By the Kegel Trainers editorial team · Updated November 8, 2026
General information, not medical advice. Check with a doctor or pelvic health physiotherapist before starting, especially if you are pregnant, recently gave birth or had surgery, have pelvic pain, or have a pacemaker.
The short answer
If you can contract your pelvic floor and want help doing it correctly and regularly, Perifit Care is the better value: $119.20 on sale, a free app, and a 100-day trial. If you struggle to find or squeeze the muscles, or you do not want to insert anything, Elitone contracts them for you with electrical stimulation through a pad on the skin. It costs $399, plus replacement GelPads.
That split matches the UK NICE guidelines, which suggest considering electrical stimulation or biofeedback for women who cannot actively contract their pelvic floor muscles, though not as a routine part of training.
Side by side
| Perifit Care | Elitone | |
|---|---|---|
| How it works | You squeeze; sensors measure it and the app gives feedback | Electrical pulses contract the muscles for you |
| Where it goes | Inserted, with its tail outside | Adhesive GelPad on the skin between your legs; nothing inserted |
| App | Free, iOS and Android | None |
| Sessions | App games and programs | 20 minutes, 3 to 5 times a week (per its FDA filing) |
| FDA clearance | K221476: stress, mild-to-moderate urge and mixed incontinence | K183585: stress incontinence (Elitone URGE, K223884, for urge) |
| Charging | None | Battery-powered controller |
| Ongoing costs | None stated | GelPads, $33 for 5 |
| Returns | 100-day trial, free returns | 60 days, authorized returns, you pay shipping |
| HSA/FSA and insurance | HSA/FSA eligible, per Perifit | HSA/FSA eligible; Medicare Part B may cover it with a prescription, per Elidah |
| US price | $119.20 (from $149) | $399 (kits up to $539) |
From perifit.co, elitone.com and the FDA's 510(k) database, November 8, 2026.
Compare prices
Prices from each maker's US store.
Perifit Care
Insertable biofeedback trainer · Best for: Most women starting out
Biofeedback and app games, for a third of the price.
An app-connected trainer you insert with its tail left outside. Sensors measure how hard you squeeze and pick up changes in abdominal pressure, and the free app turns your exercises into games with live feedback. FDA-cleared (K221476) for stress, mild-to-moderate urge and mixed urinary incontinence in adult women.
- FDA-cleared for over-the-counter use
- No charging: the battery is built to last for years
- Free app with no subscription
- Drawback: Larger insert than Care+ (8.3 × 3.1 cm)
- Type
- Insertable, with app
- Feedback
- Squeeze and pressure sensors
- App
- Free, iOS and Android
- FDA status
- Cleared (K221476)
- Warranty
- 5 years on the battery
- Returns
- 100-day trial
Elitone
External electrical stimulation · Best for: Stress leaks, without inserting anything
External stimulation contracts the muscles for you.
A wearable that works from the outside. A thin adhesive GelPad goes near the pubic bone, and electrical stimulation contracts your pelvic floor during a 20-minute session you can do under your clothes. Nothing is inserted and there is no app. FDA-cleared (K183585) for stress urinary incontinence in women, without a prescription.
- Nothing to insert: the pad sits on the skin
- An option if you struggle to do a kegel on your own
- HSA/FSA eligible, per the maker
- Drawback: GelPads are an ongoing cost ($33 for 5)
- Type
- External, nothing inserted
- Feedback
- None: it stimulates the muscles
- App
- No app
- FDA status
- Cleared (K183585)
- Warranty
- Not stated
- Returns
- 60 days
Side-by-side comparison
Details from each maker's own store and the FDA's 510(k) database, checked on the date shown on each card.
Perifit Care
- Type
- Insertable, with app
- Feedback
- Squeeze and pressure sensors
- App
- Free, iOS and Android
- FDA status
- Cleared (K221476)
- Warranty
- 5 years on the battery
- Returns
- 100-day trial
Elitone
- Type
- External, nothing inserted
- Feedback
- None: it stimulates the muscles
- App
- No app
- FDA status
- Cleared (K183585)
- Warranty
- Not stated
- Returns
- 60 days
| Trainer | Type | Feedback | App | FDA status | Warranty | Returns | Price |
|---|---|---|---|---|---|---|---|
|
|
Insertable, with app | Squeeze and pressure sensors | Free, iOS and Android | Cleared (K221476) | 5 years on the battery | 100-day trial | $119.20 |
|
|
External, nothing inserted | None: it stimulates the muscles | No app | Cleared (K183585) | Not stated | 60 days | $399 |
What the research says about each approach
Neither device has been compared head to head with the other in a trial we could find. The research on the two approaches:
- Biofeedback (Perifit): a 2011 Cochrane review found women given biofeedback with training were more likely to report improvement, but the groups often differed in clinician contact. A 2026 meta-analysis of training with an inserted sensor found benefits, while warning about the quality of the studies.
- Electrical stimulation (Elitone): a 2017 Cochrane review found it is probably better than no active treatment for stress incontinence, but may be no better than pelvic floor training. Elitone's own FDA submission included a 20-woman, 6-week study; see does Elitone work?
Who should not use each
Perifit lists pregnancy, the first 6 weeks after giving birth, recent surgery, infection, a history of urinary retention, a hypertonic pelvic floor or vaginismus, and unassessed moderate to severe prolapse, among others.
Elitone lists pregnancy or trying to conceive, an electronic implant such as a pacemaker or defibrillator, heart problems, active cancer, epilepsy, cognitive dysfunction, pelvic floor surgery in the last six weeks, and a history of urinary retention or overflow incontinence. Elidah recommends waiting 6 weeks after childbirth.
Frequently asked questions
Is Elitone better than Perifit?
Can you use Perifit and Elitone together?
Which is cheaper, Perifit or Elitone?
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