What Perifit is
Perifit is a vaginal probe with force sensors in a silicone sheath. It sends the strength of each pelvic floor contraction by Bluetooth to a smartphone app, which uses it to control games. FDA cleared it through the 510(k) process on February 10, 2023 (K221476), as a Class II perineometer, product code HIR, for over-the-counter use (FDA 510(k) K221476; FDA product classification HIR). Its cleared indication is to treat stress, mild to moderate urge and mixed urinary incontinence in women by strengthening the pelvic floor muscles through exercise, and it is indicated for adult women. The 510(k) summary describes bench, safety and software testing and no clinical trial (Perifit 510(k) summary).
The evidence
- The exercises work. In a Cochrane review of 31 trials, women with stress urinary incontinence who did pelvic floor muscle training were about eight times as likely to report a cure as women given no treatment (56% against 6%) PMID: 30288727.
- The biofeedback adds little. A 2025 Cochrane review found that adding biofeedback to the training made little or no difference to incontinence quality of life (high-certainty evidence), with a small reduction in leaks that may not be clinically important PMID: 40066950.
- The one Perifit study found on PubMed is weak. In 6,060 women who bought Perifit and answered symptom questionnaires, average scores fell from 8.4 to 4.6 points after 280 to 300 games. There was no control group, and both authors work for X6 Innovations, which makes the device PMID: 38516650.
That combination earns Perifit an evidence grade of C (limited) here, and its price lowers the overall rating.
Who might choose Perifit
Consider Perifit if you are a woman with stress or mixed urinary incontinence, you know how to contract your pelvic floor muscles correctly, and feedback or games would help you keep training.
Start elsewhere if you have not yet had supervised training. NICE recommends at least 3 months of supervised pelvic floor training as the first-line treatment for stress or mixed incontinence, and advises against routine use of perineometry as biofeedback, a 2006 recommendation retained in the 2019 guideline (NICE guideline NG123, recommendations). As general guidance: if you are pregnant or have recently given birth, ask your clinician first.
Our guide to pelvic floor trainers explains the evidence on devices, sexual function and options for men in more detail.
