Fig. 7. Lever pessary in place after the uterus has been brought forward; the inner end behind the cervix holding it up and back, and the outer end resting on the muscles of the pelvic floor. Anteriorly it gets its support from the soft tissue between it and the pubic arch. (Crossen RJ: Disease of Women, 10th ed. St. Louis, CV Mosby, 1953)