Elvie vs Perifit: Smart Kegel Trainers Compared

Elvie and Perifit are the two premium smart Kegel trainers with biofeedback. Both measure pelvic floor muscle activation via an inserted sensor and provide real-time feedback through an app.

Both are expensive (£120–250+), and choosing between them matters for your training success.

How They Work

Both devices: Small silicone sensor inserts into the vagina. Connected to an app via Bluetooth. The app visualises your pelvic floor activation in real-time.

Different approach: Video games (Perifit) vs clinical training (Elvie).

Specification Comparison

| Feature | Elvie | Perifit | |---|---|---| | Device size | Smaller (discreet) | Slightly larger | | Material | Premium silicone | Silicone | | App approach | Clinical/structured | Gamified (video games) | | Clinical backing | NHS endorsement, published studies | Some research, less clinical focus | | Customisation | Standard training programmes | Games with variables | | Price | £240–280 | €100–120 (~£85–105) | | Waterproof | Yes | Yes |

The Training Philosophies

Elvie: Clinical, structured approach. Programmes are designed by physiotherapists. Emphasis on proper form and progressive difficulty. Health-outcome focused.

Perifit: Gamified approach. Control video games by squeezing. Emphasis on fun and engagement. Outcomes secondary to enjoyment.

Verdict: Different philosophies. Choose based on your motivation.

Clinical Validation

Elvie: Published clinical studies, NHS endorsement in UK, physiotherapist-designed programmes, stronger scientific backing.

Perifit: Some research, but less clinical emphasis. Marketed as wellness rather than medical device (different regulatory pathway).

Verdict: Elvie has stronger clinical evidence.

App Experience

Elvie app: Clean, professional design. Progressive programmes (8-week, 12-week, etc.). Clear metrics. Outcomes focused.

Perifit app: Colourful, game-heavy. Various games (shooting games, puzzle games controlled by Kegel contractions). Fun-focused.

Verdict: Depends on your preference. Clinical = Elvie. Fun = Perifit.

Device Comfort

Elvie: Smaller, more discreet, easier to wear for extended periods without noticing.

Perifit: Slightly larger (the control mechanism is built in), less discreet, but still comfortable.

Verdict: Elvie if discretion matters. Perifit if size isn't a concern.

Price and Value

Elvie: £240–280. Expensive.

Perifit: €100–120 (~£85–105). Significantly cheaper.

Verdict: Perifit is cheaper by roughly 50–60%.

Research Outcomes

Elvie: Published studies show measurable pelvic floor strength improvement. Clinical validation is strong.

Perifit: Anecdotal reports of improvement, some research, but less formal clinical proof.

Verdict: Elvie has stronger research backing.

Who Should Buy Each

Want Clinical Validation and Proven Outcomes

Choose: Elvie

NHS endorsement, published studies, physiotherapist-designed. If clinical credibility matters, Elvie is the choice.

Postpartum Recovery

Choose: Elvie

Postpartum pelvic floor issues often benefit from clinical oversight. Elvie's clinical approach is appropriate.

Want Gamified Fun

Choose: Perifit

If you'd rather play games than follow clinical programmes, Perifit is more engaging.

Budget-Conscious

Choose: Perifit

Roughly half Elvie's price. Still a smart trainer, just less clinically focused.

Want to Try Smart Training Without Big Investment

Choose: Perifit

Lower price is less risky if you decide you don't like smart trainers.

Chronic Pelvic Floor Issues

Choose: Elvie

If you have diagnosed issues (incontinence, pain, etc.), clinical approach and published outcomes are more appropriate.

The Honest Take

Elvie: Premium, clinical, research-backed, endorsed by healthcare systems. If you want proof that it works and clinical oversight matters, Elvie is worth the premium.

Perifit: Fun, gamified, cheaper, anecdotal proof, less clinical focus. If you want to try smart training affordably or prefer game-based engagement, Perifit is a good choice.

Neither is "bad." They solve different priorities.

Recommendation by goal:

• Medical/postpartum issues → Elvie
• General pelvic floor training → either (Perifit saves money)
• Want clinical proof → Elvie
• Want games and fun → Perifit

For most healthy women wanting to strengthen their pelvic floor for general wellness, Perifit's lower price and gamification makes it a smart choice. For medical issues or postpartum recovery, Elvie's clinical backing is worth the extra cost.

See also: the Perifit review, the 8-week kegel programme, and the kegel ball exercise guide.