Perifit — Biofeedback Pelvic Floor Trainer with App Guidance

Yes — there is both clinical evidence and extensive user feedback supporting Perifit's effectiveness for pelvic floor strengthening. A pragmatic study published in a peer-reviewed medical journal analysed real-world data from over 6,000 Perifit users and found that structured home training with the device produced measurable reductions in urinary incontinence symptoms. Around 71 percent of users reported improvement after approximately six weeks of consistent training, and that figure rose to 85 percent after about four months of regular use.

The reason Perifit works is grounded in well-established physiotherapy principles. Pelvic floor muscle training — when performed correctly and consistently — is the first-line treatment recommended by clinical guidelines for stress urinary incontinence, and is also beneficial for urgency incontinence and mild pelvic organ prolapse. The challenge has always been adherence and technique. Most women find isolated kegel exercises boring and difficult to do correctly without guidance, which is where biofeedback devices like Perifit add genuine value.

Perifit's dual pressure sensors provide real-time visual feedback on your contraction quality, helping you learn proper technique from the outset. The gamified app then addresses the motivation problem — users consistently report that the games make training feel less like a chore, which means they actually stick with it long enough to see results. Perifit has a 4.5 out of 5 star average rating from verified customers, with many women specifically noting improvements in bladder control, pelvic support, and confidence during physical activity.

That said, Perifit is a training tool, not a cure-all. It strengthens pelvic floor muscles through exercise, which is effective for conditions driven by muscle weakness. If your symptoms are caused by something other than muscle weakness — such as nerve damage, significant prolapse, or hypertonic (overactive) pelvic floor — you may need a different approach. A pelvic health physiotherapist can help determine whether biofeedback-guided muscle training is the right fit for your specific situation.

Most women begin noticing initial improvements within two to six weeks of consistent Perifit use, though the timeline varies depending on your starting point, the severity of your symptoms, and how regularly you train. Some users report feeling a difference in as little as two weeks — particularly in terms of awareness and control over their pelvic floor muscles — while more significant, lasting improvements in symptoms like bladder leakage typically become apparent after four to eight weeks of regular training.

Clinical data from real-world Perifit users supports this timeline. Research analysing over 6,000 users found that short-term improvements were observable after an average of around 40 training sessions, which corresponds to roughly six weeks when training three to five times per week. Longer-term data showed that after 280 to 300 sessions — equivalent to approximately four months of consistent use — 85 percent of users reported meaningful improvement in their urinary incontinence symptoms.

The key factor is consistency rather than intensity. Perifit recommends training for five to ten minutes per session, three to five times per week. You do not need to train every day, and extending sessions beyond 15 minutes is not recommended as your pelvic floor muscles can fatigue just like any other muscle group. Overtraining can actually lead to temporary worsening of symptoms, so following the app's recommended schedule is important.

Your results will also depend on where you are starting from. Women with mild stress incontinence after childbirth often see the fastest improvements, while those with more chronic or severe pelvic floor dysfunction may need a longer training period before noticing significant changes. The Perifit app tracks your progress through objective metrics — contraction strength, endurance, and coordination scores — so even before symptoms improve noticeably, you can see measurable gains in your muscle performance, which can be encouraging during the early weeks of training.

Perifit recommends that you do not use the device during pregnancy without first consulting your healthcare provider. While pelvic floor exercises themselves are generally considered safe and beneficial during pregnancy, the insertion of an intravaginal device introduces additional considerations that should be discussed with your midwife, obstetrician, or pelvic health physiotherapist.

During pregnancy, your pelvic floor is under increasing load from the growing uterus, and hormonal changes affect the elasticity and sensitivity of pelvic tissues. Gentle pelvic floor exercises — performed without an inserted device — are typically encouraged throughout pregnancy to maintain muscle tone and support, and may help with recovery after birth. However, using an internal biofeedback device like Perifit requires careful consideration of your individual pregnancy circumstances, including whether you have any complications such as placenta praevia, a history of preterm labour, cervical insufficiency, or vaginal bleeding.

If your healthcare provider gives you the green light to use Perifit during pregnancy, the device can be a helpful tool for maintaining pelvic floor awareness and ensuring you are performing contractions correctly. The biofeedback element is particularly valuable during pregnancy because the changing position of the pelvic organs can make it harder to feel whether your exercises are effective.

After delivery, Perifit recommends waiting at least six weeks postpartum before resuming use — or until you have been cleared by your healthcare provider at your postnatal check-up. This waiting period allows initial tissue healing to occur, particularly if you have had stitches, tearing, or a caesarean section. Many women find that using Perifit in the postpartum period is one of the most effective ways to rebuild pelvic floor strength and address issues like stress incontinence or pelvic heaviness that commonly arise after childbirth.

Yes, you can use Perifit during your period. The device is made from medical-grade silicone, which is non-porous, hypoallergenic, and easy to clean thoroughly before and after each use. There is no medical reason to avoid pelvic floor training during menstruation, and many women continue their regular training schedule without any issues.

That said, some women find it more comfortable to skip training during the heaviest days of their period, and that is perfectly fine — missing a day or two will not affect your long-term progress. If you do choose to use Perifit during your period, simply ensure you clean the device with warm water and mild soap or a dedicated silicone toy cleaner before insertion and again after your session. You should not use Perifit with a tampon inserted at the same time, as the tampon may interfere with the device's sensor readings and affect the accuracy of your biofeedback.

Some women actually notice that their pelvic floor feels slightly different at various points in their menstrual cycle. Hormonal fluctuations can affect muscle tone and tissue sensitivity, which means your Perifit scores may vary slightly throughout the month. This is completely normal and does not indicate any problem with your technique or progress. The app's long-term tracking smooths out these natural variations so you can see your overall trajectory.

If you experience significant pelvic pain or cramping during your period that makes insertion uncomfortable, it is better to wait until those symptoms ease rather than pushing through discomfort. Pelvic floor training should never be painful. If you consistently find that using Perifit causes pain — during your period or at any other time — it is worth consulting a pelvic health physiotherapist to rule out pelvic floor tension or other underlying issues.

Perifit and Elvie are both reputable biofeedback pelvic floor trainers, but they differ in design, app experience, and price — and the right choice depends on your preferences and priorities.

In terms of design, the Elvie Trainer is a small, egg-shaped device that sits internally with a slim tail, making it one of the most discreet options available. Perifit has a longer, wand-like shape with a slim external transmitter that remains outside the body during use. Both are made from medical-grade silicone. The Elvie may feel more comfortable for women who prefer a smaller device, while Perifit's dual pressure sensors offer more detailed biofeedback by measuring both the deep and superficial layers of the pelvic floor separately.

The biggest difference is the app experience. Perifit uses a gamified approach — you control video games with your pelvic floor contractions, and new games unlock as your strength improves. The app includes customisable workout programs tailored to your specific goals, a community forum, and detailed progress tracking. Elvie takes a more minimalist approach with guided exercises, educational content from pelvic floor specialists, and a clean visual interface that some users prefer for its simplicity.

On price, Perifit is generally more affordable than the Elvie Trainer, making it the better value option for most women. Both devices have strong user reviews, though Perifit tends to edge ahead in average ratings, largely because users find the games more motivating for long-term consistency — which is ultimately the most important factor in pelvic floor training outcomes.

Both trainers are suitable for postpartum recovery, stress incontinence, and general pelvic floor strengthening. If you want an engaging, game-based experience with detailed dual-sensor feedback at a lower price point, Perifit is the stronger choice. If you prefer a smaller, more discreet device with a simpler interface and are comfortable with the higher price, Elvie is a solid alternative. Either way, the best pelvic floor trainer is the one you will actually use consistently.

Using the Perifit kegel exerciser is straightforward, and the app guides you through every step from your first session. Start by downloading the free Perifit app on your smartphone and creating an account. The app will walk you through an initial setup that includes a short questionnaire about your pelvic health goals — this helps tailor the training program to your specific needs, whether that is postpartum recovery, managing incontinence, or general strengthening.

To insert the device, apply a small amount of water-based lubricant to the smooth silicone probe for comfort. Lie down or recline in a comfortable position — many women find lying on their back with knees bent works best, especially when starting out. Gently insert the probe so that the sensor portion is inside the vagina and the slim external piece with the Bluetooth transmitter rests comfortably outside. The device should sit naturally without needing to be held in place.

Once inserted, open the app and connect to your Perifit via Bluetooth. The app will ask you to perform a calibration — a few gentle squeezes and releases — so it can detect your baseline muscle activity and set appropriate difficulty levels. After calibration, choose a game or guided workout and follow the on-screen prompts. You will see visual feedback in real time as you contract and relax your pelvic floor muscles. The games are designed to train both strength and coordination, with different patterns of quick and sustained holds.

Each session should last between five and ten minutes, and Perifit recommends training three to five times per week. After your session, gently remove the device, wash it with warm water and mild soap, and store it in the provided case. Avoid using silicone-based lubricants, as these can degrade the medical-grade silicone over time. Always use a water-based lubricant for insertion.

For optimal results, Perifit recommends training three to five times per week, with each session lasting five to ten minutes. This frequency strikes the right balance between providing enough stimulus for muscle strengthening and allowing adequate recovery time between sessions. Your pelvic floor muscles respond to training much like any other muscle group — they need both consistent work and rest to grow stronger.

It is important not to overtrain. Perifit specifically advises against extending any single session beyond 15 minutes, as pelvic floor muscle fatigue can lead to temporary worsening of symptoms such as heaviness, leakage, or discomfort. If you notice that your performance scores drop significantly toward the end of a session, or that you feel unusually fatigued in the pelvic area afterward, you may be training too long or too frequently. Scaling back to three shorter sessions per week until your endurance improves is a sensible approach.

Consistency over time matters far more than session length or daily training. Clinical data from Perifit users shows that meaningful improvements require sustained training over several weeks — with notable gains observed after approximately 40 sessions and continuing to build through 300 sessions. This translates to roughly six weeks for early improvements and four months for more substantial, lasting results when training at the recommended frequency.

The Perifit app helps with consistency by sending reminders, tracking your training streaks, and providing visual progress metrics that show how your strength, endurance, and coordination are developing over time. Many women find that building Perifit into a regular routine — such as training every other evening before bed — helps maintain the habit. If you miss a session here and there, do not stress about it. The overall pattern of regular training is what drives results, not perfection on any given week.

Perifit can be a helpful tool as part of a pelvic organ prolapse management plan, but it is important to understand its role clearly. Pelvic floor muscle training is one of the first-line conservative treatments recommended by clinical guidelines for mild to moderate pelvic organ prolapse. Strengthening the pelvic floor muscles provides better structural support for the pelvic organs — bladder, uterus, and rectum — which can reduce the sensation of heaviness, bulging, or pressure that characterises prolapse symptoms.

Perifit's biofeedback technology is particularly valuable in the context of prolapse because correct exercise technique is critical. Women with prolapse need to ensure they are lifting and squeezing their pelvic floor rather than bearing down, which can worsen prolapse symptoms. The real-time visual feedback from Perifit's dual sensors helps you confirm that you are contracting in the right direction and with appropriate effort, which is something many women find difficult to gauge on their own.

However, there are important caveats. If you have a significant or symptomatic prolapse, you should consult a pelvic health physiotherapist before using any intravaginal device. A physiotherapist can assess your prolapse grade, determine whether biofeedback-guided training is appropriate for your situation, and ensure you are not inadvertently straining during exercises. Some women with prolapse also have pelvic floor tension or coordination issues that require a different training approach before strengthening work begins.

Perifit is not a treatment for prolapse in itself — it is a tool that supports pelvic floor muscle training, which is one component of prolapse management. For more advanced prolapse, your healthcare team may recommend a pessary, lifestyle modifications, or surgical options alongside or instead of muscle training. Think of Perifit as one piece of a broader management plan rather than a standalone solution, and always get professional guidance if your symptoms are new, worsening, or causing significant discomfort.

Perifit strengthens your pelvic floor muscles, which can result in increased muscle tone and a firmer feeling in the vaginal area — but it is worth understanding what this actually means from a physiological perspective. The pelvic floor is a group of muscles that sit like a hammock at the base of your pelvis, supporting your pelvic organs and contributing to bladder control, bowel function, and sexual sensation. Like any muscle group, when these muscles are strengthened through targeted exercise, they become firmer and more responsive.

Many women who use Perifit consistently report improved sensation during intimacy, which is often described as feeling tighter. This is because stronger pelvic floor muscles contract more effectively around the vaginal canal, increasing both your own sensation and your partner's. Research consistently shows that pelvic floor muscle training improves sexual function scores in women, including measures of arousal, sensation, and satisfaction.

It is important to note that this is about muscle strength and responsiveness, not about physically narrowing the vaginal canal. The vagina is an elastic muscular canal that naturally accommodates different situations — it is not a fixed-size structure. What Perifit does is improve the tone, strength, and voluntary control of the muscles surrounding it, which translates to a firmer feel and better function.

If improved sexual sensation is one of your goals, Perifit's training programs can help you develop both the strength for sustained muscle engagement and the coordination for quick, responsive contractions — both of which contribute to enhanced intimacy. The biofeedback element ensures you are training effectively from the start, rather than guessing whether your exercises are working. Many women find that the confidence that comes with knowing their pelvic floor is strong and responsive is just as valuable as the physical improvements themselves.

Perifit offers two models — the original Perifit Care and the newer Perifit Care+ — and both are effective biofeedback pelvic floor trainers that use the same app and training programs. The main differences are in the device design, sensor technology, and a few additional features that the Care+ offers.

The Perifit Care is the original model with a proven track record and strong user reviews. It features dual pressure sensors that detect both deep and superficial pelvic floor muscle contractions, provides real-time biofeedback through the app, and is made from body-safe, medical-grade silicone. It is the more affordable option and delivers everything most women need for effective pelvic floor training at home.

The Perifit Care+ is the advanced model that builds on the original with enhanced sensor technology for more precise readings and a refined ergonomic design for improved comfort during use. The Care+ offers more detailed feedback on contraction quality and may be better at detecting subtle muscle activity, which can be helpful for women who are just beginning pelvic floor training and need more guidance on technique, or for those with weaker muscles where detecting activity is more challenging.

Both models connect to the same Perifit app, which means you get access to the same games, guided workouts, customisable training programs, and progress tracking regardless of which device you choose. Both are FDA-cleared and designed for the same range of uses — postpartum recovery, incontinence management, prolapse support, and general pelvic floor strengthening.

For most women, the original Perifit Care provides excellent biofeedback and results at a lower price point. The Care+ is worth considering if you want the latest sensor technology and refined design, or if you have found that other devices have not been sensitive enough to detect your contractions accurately. Both are available through Blossom Pelvic Health with physiotherapist guidance to help you choose the right fit.

Yes, Perifit is safe to use for the vast majority of women. Both the Perifit Care and Perifit Care+ are FDA-cleared medical devices, meaning they have undergone regulatory review to confirm their safety and effectiveness for home-based pelvic floor muscle training. The device is made from medical-grade silicone that is non-porous, hypoallergenic, BPA-free, and latex-free — the same material used in many other body-safe medical devices.

Perifit is designed specifically for women who want to strengthen their pelvic floor muscles, and it works through voluntary muscle contraction — you control the intensity of every squeeze. Unlike electrical stimulation devices, Perifit does not send any electrical current into your body. It is a passive sensor that reads your muscle activity and provides visual feedback, which makes it one of the gentlest and most user-directed pelvic floor training options available.

There are some situations where you should consult a healthcare provider before using Perifit or any intravaginal device. These include during pregnancy, in the first six weeks after delivery, if you have an active vaginal or urinary tract infection, if you have recently had pelvic surgery, if you have unexplained vaginal bleeding, or if you have been diagnosed with a hypertonic or overactive pelvic floor. Women with a hypertonic pelvic floor need to focus on relaxation and lengthening exercises rather than strengthening, and using a biofeedback trainer focused on contraction could potentially worsen their symptoms.

To maintain safety and hygiene, always clean your Perifit with warm water and mild soap before and after each use, use only water-based lubricant for insertion, and store the device in its protective case between sessions. If you experience any pain during use, stop immediately — pelvic floor training should never be painful. Pain during use may indicate a pelvic floor issue that requires professional assessment before you continue training.