Dr. Radpour, I just received my Pessary Assistant ordered from amazon. I am satisfied completely. I had been using the dental floss method for removal but the last time I broke the string. I tried over and over to remove the pessary until I drew blood. No luck. I made an appt with my doctor for removal but then decided to check Amazon where I found your device. The morning it arrived I immediately read the instructions and gave it a try. Success! I was so relieved and thankful. I love my pessary but removal was always a bit dicey. Your device is easy to use and does the job. Many thanks. I will be bringing my doctor up to date about this…she had me using the dental floss. The Pessary Assistant is much more sanitary and reliable.