What is restifem?
It is a new type of vaginal support pessary which was developed especially for women after giving birth. The pessary supports and relieves the pelvic floor muscles as well as the pelvic floor connective tissue, which has been widely neglected up to now. This support promotes its recovery. During pregnancy and vaginal birth, the pelvic floor connective tissue is highly overstretched and sometimes even ruptured and, in its fixation areas, torn. An incomplete recovery after a birth can lead immediately or years later to stress urinary incontinence and symptomatic vaginal descensus and prolapse. According to literature, about 50% of women who have given birth suffer from descensus (e.g. prolapse of the vagina or uterus) in the course of their lives. Symptoms, such as stress urinary incontinence or descensus, can be alleviated by wearing restifem.

Restifem has both preventive and therapeutic functions.

Restifem wants to support you in regaining your female wellbeing after giving birth. It aims to reduce the risk that women who choose natural childbirth will have to cope with functional limitations of the pelvic floor throughout their lives.

Why is restifem so special?
Compared to conventional pessaries, the main difference and thus the significant advantage of restifem is its special shape, which is adapted to the female pelvic floor and the special retropubic support mechanism. In addition to the conventional support function offered by pessaries for the vagina, bladder, urethra and uterus, restifem provides anatomically correct pressure relief for the holding structures and the connective tissue, as it provides counterpressure from inside the vagina. Restifem is held passively and not actively by the pelvic floor, which means that the muscles in the pelvic floor can also regenerate and recover more easily.

 

What does restifem consist of and how does it work?
Restifem consists of a tissue-compatible silicone whose shape is adapted to the vaginal anatomy. As already mentioned under “Why is restifem so special?”, restifem offers elastic counterpressure in addition to the conventional support function for the vagina, bladder, urethra and uterus due to its special shape in the area of the posterior vaginal fornix. This counterpressure is directed against the prevailing pressure in the abdominal cavity and thus provides anatomically correct pressure relief for the ligaments, soft tissue and, at the same time, for the pelvic floor muscles.
Preventative effect
Pregnancy and birth, whether vaginal delivery or caesarean section, lead to overstretching of the pelvic connective tissue and overloading of the pelvic floor muscles. Both should be relieved by pessary therapy with restifem in order to support the recovery processes.
Therapeutic effect
For women who suffer from stress urinary incontinence and/or descensus, these complaints can be improved or even eliminated by wearing the device, as restifem supports the weakened anatomical structures, thus supporting urinary continence. This therapeutic effect also applies to women in other periods of their lives including menopause.
A detailed description of the way it works can be found in the section: Restifem – Instructions for use
How is restifem used?
Restifem is inserted into the vagina, like a tampon or pessary. It can be inserted and changed independently by the user. The individual steps for insertion and removal can be found in the section: restifem – instructions for use.

It is recommended to insert the pessary in the morning and remove it in the evening, clean it with tap water and/or a mild liquid soap and reinsert it the following day.

In order to optimally support the recovery of the pelvic floor connective tissue after a delivery, restifem should be used for at least 3-6 months after completion of the immediate postpartum period.

The duration of application depends on the breastfeeding period. Breastfeeding causes a relative lack of oestrogen in the vaginal tissue, which can delay the recovery of connective tissue and muscles in the pelvis. For this reason, it seems sensible to use the pessary beyond the breastfeeding period. To what extent an accompanying local hormone therapy supports the pessary therapy has to be discussed with the treating gynaecologist. For women in the menopause and beyond, such concomitant therapy is recommended, unless contraindicated medically.

With the two sizes, small and medium, the optimal size can be adjusted and the respective needs can be considered within the scope of the recovery, i.e. if necessary a change from the larger to the smaller pessary is sensible due to the recovery. In the Frequently asked questions” section or in the restifem instruction for use, you will find detailed information on how to choose the right size. For most women the “medium” fits best. If you are not quite sure, then either choose the set or ask your treating gynaecologist for advice.

When is restifem not for me?
If you are still in the puerperal period or have a vaginal, bladder or urinary tract infection, you should not use the pessary. After the inflammation has healed you can continue with the therapy. You should also not use restifem if you are intolerant to silicone or if the vaginal skin is not intact. It is important that you can handle restifem yourself, insert, remove and clean it every day.

Before using restifem you can discuss the handling with your attending gynaecologist.

Where can I get restifem?
In Germany, your physician can prescribe restifem for you by means of a prescription, either using a “Hilfsmittelrezept” or a private prescription with a corresponding diagnosis (e.g. descensus/prolapse, stress urinary incontinence). The prescription can then be redeemed at the pharmacy or sent directly to VIOMED (Berliner Str. 90, 14797 Kloster Lehnin, Germany). We have contracts (“vertraglicher Leistungserbringer”) with the statutory health insurance companies.

Austria and Switzerland have different regulations. Please consult your attending physician or your health insurance company for more information.

Restifem is available without prescription in our online shop www.restifem-shop.com or by email: info@restifem.com. We ship EU-wide.

Take
control
If you lose urine when coughing, sneezing, laughing or during physical exertion, you should actively strengthen your pelvic floor. Read how you can actively take control yourself.
Active against
descensus-related problems
restifem - Aktiv gegen Senkungszustände
45-75% of women suffer from descensus-related problems during their lifetime. However, these can be treated non-surgically. Get active today and find out what you can do!
The strong
centre
restifem - Die starke Mitte
The pelvic floor plays a central role in our body. It is the unknown muscle, which is the basis for strength, energy and wellbeing. Read how a strong centre can have a positive influence on your life.