Hi lorrapaw - I remember you
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I haven't tried these pessaries but vagifem are different from most other types because they are a small dry tablet that is designed to stick to the walls of the vagina once inserted, and stay there releasing the estradiol. Most other types just sit there gently dissolving. I've had four children and apart from Vagifem which I sometimes insert in the day while walking about, other pessaries (eg utrogestan, and formerly Orthogynest - now discontinued) I only insert at night when lying down and hope they do their stuff while I'm in bed (mostly!). I imagine the Balance active are similar? Do the instructions say insert at night?
Hurdity x