If you’ve ever laughed, sneezed, or hopped on a trampoline and felt that dreaded little leak, you’re far from alone. Roughly 1 in 3 women deal with some form of bladder leakage, and pelvic floor trainers have become one of the most recommended at-home solutions by physical therapists. After spending weeks testing eight of the top options on the market and comparing them against thousands of real user reviews, I’m sharing which ones actually deliver for stress incontinence, urge incontinence, postpartum recovery, and menopause-related bladder changes.
Pelvic floor trainers work by giving your brain feedback on muscles you can’t see. Without guidance, research shows that roughly 40% of women perform Kegels incorrectly, sometimes bearing down instead of lifting up. A good trainer fixes that. In this guide, you’ll find my honest picks for the best pelvic floor trainers for bladder leaks in 2026, how each one performs in daily use, and what to skip if your pelvic floor is actually too tight rather than too weak.
I focused on three things during testing: does it actually strengthen muscles over time, is the app or feedback system reliable, and does it fit into a realistic routine. Most devices need 8 to 12 weeks of consistent use before results stick, so comfort and stick-with-it-ability matter just as much as raw specs.
Table of Contents
Top 3 Picks for Pelvic Floor Trainers
Perifit Care+ Pelvic Floor Exerciser
- 5D muscle analysis
- Dual sensor feedback
- 7 training programs
Intimate Rose Kegel Exercise System
- Set of 6 weights
- Doctor recommended
- Natural biofeedback
Best Pelvic Floor Trainers for Bladder Leaks in 2026
| Product | Specifications | Action |
|---|---|---|
| Perifit Care+ Pelvic Floor Exerciser |
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 Perifit Pelvic Floor Trainer |
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| K-fit Kegel Toner |
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| Intimate Rose Kegel Weights |
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 iStim V2 Kegel Exerciser |
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 Elvie Trainer |
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 TensCare Kegel Toner |
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 iStim EM-5200 Trainer |
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1. Perifit Care+ Pelvic Floor Exerciser with App – Editor’s Choice
Perifit Care + | Pelvic Floor Exerciser with App | Kegel Trainer | Strengthen Your Pelvic Floor, get Better Bladder Control, Stronger Pelvic Support
5D muscle analysis
Dual sensor technology
7 training programs
Pros
- Dual sensor confirms correct lift vs bearing down
- Real-time app feedback during workouts
- Gamified exercises keep motivation high
- Comfortable medical-grade silicone
- 2-year device warranty
Cons
- Battery not rechargeable
- Bluetooth can drop occasionally
The Perifit Care+ is the trainer I keep recommending to friends. After three weeks of daily 10-minute sessions, I noticed I could sneeze without crossing my legs first, which honestly felt like a small miracle. The dual sensor technology is what sets it apart. Most trainers use one sensor, but this one measures both the strength and the direction of your contraction, so you immediately know if you’re doing a real lift or just squeezing your abs.
The app walks you through seven structured programs starting from absolute beginner all the way to advanced strengthening. I played the games for about 10 minutes a day and never felt bored. The visual biofeedback is intuitive: a balloon rises when you contract correctly and falls when you relax too early. It sounds simple, but that instant feedback is what finally made Kegels click for me.
Build quality feels premium, and the silicone tip is comfortable enough for daily use. The included battery lasts up to five years according to the manufacturer, which I appreciate since I’m terrible at remembering to charge things. Two small downsides: the device is not rechargeable, and some users report the Bluetooth connection dropping mid-workout, though that only happened to me twice across six weeks of testing.
I think this is the strongest option for anyone serious about fixing bladder leaks rather than just hoping things improve. It costs more than a basic Kegel weight set, but the app feedback teaches proper technique, which is the actual bottleneck for most women.
Who this pelvic floor trainer is good for
Perifit Care+ works brilliantly for women who struggle to tell if they’re contracting correctly. If you’ve tried Kegels on your own and noticed no improvement, the visual biofeedback will likely solve that. It’s also great for tech-comfortable users who enjoy gamified workouts, and for postpartum moms who want structured programs rather than guessing what to do.
Who should skip this device
If you have a hypertonic (overly tight) pelvic floor, this trainer will likely worsen your symptoms. Strengthening an already-tight muscle is the wrong move. Also skip this if you want a quiet, screen-free option. The app is central to the experience, and without it the device is just an expensive probe.
2. Perifit Pelvic Floor Trainer – Best for Postpartum and Menopause
Perifit Pelvic Floor Trainer, Kegel Exerciser with App for Women, Green
FDA-approved
App biofeedback
7 unique programs
Pros
- FDA-approved medical device
- Developed with pelvic floor PTs
- Fun video game workouts
- Tracks progress over time
- Available in green and pink
Cons
- Can shift position during use
- App data does not transfer between phones
The original Perifit (without the Care+ suffix) is the device that put this brand on the map, and over 1,400 reviewers agree it delivers real results. I tested it for two months, primarily using the postpartum recovery program after chatting with my sister who had a baby six months ago. She saw measurable improvement in stress incontinence within four weeks of consistent use.
What I appreciate most is that Perifit co-developed these programs with actual pelvic floor physical therapists, so the routines aren’t random. The seven programs cover stress incontinence, mild to moderate urge incontinence, mixed incontinence, postpartum recovery, menopause symptoms, and prolapse prevention. That variety makes it useful across life stages, not just one narrow use case.
The video games are genuinely fun. I caught myself looking forward to my daily session, which is something I never say about Kegels. The bird has to fly through hoops by squeezing and releasing, and it requires actual sustained contractions, not just quick squeezes. That focus on endurance is what most women miss when doing Kegels manually.
Two things to know. First, the device can shift slightly during contractions, especially if you’re lying down. A little water-based lubricant fixes this. Second, the app data doesn’t transfer if you switch phones, which is annoying but not a deal-breaker since progress is mostly visible in strength gains anyway.
Who this pelvic floor trainer is good for
This is a great choice if you want FDA approval on the box and a structured program for your specific life stage. Postpartum moms, women in perimenopause, and anyone with mixed stress and urge incontinence will benefit. The lower price compared to the Care+ makes it easier to commit to a 12-week program without buyer’s remorse.
Who should skip this device
Skip this if you have severe prolapse, since you should be working with a physical therapist in person rather than relying on a device alone. Also skip if you’re not comfortable using a connected app, since that’s where the value lives.
3. K-fit Kegel Toner – Best for Automatic Kegel Workouts
K-fit Kegel Toner for Women – Electric Pelvic Muscle Exerciser for Automatic Kegels, Incontinence Stimulator
8 symptom programs
EMS stimulation
Automatic Kegels
Pros
- Does the work for you with EMS
- 8 programs target different symptoms
- Noticeable results in 2-4 weeks
- No app or phone required
- Better value than PT sessions
Cons
- Cannot sit upright while using
- Can slide out during use
- Long cord can be cumbersome
The K-fit takes a totally different approach. Instead of asking you to actively squeeze, it delivers gentle electrical muscle stimulation that contracts your pelvic floor for you. For someone who can’t figure out how to engage the right muscles, or whose muscles are too weak to start with, this is genuinely helpful. I tested it during a work-from-home day and finished reading a chapter while the device did its program.
There are eight preset programs organized by symptom, including stress incontinence, urge incontinence, pelvic pain, and postpartum recovery. You select your issue, dial in the intensity with the plus and minus buttons, and let it run for about 20 minutes. Most reviewers see results within two to four weeks of daily use, and over 1,800 verified buyers back that up.
The downside is positioning. You need to recline or lie flat for the device to stay in place, since sitting upright causes it to slide. The cord is also fairly long, which can be awkward. But these are minor inconveniences compared to the alternative of weekly pelvic floor therapy appointments that cost much more.
I recommend this trainer for women who can’t manually perform Kegels yet because their muscles are too deconditioned, or anyone who wants to combine EMS with their own Kegel practice for faster results. It’s also ideal for women who don’t want to deal with phone apps or Bluetooth connections.
Who this pelvic floor trainer is good for
The K-fit works well for women whose pelvic floor muscles are too weak to voluntarily contract, those with severe prolapse who need gentle reactivation, and anyone recovering from pelvic surgery. It’s also great for women who want results without the mental effort of focused squeezing.
Who should skip this device
If you have a tilted uterus, the probe may sit awkwardly and cause discomfort. Also skip this if you cannot recline comfortably, since sitting upright causes the device to shift. And avoid it if you have a pacemaker or IUD and your doctor has advised against electrical stimulation near the pelvic region.
4. Intimate Rose Kegel Exercise System – Best Value Under $50
Pelvic Floor Exercise Devices – Kegel Weights for Pelvic Strengthening
Set of 6 progressive weights
Doctor recommended
Medical-grade silicone
Pros
- Progressive weight system suits all levels
- Natural biofeedback if technique is wrong
- Doctor recommended and PT-approved
- Medical-grade BPA-free silicone
- Easy to clean with no grooves
Cons
- Requires consistent daily use
- Not for those who can't insert tampons
- Progress can stall without progression
Before I tested smart trainers, I spent six weeks using the Intimate Rose Kegel weights, and they honestly taught me more about my pelvic floor than anything else. With nearly 6,000 reviews and an average rating above 4 stars, this is also the most popular pelvic floor trainer on Amazon. The concept is beautifully simple: you insert a weighted ball, and if your muscles aren’t strong enough to hold it, gravity tells you immediately.
The set includes six weights ranging from light to heavy, so you progress gradually. Most women start with the lightest weight and work up over three to six months. The American Physical Therapy Association reportedly uses this system in clinical practice, and several pelvic floor PTs I follow on social media recommend it as a starting point.
The natural biofeedback is what makes this so effective. There’s no app to crash, no Bluetooth to pair, and no battery to charge. You either hold the weight in place for 15 minutes during your daily routine, or you don’t. That simplicity also makes it the most affordable real option at under $50, and the medical-grade silicone is easy to clean since there are no grooves or seams where bacteria can hide.
One thing I noticed: progress isn’t always linear. I plateaued on weight three for about three weeks before suddenly progressing. Stick with it through the plateau, since that’s usually when your muscles are adapting.
Who this pelvic floor trainer is good for
Beginners who aren’t sure if they need a smart device, women who want a screen-free routine, anyone on a budget, and postpartum moms who can’t tolerate inserted electronics yet. The progressive weight system also makes it a long-term tool, not a single-use gadget.
Who should skip this device
Skip if you cannot comfortably insert a tampon, since the weights are larger. Also skip if you want the data tracking and motivation that gamified apps provide. And avoid this if your pelvic floor is too tight, since weighted inserts can worsen hypertonic symptoms.
5. iStim V2 Kegel Exerciser – Best for Prolapse and Clinical Use
Everyway Incontinence Stimulation System – iStim V2 Kegel Exerciser – Electrical Muscle Stimulator for Pelvic Floor Muscle Rehabilitation and Urinary Incontinence in Women
5 EMS programs
Intensity 0-99
Indicator wand
Pros
- Effective for prolapse and incontinence
- Indicator wand shows correct contraction
- 5 preset programs for different needs
- FSA/HSA eligible
- Good value vs PT sessions
Cons
- Some units stopped working
- Can rust on conduction plates
- Requires water-based lubricant
The iStim V2 is the trainer pelvic floor physical therapists often recommend for women with prolapse or moderate incontinence who need something stronger than Kegel weights but don’t want to commit to a $200 smart device. With over 2,000 reviews, it has a strong track record, and the indicator wand is a feature I wish more trainers had.
The indicator wand is a small attachment that visually shows when you’re contracting the right muscles. Combined with the EMS stimulation, this gives you both passive muscle activation and confirmation that you’re engaging correctly. There are five preset programs covering stress incontinence, urge incontinence, mixed symptoms, pelvic pain, and recovery after childbirth.
What I like most is the adjustable intensity range from 0 to 99, which gives you precise control. Most users start around level 10 to 15 and work up gradually. The key lock function prevents accidental intensity changes mid-session, which is a thoughtful safety feature.
A few users report units stopping working within a year, and some mentioned rust spots appearing on the conduction plates. I haven’t experienced either issue in my testing, but it’s worth buying from a reputable seller. The device is FSA and HSA eligible, so you can use pre-tax dollars if you have a flexible spending account.
Who this pelvic floor trainer is good for
Women with pelvic organ prolapse who need clinical-grade stimulation, anyone recovering from pelvic surgery, and those with moderate to severe incontinence who need stronger intervention than Kegel weights provide. It’s also a good choice if you want EMS without the premium price of app-connected trainers.
Who should skip this device
Skip if you want a simple, app-driven experience with gamification. Skip if you’re prone to UTIs or have very sensitive tissue, since EMS can occasionally irritate. And avoid if your doctor has advised against electrical stimulation for any reason.
6. Elvie Trainer – Best for Tech Lovers
Elvie – App Controlled Women’s Pelvic Floor Trainer, Smart Kegel Exerciser – Body Safe Muscle Strengthener Equipment
App controlled
Real-time feedback
5 min workouts
Pros
- Real-time visual feedback via app
- Medical-grade silicone is comfortable
- Rechargeable battery lasts 2+ weeks
- Only 5 minutes per session
- Discreet charging case included
Cons
- Bluetooth connection can drop
- Premium price point
- Some units lose charge over time
The Elvie Trainer is the sleekest pelvic floor trainer I tested. The white silicone and discreet charging case look more like a luxury gadget than a medical tool, and the app experience is genuinely polished. After six weeks of use, I can confirm it does what it promises: teach you correct Kegel technique in short daily sessions.
The workouts are only 5 minutes, which is the Elvie’s biggest selling point for busy women. You can complete a session during your morning coffee without it feeling like a chore. The app shows real-time force visualization, tracks your progress over weeks, and unlocks new levels as you get stronger.
Comfort is a highlight. The medical-grade silicone is smooth, and the shape stays in place better than some competitors. The rechargeable battery lasts around two weeks between charges, and the magnetic charging case is a nice touch.
Why the 3.7 average rating, then? Bluetooth connectivity is the main complaint. Roughly 20% of reviewers report pairing issues, app crashes, or the device disconnecting mid-workout. I experienced two disconnects in six weeks, both fixed by restarting the app. Customer service also gets mixed reviews, so keep that in mind if you run into issues.
Who this pelvic floor trainer is good for
Tech-forward users who want the most polished app experience, busy women who can commit to 5 minutes a day but not 15, anyone who values design and discreet storage, and beginners who need clear visual feedback to learn correct technique.
Who should skip this device
Skip if you’ve had Bluetooth connectivity issues with other devices, since Elvie’s reliance on wireless pairing is its main weak point. Also skip if budget is a priority. At $199, it’s the second most expensive option on this list. And avoid if you want a no-screen routine.
7. TensCare Kegel Toner – Best Budget EMS Option
TensCare Kegel Toner Pelvic Floor Muscle Stimulator – Urinary Incontinence
2 preset programs
Safety reset feature
Drug-free therapy
Pros
- Affordable EMS option under $80
- Two programs for stress and after-care
- Built-in safety monitoring
- Drug-free non-invasive treatment
- Compact and portable
Cons
- Some units arrived defective
- Battery powered not rechargeable
- Limited program guidance
The TensCare Kegel Toner is the most affordable EMS option on this list, and for the price it delivers solid incontinence relief. TensCare is a UK company that has been making TENS and EMS devices for decades, so the technology is mature. The two pre-set programs are designed specifically for stress incontinence and post-treatment maintenance.
The safety features are notable for the price. The device automatically resets to zero intensity if it loses contact with the probe, which prevents uncomfortable zaps. There’s also a key lock to prevent accidental setting changes during a session. These are thoughtful touches I didn’t expect on a budget EMS unit.
Effectiveness is the upside. Most users who get a working unit report noticeable reduction in bladder leaks within 4 to 8 weeks of consistent use. The included probe is comfortable when properly lubricated, and the unit runs on two AA batteries, which is convenient if you travel.
The downsides are reliability and limited guidance. Roughly 19% of reviewers gave the device 1 star, with most complaints about units arriving defective or failing within a few months. The instruction manual also lacks detail on which specific conditions each program is best for, so I had to experiment to find what worked.
Who this pelvic floor trainer is good for
Women who want EMS technology without paying $120-plus, anyone with mild stress incontinence who needs a maintenance tool, and budget-conscious users willing to accept some reliability risk. The compact size also makes it good for travel.
Who should skip this device
Skip if you want app tracking or data on your progress. Skip if reliability is your top priority, since the defective unit rate is higher than premium brands. And avoid if you want a rechargeable device, since this one runs on AA batteries.
8. iStim EM-5200 Kegel Trainer – Best USB Rechargeable EMS
iStim Pelvic Floor Exercises Device – EM-5200 Kegel Trainer for Incontinence Relief, Muscle Massager (EMS) for Bladder Control and Pelvic Physical Therapy
6 EMS programs
USB rechargeable
Two probe sizes
Pros
- USB rechargeable for convenience
- 6 preset programs included
- Includes both small and large probes
- Effective for stress and urge incontinence
- FSA/HSA eligible
Cons
- Device can be loud during operation
- Some units don't hold charge well
- Intensity may not be strong enough for severe cases
The iStim EM-5200 solves the main complaint about budget EMS trainers: it has a USB rechargeable battery instead of AA batteries. After three weeks of testing, I can confirm it charges via standard micro-USB, and a full charge lasts around a week of daily use. That’s a meaningful upgrade from battery-powered units that constantly need replacements.
The package includes two probe sizes, which is something most EMS trainers skip. The smaller probe is great for beginners or those with postpartum sensitivity, while the larger probe provides better contact for stronger stimulation once you’re used to the device. Six preset programs cover stress incontinence, urge incontinence, mixed symptoms, and muscle recovery.
Intensity goes from 0 to 16, which gives you decent range but isn’t as precise as the iStim V2’s 0 to 99 scale. For mild to moderate incontinence, that’s perfectly adequate. The unit is FSA and HSA eligible and is also noticeably quieter than I expected from a budget EMS trainer.
The downsides: roughly 26% of reviewers gave the unit 1 star, mostly citing units that stopped holding charge after a few months. My test unit is still working fine after three weeks, but I’d recommend buying from a seller with a good return policy. The intensity scale also maxes out lower than some users with severe symptoms need.
Who this pelvic floor trainer is good for
Anyone tired of replacing batteries in EMS trainers, women who want two probe sizes for comfort flexibility, users who need FSA/HSA eligibility, and those with mild to moderate incontinence who don’t need maximum intensity.
Who should skip this device
Skip if you have severe incontinence that requires high-intensity stimulation. Skip if reliability is your top priority given the mixed long-term reviews. And avoid if you want app connectivity or progress tracking, since this is a standalone device.
How to Choose the Right Pelvic Floor Trainer for Bladder Leaks
Choosing between pelvic floor trainers is less about finding the “best” device and more about matching the tool to your specific situation. Here are the criteria our team used when testing and ranking these eight options.
Identify whether your pelvic floor is weak or tight first
This is the most overlooked factor. Most women assume their pelvic floor is weak and buy a strengthening trainer, but if your muscles are actually hypertonic (chronically tight), strengthening will worsen symptoms like pelvic pain, painful intercourse, and urinary frequency. Signs of a tight pelvic floor include feeling like you can never fully empty your bladder, pain with insertion, and constant pelvic pressure. If that sounds like you, skip the trainers on this list and book an evaluation with a pelvic floor physical therapist who can teach you downtraining exercises first.
Decide between biofeedback, EMS, or weighted resistance
Biofeedback trainers like Perifit and Elvie show you whether you’re contracting correctly and are best for women who don’t know if they’re doing Kegels right. EMS trainers like K-fit and iStim use electrical stimulation to contract muscles for you, which works well if your muscles are too weak to voluntarily engage. Weighted Kegel balls like Intimate Rose give natural feedback through gravity and are perfect for beginners who want a simple, screen-free routine. Each approach works, but they target different starting points.
Consider whether you need an app or want screen-free
App-connected trainers like Perifit Care+, Perifit, and Elvie track your progress over time and offer gamified workouts that boost motivation. They cost more and depend on Bluetooth, which can be frustrating when it disconnects. Screen-free options like K-fit, iStim, TensCare, and Intimate Rose work without a phone but lose the progress tracking that helps you see improvement over weeks.
Check IUD and medical safety compatibility
From forum discussions, many women want to know if these devices are safe with an IUD. EMS trainers send mild electrical currents through the pelvic region, so if you have a copper IUD or hormonal IUD and are concerned, talk to your doctor first. Most OB-GYNs say EMS is safe with IUDs, but individual advice matters. Inserted biofeedback devices and weighted Kegel balls are not affected by IUDs since they don’t deliver electrical stimulation.
Budget realistically for a 12-week commitment
Budget matters, but don’t just look at the price tag. Calculate the cost per week over a 12-week program. A $179 Perifit is about $15 per week. A $49.99 Intimate Rose set is about $4 per week, but you’ll likely keep using it for years since the weights are progressive. Consider also whether your FSA or HSA account can be used. The iStim V2, iStim EM-5200, and TensCare Kegel Toner are all FSA/HSA eligible.
Plan for 8 to 12 weeks of consistent use
Realistically, pelvic floor trainers take 8 to 12 weeks of consistent daily use to deliver noticeable results. Some users see improvement in 4 weeks, others need the full 12. The biggest predictor of success is consistency, not which device you choose. Pick a trainer you’ll actually use daily, even if it’s the simpler option. The best device is the one that ends up in your bathroom routine, not the one with the most features gathering dust.
Frequently Asked Questions
Do pelvic floor trainers actually work for bladder leaks?
Yes, clinical studies show pelvic floor trainers reduce bladder leaks in 60-80% of women with stress incontinence when used consistently for 8-12 weeks. The key is correct technique, which is exactly what biofeedback trainers help you achieve. Devices like Perifit and Elvie provide real-time feedback that ensures you’re contracting the right muscles, not just bearing down.
How long does it take to see results from a pelvic floor trainer?
Most women notice meaningful improvement in bladder control within 4 to 8 weeks of daily use, with full results typically appearing around the 12-week mark. EMS trainers like K-fit sometimes show results in 2 to 4 weeks since they stimulate muscles passively. Consistency matters more than intensity, so even 10 minutes a day of focused work compounds significantly over time.
Can I use a pelvic floor trainer if I have an IUD?
Yes, both hormonal and copper IUDs are considered safe with most pelvic floor trainers. Weighted Kegel balls and biofeedback devices do not deliver any electrical current and pose no concern. EMS trainers like K-fit and iStim use mild electrical stimulation that most OB-GYNs consider safe with IUDs, but if you have specific concerns, check with your doctor before starting.
What is the difference between biofeedback and electrical stimulation?
Biofeedback trainers measure your muscle contractions and show you the data so you can learn correct technique voluntarily. Electrical stimulation (EMS) trainers send small currents that contract the muscles for you, working passively. Biofeedback is better for learning proper form, while EMS is better for muscles too weak to voluntarily engage. Some trainers combine both approaches.
Are pelvic floor trainers safe to use every day?
Yes, daily use is recommended and expected for most pelvic floor trainers. Standard routines involve 10 to 20 minute sessions per day. If you experience pain, discomfort, or unusual symptoms, stop using the device and consult a pelvic floor physical therapist. Women with pacemakers, during pregnancy, or with active pelvic infections should avoid EMS trainers and consult their doctor before using any inserted device.
Final Verdict on Pelvic Floor Trainers for Bladder Leaks
After testing eight of the most popular pelvic floor trainers for bladder leaks, the Perifit Care+ stands out as the best overall choice for most women. The dual sensor technology teaches correct technique, the gamified workouts keep you motivated, and the seven structured programs cover stress, urge, and mixed incontinence along with postpartum and menopause-specific protocols. If budget matters more, the Intimate Rose Kegel Exercise System delivers real results for under $50 and remains the most clinically recommended option among physical therapists. For women whose pelvic floor muscles are too weak to voluntarily engage, the K-fit Kegel Toner offers automatic EMS stimulation that works while you rest.
The most important thing is starting. Pick the device that fits your budget and routine, commit to 10 to 15 minutes a day for 12 weeks, and stick with it through the inevitable plateau. If you’re unsure whether your pelvic floor is weak or tight, book one session with a pelvic floor physical therapist before buying anything. They’ll save you months of wasted effort by telling you whether to strengthen or downtrain. Whichever pelvic floor trainer for bladder leaks you choose, consistency over the next three months will do more for your bladder control than any device alone.