REVIEW:
Perifit vs. Elvie Trainer

By

Willa Trenton, Gynecologist

Updated

August 4, 2023

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Perifit and Elvie Trainer are today the most popular choices when it comes to pelvic floor muscles training with biofeedback for at-home use. Their aim is the same: strengthen pelvic floor muscles, alleviate symptoms like urine leaks and prolapse, improve post-natal recovery, and enhance intimate wellbeing. They help strengthen pelvic floor muscles, alleviate symptoms like urine leaks and prolapse, improve post-natal recovery, and enhance intimate wellbeing.

The biofeedback technology measures and displays real-time pelvic muscle contractions on a screen, such as a smartphone, through a connected probe and app. This approach is considered as one of safest and most effective methods of doing Kegel exercises, which help to deal with pelvic floor muscles dysfunctions. Until recently, the biofeedback technology was only available in hospitals, and now Elvie and Perifit made it available from the comfort of your home. For both Elvie and Perifit, the pelvic floor muscles contractions are measured by the probe, transformed in a real-time visual feedback and displayed by the smartphone app.  After inserting the probe, the app will guide you into squeezing the muscles in a certain way, allowing you to measure and track the progress.

But which one will you choose?

While using similar biofeedback approach, they remain quite different.

Design and technology

From the first look on the devices, they look very different. Elvie Trainer looks smaller and shorter since it is egg-shaped. Perifit is longer and shaped as a wand. 

Entirely covered in pale green soft medical grade silicone, Elvie uses a “system of force and motion sensors” which allows measuring the contractions and detect when you are pushing down (rather than pulling up) with your pelvic floor, which can be damaging. However, when the app notifies about pushing down, it doesn’t guide on how to correct the situation, but just stops the exercise.

Perifit comes in two different colours, bright magenta and turquoise green, and the insertable part is made of safe medical grade silicone (BPA free, Phthalates free and EA free). Perifit features a "unique double pressure-sensor technology to identify faulty contractions". One sensor is located closer to the base of the device, it detects pelvic floor muscles contractions, and the second measures intra-abdominal pressure, which corresponds to faulty contractions. The two sensors are shown on the app screen, so you immediately know when you activate the wrong muscles and can adjust.

Perifit has no accessories, while Elvie Trainer comes with a storage and charging case and an additional cover. Perifit doesn’t need any charging, since its battery is guaranteed 5 years.

Perifit and Elvie trainer
Perifit (left) and Elvie Trainer (right) (Sources: www.perifit.co, www.elvie.com)
  • You’ll like Elvie Trainer if you want a smaller device which comes with a storage box.
  • You’ll like Perifit if you prefer a wand-like shaped device and/or you want to keep an eye on your contraction quality at all times.

Our preference: Perifit. While design preferences are personal, we prefer Perifit because it is more helpful in identifying faulty contractions, which may be damaging to your pelvic floor muscles. Research shows that 30% of women performs Kegel exercises in a wrong way, which makes this functionality quite important.

SEE PERIFIT ON AMAZON

Apps, TRAINING PROGRAMS and features

Both Perifit and Elvie Trainer apps aim to gamify Kegel exercises and help to remain consistent with your training. The results from your workouts are saved, allowing you to measure your performance, track your progress and stay motivated. The apps are very different though, proposing different approaches on focusing on different priorities. We’ve also got the feeling that Perifit’s app is more regularly updated with new features.

Elvie’s app is quite sober, featuring clean and uncluttered design and a limited colour palette. The training is structured with four levels and six different exercises : they are organized in the workouts according to your goals and your progress, to help you build muscle power, agility, and endurance. You start on "Training" level to learn how to exercise correctly, then you move up to Beginner, and so on, each of the 4 levels presenting 10 workouts. Each workout consists in repeating up to 6 different exercises: Lift (squeeze and relax), Pulse (make several quick squeezes), Hold (lift and hold), Speed (Pulse fast), Step (execute all the previous exercises with a more challenging timing), Strength (squeeze as string as possible).

The exercises are not really games, but rather gamified visualizations where your pelvic floor is represented with a gem. It can feel a bit repetitive because even if you switch from one exercise to another, the visuals remain very similar. On a long term, the training offer can be perceived as quite limited, not offering enough variety needed to stay engaged.

Elvie app screenshots
Elvie app visuals - screenshots.

Perifit’s app is full of possibilities and clearly more oriented towards gaming, so you’ll unlikely to get bored. It offers 7 training programs and a quiz helps to choose the one which would fit your needs. They focus on symptoms you are experiencing, whether it's urge incontinence, stress incontinence, mixed incontinence or prolapse; and needs like sexual well-being, post-partum & prevention.

Each training program has 10 levels, and you progress by playing video games. Training patterns (all the series of different squeezes and holds and relaxation) are integrated in the games in a seamless way, so you don't get bored with repetition. There are 12 games to unlock as you progress, some of them are "multiplayer", which means you'll be competing against another user! The games are visually diversified, and you'll be able to play the ones you like the most: the relaxing "Scarlet's Melodies", the vintage "Flappy Bird" or a more adventurous "Aerial Fighter" - there are games for different tastes.

Perifit games screenshots
Perifit app screenshots - games examples.

In addition to the games, there are unique features in the app, allowing you to understand and improve the quality of your pelvic floor contractions: “Kegel coach”, "3D pelvic floor" and “Practice mode”. Kegel Coach guides you towards a better understanding of your pelvic floor before you jump into training. 3d pelvic floor helps you understand the pelvic floor anatomy and visualize how the muscles "lift" when you squeeze. Practice mode shows the pressure captured by each sensor, so you can visualize the quality of your contractions in a very straightforward manner and work on improving it.

Perifit app screenshots
Perifit app screenshots - additional training programs for better quality Kegels.

You can also track your contraction quality improvement over time, and other metrics. The app offers a lot of educational content, videos from pelvic floor specialists, advice on training positions and a lot of information about different symptoms and ways to reduce them. There is even a "Community" section where (real) women all around the world share their feedback, discuss their issues and support each other.

Perifit app sections
  • You’ll like Elvie if you want a simple app with minimalist visual, and also if you don’t like games.
  • You’ll like Perifit if you are looking for fun ways of exercising and a complete and regularly updated app with a lot of content and helpful features.

Our preference: Perifit. The app is very complete with different activities, and we love the games which are definitely making training time fun time.

Perifit and Elvie Trainer are today the most popular choices when it comes to pelvic floor muscles training with biofeedback for at-home use. Their aim is the same: strengthen pelvic floor muscles, alleviate symptoms like urine leaks and prolapse, improve post-natal recovery, and enhance intimate wellbeing. They help strengthen pelvic floor muscles, alleviate symptoms like urine leaks and prolapse, improve post-natal recovery, and enhance intimate wellbeing.

The biofeedback technology measures and displays real-time pelvic muscle contractions on a screen, such as a smartphone, through a connected probe and app. This approach is considered as one of safest and most effective methods of doing Kegel exercises, which help to deal with pelvic floor muscles dysfunctions. Until recently, the biofeedback technology was only available in hospitals, and now Elvie and Perifit made it available from the comfort of your home. For both Elvie and Perifit, the pelvic floor muscles contractions are measured by the probe, transformed in a real-time visual feedback and displayed by the smartphone app.  After inserting the probe, the app will guide you into squeezing the muscles in a certain way, allowing you to measure and track the progress.

But which one will you choose?

While using similar biofeedback approach, they remain quite different.

Design and technology

From the first look on the devices, they look very different. Elvie Trainer looks smaller and shorter since it is egg-shaped. Perifit is longer and shaped as a wand. 

Entirely covered in pale green soft medical grade silicone, Elvie uses a “system of force and motion sensors” which allows measuring the contractions and detect when you are pushing down (rather than pulling up) with your pelvic floor, which can be damaging. However, when the app notifies about pushing down, it doesn’t guide on how to correct the situation, but just stops the exercise.

Perifit comes in two different colours, bright magenta and turquoise green, and the insertable part is made of safe medical grade silicone (BPA free, Phthalates free and EA free). Perifit features a "unique double pressure-sensor technology to identify faulty contractions". One sensor is located closer to the base of the device, it detects pelvic floor muscles contractions, and the second measures intra-abdominal pressure, which corresponds to faulty contractions. The two sensors are shown on the app screen, so you immediately know when you activate the wrong muscles and can adjust.

Perifit has no accessories, while Elvie Trainer comes with a storage and charging case and an additional cover. Perifit doesn’t need any charging, since its battery is guaranteed 5 years.

Perifit and Elvie trainer
Perifit (left) and Elvie Trainer (right) (Sources: www.perifit.co, www.elvie.com)
  • You’ll like Elvie Trainer if you want a smaller device which comes with a storage box.
  • You’ll like Perifit if you prefer a wand-like shaped device and/or you want to keep an eye on your contraction quality at all times.

Our preference: Perifit. While design preferences are personal, we prefer Perifit because it is more helpful in identifying faulty contractions, which may be damaging to your pelvic floor muscles. Research shows that 30% of women performs Kegel exercises in a wrong way, which makes this functionality quite important.

Apps, TRAINING PROGRAMS and features

Both Perifit and Elvie Trainer apps aim to gamify Kegel exercises and help to remain consistent with your training. The results from your workouts are saved, allowing you to measure your performance, track your progress and stay motivated. The apps are very different though, proposing different approaches on focusing on different priorities. We’ve also got the feeling that Perifit’s app is more regularly updated with new features.

Elvie’s app is quite sober, featuring clean and uncluttered design and a limited colour palette. The training is structured with four levels and six different exercises : they are organized in the workouts according to your goals and your progress, to help you build muscle power, agility, and endurance. You start on "Training" level to learn how to exercise correctly, then you move up to Beginner, and so on, each of the 4 levels presenting 10 workouts. Each workout consists in repeating up to 6 different exercises: Lift (squeeze and relax), Pulse (make several quick squeezes), Hold (lift and hold), Speed (Pulse fast), Step (execute all the previous exercises with a more challenging timing), Strength (squeeze as string as possible).

The exercises are not really games, but rather gamified visualizations where your pelvic floor is represented with a gem. It can feel a bit repetitive because even if you switch from one exercise to another, the visuals remain very similar. On a long term, the training offer can be perceived as quite limited, not offering enough variety needed to stay engaged.

Elvie app screenshots
Elvie app visuals - screenshots.

Perifit’s app is full of possibilities and clearly more oriented towards gaming, so you’ll unlikely to get bored. It offers 7 training programs and a quiz helps to choose the one which would fit your needs. They focus on symptoms you are experiencing, whether it's urge incontinence, stress incontinence, mixed incontinence or prolapse; and needs like sexual well-being, post-partum & prevention.

Each training program has 10 levels, and you progress by playing video games. Training patterns (all the series of different squeezes and holds and relaxation) are integrated in the games in a seamless way, so you don't get bored with repetition. There are 12 games to unlock as you progress, some of them are "multiplayer", which means you'll be competing against another user! The games are visually diversified, and you'll be able to play the ones you like the most: the relaxing "Scarlet's Melodies", the vintage "Flappy Bird" or a more adventurous "Aerial Fighter" - there are games for different tastes.

Perifit games screenshots
Perifit app screenshots - games examples.

In addition to the games, there are unique features in the app, allowing you to understand and improve the quality of your pelvic floor contractions: “Kegel coach”, "3D pelvic floor" and “Practice mode”. Kegel Coach guides you towards a better understanding of your pelvic floor before you jump into training. 3d pelvic floor helps you understand the pelvic floor anatomy and visualize how the muscles "lift" when you squeeze. Practice mode shows the pressure captured by each sensor, so you can visualize the quality of your contractions in a very straightforward manner and work on improving it.

Perifit app screenshots
Perifit app screenshots - additional training programs for better quality Kegels.

You can also track your contraction quality improvement over time, and other metrics. The app offers a lot of educational content, videos from pelvic floor specialists, advice on training positions and a lot of information about different symptoms and ways to reduce them. There is even a "Community" section where (real) women all around the world share their feedback, discuss their issues and support each other.

Perifit app sections
  • You’ll like Elvie if you want a simple app with minimalist visual, and also if you don’t like games.
  • You’ll like Perifit if you are looking for fun ways of exercising and a complete and regularly updated app with a lot of content and helpful features.

Our preference: Perifit. The app is very complete with different activities, and we love the games which are definitely making training time fun time.

Elvie Trainer vs. Perifit

Now let's compare these devices item by item.

Criteria

PERIFIT

ELVIE TRAINER

Ratings
4.5/5 on Amazon
3.8/5 on Amazon
Technology
Biofeedback, double pressure-sensor technology to identify faulty contractions.
Bluetooth Low Energy (in the tail, which remains outside the body)
Biofeedback, system of force and motion sensors to measure pelvic floor contractions.
Bluetooth Low Energy (in the tail, which remains outside the body)
Training programs & levels
7 training programs, based on symptoms and objectives: Stress Incontinence, Urge Incontinence, Prevention, Intimate Well-being, Post-Partum recovery, Mixed Incontinence, Prolapse. Each program has 10 levels.
One program with four levels: Training, Beginner, Intermediate, Advanced. Each level has 10 workouts.
Games / Exercises
13 different games, including 3 games against another player. The games are styled differently and include classic Pong, Flappy Bird… and original ones like Firefighter. New games and visuals are gradually unlocked.
6 gamified exercises : Strength, Speed, Lift, Pulse, Hold, and Step. The visuals are very similar from one exercise to another.
Additional app features
Set up reminders,Status and progress tracking with 5 different metrics, 3D Pelvic floor visualization, Kegel Coach, Biofeedback Lab, Audio Training, Training without probe, Users Community and a lot of information about pelvic floor.
Set up goals, reminders, progress tracking, LV (strength) score.
Recommended workout duration
Depending on symptoms, but the general recommendation is to make 10 minutes sessions from 2 to 5 times a week.
5 minutes/day, 3 times a week, four weeks
Materials and how to take care of it
Medical grade silicone for the insertable part. Wash with warm water and soap.
Medical grade silicone. Wash with warm water and mild soap.
Size
The part of the device that is meant to be inserted is 3.1 inches / 8.3 cm long, and the diameter is up to 0.8 inches / 3.1 cm.
H8cm x W3.5cm x D3.3cm. An extra cover is included to make it slightly bigger.
Battery
The Perifit device is not chargeable. The battery allows for 5+ years of training and is not rechargeable. The battery is covered by a 5 years guarantee.
The carry case doubles up as a charger, and during a normal use the battery will last for several weeks, or 2-3 hours of use. No guarantee on the battery.
Accessories
None
Additional cover, carry case which is also a charger, charging cable
Shipping & return policy
You have 100 days after receiving your Perifit to ask for a free return and get a full refund of your order. Shipping worldwide.
Once the tamper seal is broken, you will not be able to return the device unless it is faulty.
Warranty
2 years, and 5 years for the battery
2 years
Compatibility
Perifit App is compatible with any iPhone or iPad running iOS 13 or above and any Android smartphone and tablet running Android 5 or above.
Smartphones: Android 6 or newer, or and iPhone running iOS10 or newer, Bluetooth Smart Ready. iPads running iPadOS13 or newer.
Customer support
Support available in-app and by email.
Support available via a form on the website.
Price
159$ in the US / 139€ in Europe
199$ in the US/ 199€ in Europe

Read our detailed review of Perifit here.

Read our detailed review of Elvie Trainer here.

Read our complete guide on choosing a Kegel exerciser.

FINAL THOUGHTS

Our preference goes to Perifit which is the most complete pelvic floor exerciser on the market. Perifit app and games are the most engaging, and focus on helping you to perform Kegels in a good way.

Perifit will be great for you if:

👍 You want the most entertaining and engaging workouts

👍 You want your device to help you accurately identifying right and wrong contractions and teaching you how to do Kegels the right way

👍 You want a training adapted to your symptoms or specific needs (post-partum, incontinence...)

👍 You value the possibility to save money (Perifit is more affordable) and to return it under 100 days if you don't like the device

👍 You value additional app features like users community, training content

You can find more information on Perifit's website.

You still might prefer Elvie Trainer if:

👍 You prefer a very simple app with minimalist visuals, and you don't like games

👍 You want your device to be very small

👍 You value the fact it comes with a discreet storage box

You can find more information on Elvie's website.

When you should not be using a Kegel exerciser

Pelvic floor exerciser may help you to recover after childbirth, but it is recommended to wait until your 6-week checkup post-partum before (re)starting doing your Kegels.  Always check with a health professional before embarking on any training and listen to your body.

In case of doubt, special condition, pregnancy or allergies, please consult manufacturer's FAQ and check with your doctor. This review is made available for general informational purposes only, and is not intended to constitute specific medical advice or to be a substitute for advice from a qualified doctor.

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