Perfect PFE with Liberty Loop Vaginal Electrode
Perfect PFE with Liberty Loop Vaginal Electrode
Perfect PFE with Liberty Loop Vaginal Electrode
Perfect PFE with Liberty Loop Vaginal Electrode
Liberty Loop Electrode
Perfect PFE Contents

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Perfect PFE Pelvic Floor Exerciser

Exercises and tones the pelvic floor muscle with additional settings to provide relief from pelvic pain

Pelvic Floor Exerciser with  4 programmes to strengthen the pelvic floor and additional programme for Chronic Pelvic Pain

Lightweight, Slimline Design.

With a large LCD display, simplistic controls and a discreet probe for ease-of-use at home.

Clinically Tested Programmes

Including programmes for Stress, urge and Mixed Incontinence with a Tone aftercare programme.
Additional Pain programme provides relief from Chronic Pelvic Pain from conditions Such as Vulvodynia, Symphasis Pubis, or Interstitial Cystitis.

Comes with Liberty Loop electrode with biofeedback pointer to aid correct voluntary pelvic floor exercises.

 

 

£69.00Your Price

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Bladder weakness is not a normal part of the aging process, nor should it be simply accepted as a normal part of life after childbirth. Bladder weakness is a treatable condition and shouldn't simply be 'managed' through the use of containment pads. 

A safe, drug-free, non-surgical solution, the Perfect PFE Pelvic Floor Exerciser provides freedom from the use of containment pads and can help sufferers return to a more normal lifestyle.

The Perfect PFE Pelvic Floor Exerciser is simple and easy to use, with digital controls and 4 preset programs which have been clinically tested to provide long-term relief from incontinence.

The Perfect PFE sends a gentle stimulation to your pelvic floor through a vaginal probe, working your pelvic floor muscle for you and enabling you to develop your own muscle control.

Suggested Treatment:

  • Along with pelvic floor exercises, the Perfect PFE gently strengthens and tones your pelvic floor muscle which in-turn improves the symptoms of incontinence (bladder weakness).
  • Treatment sessions last for just 20 minutes a day and can be easily scheduled into your daily routine - whether it's whilst watching TV, reading in bed or just having some time to relax.
  • Suggested treatment time is for a period of 12 weeks, however many women see significant results in as little as 3-4 weeks.
  • After the inital treatment period, the 'Tone' programme should be used for 20 minutes a day, for just one day a week to maintain the condition of your strengthened pelvic floor.

The Perfect PFE can also be used with an anal probe for the improvement of symptoms of bladder weakness in men, and of faecal incontinence (please contact us for more information).

Key features of the Perfect PFE Pelvic Floor Exerciser include:

  • Optional Programmes – 4 preset programs for optimal choice
  • Comfortable Stimulation – gentle, comfortable stimulation with fine-tune adjustment settings for different levels of intensity
  • Safety Duration Override – unit will turn off after 20 minutes to ensure the pelvic floor muscle is not overworked
  • Discreet Probes – comes with a specifically designed probe for ease of use

The Perfect PFE provides relief from 3 forms of incontinence:

Stress Incontinence describes the involuntary leakage of urine when a person coughs, sneezes, strains or makes sudden movements. It is particularly common in women and occurs when the bladder neck and the other mechanisms that act to hold urine in the bladder are not working properly.

Urge Incontinence describes an overactive bladder. A person may experience a strong and sudden urge to go to the toilet but are not always able to hold on, or have to go so frequently that it becomes inconvenient. 

Mixed Incontinence is a combination of both Stress and Urge Incontinence.

Advantages of using the Perfect PFE:

• It can reduce leakage – not simply contain it. Most women see significant results in as little as 3 weeks.
 It is drug-free with no side effects.
• It is safe and easy to use with preset programmes to suit your needs.
• It is discreet and can be used at home during your own time.
 It may help to avoid surgery
• It may improve sexual intimacy by toning your pelvic floor.

CAUTIONS AND WARNINGS (Please read instruction manual carefully before use)

 Do NOT use the Perfect PFE under the following circumstances:
• With the optional self adhesive pads if you have a heart pacemaker or have a heart rhythm problem. Stimulation in the direct vicinity of a pacemaker may affect some models. Stimulation on the front of the neck can affect your heart rate. Very strong stimulation across the chest may cause an extra heartbeat.
• If you have been diagnosed or treated for cervical cancer. In vitro experiments have shown that electricity can promote cell growth.
• If you have or have had epilepsy. TENS may affect seizure threshold.
• If you are pregnant. It is not known whether electrical stimulation may affect foetal development.
• When driving, operating machinery, or similar actions needing fine control, loose pads, damaged leads, or sudden changes in contact may cause brief involuntary muscle movements.
• Within 12 weeks of surgery in the area. Scars should be fully healed before use.

If in doubt, consult your physician

Before use, please read the following warnings:
 • Incontinence can have many causes. You should try to identify the type of incontinence and the cause before using the Perfect PFE.
 • If you have a urinary infection or any skin irritations within the vagina, it is recommended not to use the Perfect PFE.
 • Care must be taken if you are not experiencing normal sensation or feeling in your vagina.
 • If you have prolapse or any discomfort occurs when inserting the probe, consult your medical advisor before use.
NB: You may safely use the stimulator during menstruation, although it may be a little less comfortable.

CAUTION:
• Observe caution when using the Perfect PFE at the same time as being connected to monitoring equipment with body worn electrode pads it may interfere with the signals being monitored.
• Strong electromagnetic fields (electrosurgery/microwave cookers/mobile phones) may affect the correct operation of this unit. If it appears to behave unusually, move it away from these devices.
• Use caution following recent surgical procedures. Stimulation may disrupt the healing process.
• Simultaneous connection to high frequency surgical equipment may result in burns and damage to the stimulator.
• The stainless steel in the probes contains some nickel.

Perfect PFE Pelvic Floor Exerciser

1 x lead wire (L-CPT)

1 x Liberty Loop Vaginal probe (X-VPL)

2 x 1.5V AA Alkaline batteries (B-AA)

Instruction manual

Transit pouch

What is IC / PBS? 

Interstitial cystitis (IC) is a condition that results in recurring discomfort or pain in the bladder and the surrounding pelvic region. People may experience mild discomfort, pressure, tenderness, or intense pain in the bladder and pelvic area. Symptoms may include an urgent need to urinate (urgency), a frequent need to urinate (frequency), or a combination of these symptoms. Pain may change in intensity as the bladder fills with urine or as it empties. Women’s symptoms often worsen during menstruation. They may sometimes experience pain with vaginal intercourse..IC / PBS is far more common in women than in men.

What causes IC? 

Some of the symptoms of IC / PBS resemble those of bacterial infection, but medical tests reveal no organisms in the urine of patients with IC / PBS. Furthermore, patients with IC / PBS do not respond to antibiotic therapy. Researchers are working to understand the causes of IC / PBS and to find effective treatments.

In recent years, researchers have isolated a substance found almost exclusively in the urine of people with interstitial cystitis. They have named the substance antiproliferative factor, or APF, because it appears to block the normal growth of the cells that line the inside wall of the bladder. Researchers anticipate that learning more about APF will lead to a greater understanding of the causes of IC and to possible treatments.

Researchers are beginning to explore the possibility that heredity may play a part in some forms of IC. In a few cases, IC has affected a mother and a daughter or two sisters, but it does not commonly run in families.

How is IC / PBS diagnosed? 

Because symptoms are similar to those of other disorders of the urinary bladder and because there is no definitive test to identify IC / PBS, doctors must rule out other treatable conditions before considering a diagnosis of IC / PBS. The most common of these diseases in both genders are urinary tract infections and bladder cancer. IC / PBS is not associated with any increased risk in developing cancer. In men, common diseases include chronic prostatitis or chronic pelvic pain syndrome.

The diagnosis of IC / PBS in the general population is based on

  • Presence of pain related to the bladder, usually accompanied by frequency and urgency
  • Absence of other diseases that could cause the symptoms

Diagnostic tests that help in ruling out other diseases include urinalysis, urine culture, cystoscopy, biopsy of the bladder wall, distention of the bladder under anesthesia, urine cytology, and laboratory examination of prostate secretions.

Treatment - Electrical Nerve Stimulation

TENS is relatively inexpensive and allows the patient to take an active part in treatment. Within some guidelines, the patient decides when, how long, and at what intensity TENS will be used. It has been most helpful in relieving pain and decreasing frequency in patients with Hunners ulcers. If TENS is going to help, improvement is usually apparent in 3 to 4 months.

Treatment - Drugs

Aspirin and ibuprofen may be a first line of defence against mild discomfort. Doctors may recommend other drugs to relieve pain such as Elmiron. Although the latter takes between 2 and 4 months for the pain to subside and up to 6 months to alleviate all symptoms.

Some patients have experienced improvement in their urinary symptoms by taking tricyclic antidepressants (amitriptyline) or antihistamines. Amitriptyline may help to reduce pain, increase bladder capacity, and decrease frequency and nocturia. Some patients may not be able to take it because it makes them too tired during the day. In patients with severe pain, narcotic analgesics such as acetaminophen (Tylenol) with codeine or longer acting narcotics may be necessary.

Diet 

There is no scientific evidence linking diet to IC / PBS, but many doctors and patients find that alcohol, tomatoes, spices, chocolate, caffeinated and citrus beverages, and high-acid foods may contribute to bladder irritation and inflammation. Some patients also note that their symptoms worsen after eating or drinking products containing artificial sweeteners.

Smoking

Many patients feel that smoking makes their symptoms worse. How the by-products of tobacco that are excreted in the urine affect IC / PBS is unknown. Smoking, however, is the major known cause of bladder cancer. Therefore, one of the best things smokers can do for their bladder and their overall health is to quit.

Exercise

Many patients feel that gentle stretching exercises help relieve IC / PBS symptoms.

Bladder Training

Training the bladder to empty at designated times and use relaxation techniques and distractions to keep to the schedule. Gradually, patients try to lengthen the time between scheduled emptying of the bladder.

Surgery 

There are two procedures; fulguration and resection of ulcers. This is done with instruments inserted through the urethra. Fulguration involves burning Hunners ulcers with electricity or a laser. When the area heals, the dead tissue and the ulcer fall off, leaving new, healthy tissue behind. Resection involves cutting around and removing the ulcers. Both treatments are done under anaesthesia and use special instruments inserted into the bladder through a cystoscope. Laser surgery in the urinary tract should be reserved for patients with Hunners ulcers and should be done only by doctors who have had special training and have the expertise needed to perform the procedure.

Another surgical treatment is augmentation, which makes the bladder larger. In most of these procedures, scarred, ulcerated, and inflamed sections of the patients bladder are removed, leaving only the base of the bladder and healthy tissue. A piece of the patients colon (large intestine) is then removed, reshaped, and attached to what remains of the bladder. After the incisions heal, the patient may void less frequently. The effect on pain varies greatly; IC / PBS can sometimes recur on the segment of colon used to enlarge the bladder.

Even in carefully selected patients—those with small, contracted bladders—pain, frequency, and urgency may remain or return after surgery, and patients may have additional problems with infections in the new bladder and difficulty absorbing nutrients from the shortened colon. Some patients are incontinent, while others cannot void at all and must insert a catheter into the urethra to empty the bladder.

A surgical variation of TENS, called sacral nerve root stimulation, involves permanent implantation of electrodes and a unit emitting continuous electrical pulses. Studies of this experimental procedure are now under way.

Bladder removal, called a cystectomy, is another, very infrequently used, surgical option. Once the bladder has been removed, different methods can be used to reroute the urine. In most cases, ureters are attached to a piece of colon that opens onto the skin of the abdomen. This procedure is called a urostomy and the opening is called a stoma. Urine empties through the stoma into a bag outside the body. Some urologists are using a second technique that also requires a stoma but allows urine to be stored in a pouch inside the abdomen. At intervals throughout the day, the patient puts a catheter into the stoma and empties the pouch. Patients with either type of urostomy must be very careful to keep the area in and around the stoma clean to prevent infection. Serious potential complications may include kidney infection and small bowel obstruction.

A third method to reroute urine involves making a new bladder from a piece of the patients colon and attaching it to the urethra. After healing, the patient may be able to empty the newly formed bladder by voiding at scheduled times or by inserting a catheter into the urethra. Only a few surgeons have the special training and expertise needed to perform this procedure.

Are there any special concerns?

Cancer There is no evidence that IC / PBS increases the risk of bladder cancer.

Pregnancy  Researchers have little information about pregnancy and IC / PBS but believe that the disorder does not affect fertility or the health of the foetus. Some women find that their IC / PBS goes into remission during pregnancy, while others experience a worsening of their symptoms.

Coping  The emotional support of family, friends, and other people with IC / PBS is very important in helping patients cope. Studies have found that patients who learn about the disorder and become involved in their own care do better than patients who do not. See the Interstitial Cystitis Association of Americas website to find a group near you.

Continence Stimulation is a therapeutic, safe and highly effective treatment for incontinence that is recommended by doctors, continence advisors and physiotherapy departments throughout the world.

Around 30% of women and 11% of men experience urinary incontinence at some time in their lives.

There are three main types of incontinence:

Stress Incontinence describes leakage of urine when you cough, sneeze, strain, or make sudden movements. It is particularly common in older women and occurs when the bladder neck or pelvic floor muscles that act to hold urine in the bladder are not working properly.

Urge Incontinence describes an overactive bladder. You may experience a strong sudden urge to go to the toilet so that you are not always able to hold on, or have to go more frequently than normal.

Mixed Incontinence is a combination of both Stress and Urge Incontinence.

ADVANTAGES OF CONTINENCE STIMULATION

  • Cure not containment – continence stimulation techniques work to resolve incontinence issues by re-strengthening the muscles needed to contain urine in the bladder; working to cure the issue rather than acting to just manage the issue (such as using containment pads etc).
  • Minimal running costs – continence stimulation is a more cost-effective solution to incontinence than containment. Purchasing just one pelvic floor exerciser or trainer can provide a long-term cure – with noticeable results in just weeks - as opposed to purchasing daily containment pads for the rest of your life.
  • Drug Free – continence stimulation is a drug-free, non-surgical, long-term solution – leaving the user in control of their own treatment.
  • Portable – units are portable, mostly discreet, and can be used at home –saving various trips to medical centres.

 

BEFORE PURCHASE, PLEASE READ THE FOLLOWING WARNING:

Incontinence can have many causes. TensCare Stimulators should never be used unless the cause and source of the incontinence have been diagnosed by a medical practitioner

HOW CONTINENCE STIMULATION WORKS

An electrical current is delivered through an intra-vaginal probe for women or a rectal probe (Type XPR) for men. In women, the second channel can be used with an optional rectal probe to give increased response. External surface electrodes may be used as an alternative if internal probes are not appropriate.

Electrical stimulation works in different ways depending on the program used.

The STRESS incontinence program is based on strengthening the muscles of the pelvic floor by electrical stimulation.

Once muscular strength has been improved, these muscles are better able to resist urinary leakage caused by external pressure being applied to the bladder - such as with a cough, sneeze or physical exertion.

If muscles are in poor condition, it is often difficult to feel the muscles you need to exercise, and unused nerve pathways may make it difficult to control your muscles. The stimulator sends signals that are similar to those sent by your brain, but stronger and targeted at the right site. A medium-frequency current causes the muscles to contract and work, and builds muscle strength and bulk.

Stimulation via a rectal probe (XPR) may also be used to improve the function of the anal sphincter in the treatment of faecal incontinence in both males and females.

URGE incontinence is primarily the unwanted and unexpected emptying of the bladder due to its muscles contracting involuntarily.

A lower-frequency current has been shown to have a beneficial effect in reducing the involuntary contractions in URGE Incontinence. It works by slowing down the rate of false signals sent to the brain.

With STRESS Incontinence, improvement comes slowly with the building of muscle fibre, nerve sensitivity and blood supply. Successful treatment will require stimulation once a day for one to three months.

With URGE Incontinence, improvements can be seen in as little as two weeks.

WHAT DOES IT FEEL LIKE?

Stress Incontinence

Increase the stimulation intensity until you feel a strong but comfortable sensation of ”tightening or lifting”. The stimulation lasts five seconds and then stops for ten seconds. Continue to increase the intensity until it is as high as you can comfortably stand. The medium frequency is only effective if the muscle contracts. You will start to feel sensation at a level BEFORE the muscle starts to contract.

You may need to increase the intensity during the treatment to keep the sensation constant as the body gets used to the feeling.

The stimulation helps you to feel where your pelvic floor muscle is. As your muscle becomes stronger, try to keep it tensed after the stimulation stops. This helps to re-create the natural link between your brain and the muscle.

Like any exercise, you need to rest the muscle. The faster the stimulation frequency, the more rest is needed.

Urge Incontinence

The Urge program causes a “pulsing or tapping” sensation. Increase the intensity to just before the point where the muscle starts to contract. If you get an aching sensation during a treatment, reduce the intensity, and speak to your advisor about reducing the Work time setting.

The stimulation helps you to feel where your pelvic floor muscle is. As your muscle becomes stronger, try to keep it tensed after the stimulation stops. This helps to re-create the natural link between your brain and the muscle.

The best work of all for your pelvic floor is exercise without the stimulator. Once you have built up strength and sensation with the stimulator, keep up regular pelvic floor exercises – the pelvic floor needs exercise like any other muscle!

INSERTION OF PROBE

If necessary, use the toilet before beginning the treatment. 

Ensure the unit is switched OFF before inserting the probe.

Lubricate the probe with lubricant gel or water and insert it as you would insert a tampon until the flange on the end meets the body. The probe will naturally position itself with the widest part of the loop horizontal.

For treatment, get into a comfortable position, sitting or lying with your knees up. You can sit on a rolled up towel to tilt your thighs into a position where the probe cannot fall out.

When and for how long will I need to use Continence Stimulation?

Stress Incontinence can take a long time to respond as the muscle can only build slowly. Treatment should be continued for up to twelve weeks. Keep a diary to record how often you have a problem, both awake and in bed, and how much you leak. When you do start to make small improvements, this record will help to motivate you.

The duration of each period of stimulation can be varied – for example from 10 minutes to begin with, up to 30 or 40 minutes as your treatment programme progresses. The length of each session for muscle strengthening will also depend on your ability to contract and resistance to fatigue.

As with any muscle re-education, the saying "no gain without pain" does apply –muscles need to be "pushed" into performing at their best. However, your treatment programme should not be painful or an ordeal. Levels of stimulation intensity and period of use should be tailored to suit your particular needs and abilities.

Urge Incontinence can respond very quickly - in as little as two weeks.

If you cannot feel anything when the intensity is increased, you may be suffering from a loss of normal sensation. This numbness should rectify with treatment. However, to ensure that you do not over-stimulate the muscle, and to avoid a nasty surprise if the probe slips out, do the following:

  • Turn the intensity down to 1 or 2.
  • Withdraw the probe until it is about halfway out.
  • Increase the intensity as high as you can comfortably set it.
  • Replace the probe.

 

OPTIONAL ANAL PROBE

Some clinicians favour the use of two probes simultaneously to maximise stimulation to the pelvic floor. A special Anal Probe and leads (L-BPT and X-AP) are available as optional extras. The second channel is used in exactly the same way as the first.

PROBE HYGIENE

The probe supplied is intended for single patient use. It is important that the probe is cleaned after each use.

Clean in warm soapy water, rinse and dry thoroughly. The probe should be replaced every six months.

1 in 3 women (50% of women over 40), and 1 in 7 men will suffer from some form of incontinence during their lives; be it post-childbirth or later in life as pelvic floor muscles weaken.

The severity of incontinence can vary. Even though it is not considered life-threatening, it can cause depression, isolation and soreness. Pelvic floor exercisers are recognised as an effective method of strengthening the muscles that support the bladder and bowel, and are a more cost-effective, better long-term solution than containment pads.

Why use a TensCare Pelvic Floor Exerciser?

Pelvic floor exercisers and trainers are seen as the most effective way to prevent issues with incontinence. Yet, 1 in 3 women do not know how or are unable to voluntarily exercise their pelvic floor muscle themselves. Pelvic Floor Exercisers can play a vital role in educating women about their pelvic floor and the sensation they should feel when doing pelvic floor exercises, helping to improve muscle tone and associated problems. They can also train pelvic floor muscles in men by using electrical stimulation through an anal probe or electrode.

Benefits to using a TensCare Pelvic Floor Exerciser:

  • Safe and drug-free with no side effects
  • Easy-to-use at home
  • Non-surgical
  • Clinically proven programmes
  • Reduces the usage of containment pads
  • Improves sexual stimulation for women through strengthened pelvic floor muscle
  • Can help to reduce leakage
  • Discreet
  • Helps to avoid rectal prolapse
  • Helps to ease chronic pelvic pain
  • Helps men’s prostate to function

How can Pelvic Floor Exercisers help Urinary Incontinence?

Pelvic Floor Exercisers are portable EMS (Electrical Muscle Stimulation) units which help to build the pelvic muscle strength whilst educating women how to control their pelvic floor. Pelvic Floor Exercisers work by sending gentle stimulation (EMS) to your pelvic floor muscle through a vaginal or anal probe, or via self adhesive electrode pads using clinically recognised programmes. The units exercise and tone the pelvic floor muscle helping you to gain control of your bladder naturally. For best results, it is recommended to use your Pelvic Floor Exerciser in conjunction with Kegel Exercises for best results.

The benefits of pelvic floor exercises for women, particularly after childbirth, are well documented. However, these simple exercises are also very valuable for men following prostatectomy or other prostate surgery where removing the prostate has damaged the area between the bladder and urethra resulting in some form of urinary incontinence whether it is Stress, Mixed or Urge.

A study following men through the first year after prostatectomy found pelvic floor exercises are effective in terms of reducing incontinence. The iTouch Sure Pelvic Floor Exerciser for Men locates and tones your pelvic floor muscle helping you to rebuild muscle strength and reduce any accidental leakages.

How can Pelvic Floor Exercisers help Faecal Incontinence?

Faecal incontinence can be the result of weakened or poorly functioning anal sphincter muscles or damage to the nerves controlling them.

Electrical muscle stimulation (EMS) can be used to re-educate the anal sphincter to contract. The treatments aim to progress towards graduated active exercises, in order to improve pelvic floor muscles strength and endurance and to regain function.

How do men use a Pelvic Floor Exerciser?

The iTouch Sure is a discreet unit with an intra-anal probe. The unit uses comfortable muscle stimulation to exercise your pelvic floor muscle to aid recovery from urinary and faecal incontinence.

For the more common Urge incontinence, the iTouch Sure is supplied with self-adhesive electrode pads that are placed either side of the spine. It uses gentle electrical stimulation to sooth irritable bladder muscles. Additional electrode pads, replacement probes and Go Gel lubricating gel are all available to purchase as accessories.

Clinically proven

A recent clinical trial carried out on the TensCare iTouch Sure Pelvic Floor Exerciser has been conducted in the US with excellent results.  Participants in the study experienced a 57.1% reduction in the use of continence pads and a significant improvement in incontinence episodes after only 12 weeks of using the iTouch Sure. The chart below provides the results from the clinical trial:

5
Your rating: 5

Tuesday, 17 May, 2016 - 16:10 - chloe bisiaux

Perfect

Wish I'd bought this years ago! Does what it says on the box, the difference after only two weeks is quite significant.
Highly recommended!

5
Your rating: 5

Tuesday, 17 May, 2016 - 16:08 - Barbara

Easy to use nice product.

I was using something similar at the hospital and this works just as well. Easy to use.
.

5
Your rating: 5

Tuesday, 17 May, 2016 - 16:00 - Barbara

I wish to know that product like this exist much earlier.

I found it very effective, even after one month much improved (though the leaflet says 3 months for stress). I just relax on the bed reading for 20 mins - if only their was a body toning version
Aldona

5
Your rating: 5

Tuesday, 17 May, 2016 - 15:53 - Barbara

40 minutes per day works for me

Wished I had bought this ages ago, only had it a few weeks but I can really feel the muscles working,I find 20 mins on Urge setting then 20 mins on Stress setting works best (I have mixed).
Barbara

5
Your rating: 5

Tuesday, 17 May, 2016 - 15:42 - Nadia

Thank you Perfect PFE.

I can laugh again, so thank you for this product, I am really happy.Good Quality as well, I will recomend,
Nadia from Weybridge.

5
Your rating: 5

Tuesday, 10 May, 2016 - 12:34 - Claudia

Perfect PFE Pelvic Floor Exerciser machine

I would like to thank you for a very professional and efficient service and for your very fast respond to my email.
The Pelvic Floor Exerciser works effectively and I have my results after 3,5 weeks, this is almost hard to believe , because I had this problem for 2 years now. Thank you so so much , I will recommend this machine to a friend if needed and keep you posted on the results. With Best Wishes. Claudia

5
Your rating: 5

Tuesday, 10 May, 2016 - 12:31 - Lucy

Life Transforming- really works!

As a middle aged woman who's had surgery & takes prescribed meds for incontinence (both without 100% success), this was a last-ditch attempt for which I didn't have any great hopes. I'm delighted to say I was wrong - only a few weeks in, & the difference is notable. I've stopped taking my meds & don't need to wear pads every day.I've made it part of my nightly routine - I use the exerciser while I'm reading in bed before sleeping - so it doesn't intrude on my life. DO heed the instructions to start at a low setting if you don't have much sensation in the pelvic floor - sensation will come back really quickly & then you can build up the power setting.