO), Indo-surgicals, Integra LifeSciences, Reyansh Remedies, Cooper Surgical, Panpac Medical, MedGyn, Dr. Arabin GmbH & Co. KG, Artisan Medical, Bioteque America, and others.

These players invest in R&D, develop new sizes and shapes for better patient fit, and collaborate with hospitals and research institutes to validate safety and efficacy. For instance, in May 2025, a new range of POPY pessaries with five additional sizes was launched to improve customization and patient comfort.

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Future Outlook
As awareness of pelvic floor disorders grows and patient preferences shift toward less invasive treatments, the vaginal pessaries market is set for sustained growth through 2035. Innovations in materials and design, combined with educational initiatives and supportive health policies, will further drive market expansion. With a market size expected to exceed US$ 864.4 million by 2035, the sector represents both a clinical necessity and a commercial opportunity for medical device companies dedicated to improving women's health.

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