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Ask a Question. Do I need to do pelvic floor exercises whilst wearing Smart Balls?

By Pelvic Floor Health
on October 31, 2017

Do I exercise whilst wearing the SmartBall Uno?


I recently purchased the beginners pack 
Do I have to still do the pelvic floor exercises when I wear the Ball? 
Also I cough a bit from asthma and hayfever and find it falls out. Do I need to do any exercise or will this improve as I wear them 
I had an anterior repair but I still have bit of leakage when I cough so I'm really hoping these balls will help with leakage.

Pelvic Floor Answers

Over time your pelvic floor muscles will tone and strengthen and it will be easier for the balls to stay in. Once you get some tone, you may be able to squeeze when you cough or sneeze to prevent them from popping out. 
I recommend increasing the amount of time you wear them for each day and being as active as possible- housework, walking etc while you wear them once you are confident. While you do not have to do pelvic floor exercises, the more active you are the quicker you will regain strength.



Ask a Question. I have bacterial vaginosis and bladder leakage - what should I use Smart Balls or Natratone?

By Pelvic Floor Health
on July 19, 2017

Over 40 and experiencing bladder weakness and BV


I am 41 years old and have had no children, the last couple of months I've noticed urine leakage, it kinda just happens, I had a test at the GP but no urine infections are present but I do have bacterial vaginosis (BV) I'm finding the urine leaking making me quite paranoid as sometimes I can smell it etc..... I am wondering what package you'd advise for me? I'm very keen to get this sorted

Pelvic Floor Answers

Thanks for getting in touch. It is quite usual for women to experience a noticeable change in bladder control on the approach to menopause. Pregnancy and menopause are the primary cause of bladder weakness in women.

Both Smart Balls and Natratone would be suitable for you to use to help tone and strengthen your leakage issues and I recommend getting on to this as soon as you can as it is entirely possible to reverse the bladder weakness issues as you are not likely to have had a prolapse.

I am not sure as you have BV how your vagna will react to having the Smart Ball and lube in. Ideally you would resolve this first. Alternatively, the Natratone is not worn in the body but only used during the exercises, so this may be the best option for you. Both Smart Balls and Natratone are very effective when used as recommended,

BV as you may be well aware, is a vaginal condition caused by an imbalance of the naturally occurring bacterial flora and can result in a smell. I recommend work on this at the same time as a change in diet - removing sugar, eating fermented foods, drinking a lot of water to flush your system and eating fresh vegetables can make a big difference if you are able to speak to a naturopath they may be able to recommend suitable natural supplements to get your system back on track as this could be affecting your digestive tract as well.

Ask a Question. Grade 2 Bladder Prolapse - Will Smart Balls help me?

By Pelvic Floor Health
on July 14, 2017

Will SmartBalls help my Grade 2 Bladder Prolapse?


I have a grade 2 bladder prolapse can the balls help for this problem?

Pelvic Floor Answers

I would recommend the Natratone as the better option to help strengthen your pelvic floor muscles and to help reduce the impact of your Grade 2 Prolapse

While not likely to reverse your prolapse, many women with prolapse find improvement and greater bladder control from stronger pelvic floor muscles and if they do require surgery can have quicker recovery times with better blood flow and muscle tone from the exercises using the Natratone.


Ask a Question. Can a woman with a prolapse use the Duo Smart Balls?

By Pelvic Floor Health
on December 15, 2016

Can I use the Duo SmartBalls if I have a prolapse?


I bought Smartballs Duo and still have them unopened in exactly the same condition they were sent to me. I read through the descriptions again and see that women with prolapsed a uterus should get the single "Uno". Am I still ok to use the two balls?
Also, if so, I have very strong muscles according to my physio so wondering if I chose the right Smart Ball set? much appreciate your help.

Pelvic Floor Answers

We are increasingly recommending that all women start with a single ball and then progress on to the double balls as this is much easier and success encourages women to keep using the balls to get benefit.
You are welcome to try the double balls and can then purchase the SmartBalls Uno if you need go back a few steps and start with the Uno. It will depend on the type and extent of your prolapse as to how easy it will be to use the Duo balls.
The main issue for women who have not used SmartBalls before and who have a prolapse is that they find it difficult to insert the double balls.
Unfortunately due to health and safety reasons we are not able to accept back even unopened SmartBalls so I recommend using them if you can.


Ask a Question. Do I need to wait for post pregnancy/birth bleeding to stop before using Smart Balls?

By Pelvic Floor Health
on December 07, 2016

When can I start using Smart Balls after childbirth?


Do I need to wait for all bleeding post pregnancy to stop before using the Smart Balls? Or is it safe to use while bleeding still occurs?

Pelvic Floor Answers

We recommend that you wait at least 6 weeks until using Smart Balls and once all bleeding and bruising has healed and you have had the all clear from your midwife or health practitioner.
There can be some sensitivity after childbirth so better to wait than slow down the recovery process.

Definitely follow the instructions and use the balls for short periods with lubricant for the first few weeks.
You can use the Natratone sooner than the SmartBalls as they sit in the vaginal opening

Ask a Question. Cooking to improve vaginal tone. Not really much of a problem with bladder weakness.

By Pelvic Floor Health
on November 28, 2016


Looking to improve vaginal tone. Not really much of a problem with bladder weakness. Post menopause (just recently).

Pelvic Floor Answers

Either SmartBalls or Natratone will be effective in improving vaginal tone. Natratone could be a bit more comfortable if you have vaginal dryness, however using lubricant with SmartBalls helps with this as well.
If you are happy to dedicate a small amount of time to actively doing exercises then I would recommend Natratone, if you would find this difficult then go for SmartBalls. Either product are long lasting and can be reused again and again over time.

Either device is effective at strengthening the pelvic floor muscles leading to improved sexual sensation as well as preventing and correcting bladder weakness. A bonus for making the effort!

Ask a Question. I am 70 years old and wear pads due to loss of bladder control, will Smart Balls work for me?

By Pelvic Floor Health
on November 16, 2016

Will SmartBalls work for a 70 year old?


I am 70 years old and for the past ten years have been wearing pads because of a lack of control with my bladder. I would dearly like to stop wearing these and have just read about Smart balls on line. . What product would you recommend I get? What is the name of a good water based lubricant? As I have never worn any internal things like "tampax" because I never learnt how to do this and when I tried to it was most uncomfortable, will the lubricant take care of this problem?

Pelvic Floor Answers

If you have the time and can commit to doing more active exercise, I would recommend the Natratone over the SmartBalls.

They work more of the core as well as pelvic floor muscles and are very helpful for reconnecting and retraining the brain to recognise and activate your pelvic floor muscles in the correct sequence. 
You would only insert the Natratoner in the vaginal entrance and practise a series of pelvic floor exercises, rather than wearing the ball internally for long periods of time.

You can put a little water on the Natratone to lubricate it- no lubricant required. The Natratone comes with an instructional DVD as well.
The minimum amount of time to get results is using it for 10 minutes a day, 3x per week for at least 6 weeks. Many women use it daily and for longer- at least 3 months.

There is not harm in ongoing use as strong pelvic floor muscles are a great thing and is an excellent way to banish the pads.
There is a good section about Natratone on Frequently asked questions - FAQs

Ask a Question. When will I know I am ready for the next level Smart Ball?

By Pelvic Floor Health
on August 30, 2016

Do you think I should try the next level up of the Smartball? If not now, when will I know when I'm ready for that next level?


I just have a daughter is almost 15 months old - during the 30hr labour my urethra was crushed between her head and my pelvis and I then had a third degree episiotomy.
So my pelvic floor got quite a hammering. I saw a hospital physio who tested my muscles and got me doing more pelvic floor exercises.

I've also been using the Smartball Uno (the beginner one) for about 1 hour a day, doing pelvic floor exercises regularly, and doing pilates as much as I can (which is only once a week sometimes) but I still leak or at least feel compromised during high impact exercise when it involves splitting the legs!!

I'm assuming that I will get back to where I was prior to being pregnant? Some women say that's just what childbirth does but I don't want to settle for that. I feel like I'm doing a lot. My physio said not to keep the ball in all day so I usually do it for an hour or so at a time when I'm walking. So...
Do you think I should be keeping the Smartball in all day?
Do you think I should try the next level up of the Smartball? If not now, when will I know when I'm ready for that next level?

Sorry for so many questions, just got a bit down on it today at the gym when I thought I would be okay. Thanks in advance.

Pelvic Floor Answers

Thank you for your enquiry and great to hear that you are so committed to recovering your pelvic floor strength. I cannot say for sure that you will be able to return to your pre-birth state, however I do think there are still options for you to improve.

My first suggestion would be to increase the amount of time you are wearing the SmartBall for as a single ball for one hour per day is not enough time do make a difference. I do NOT recommend using the double.
SmartBalls at all at this stage as they are double the weight and would be too much of a strain on your pelvic floor muscles.

Perhaps you could speak with your physio- who definitely has the specific skills and training- and ask if you can increase the amount of time you wear the single Smartball for by 30 minutes to 1 hour each week and gradually increasing the time you can wear them for, aiming ultimately to wear them for 5 to 10 hours -but not putting strain on your muscles. It is the amount of time daily plus the long term use that makes SmartBalls effective.

We have another product- called Natratone-that we recommend over SmartBalls for women who have had significant trauma and or prolapse.
This is a device that is used actively for short period of time, so actual active exercises and has been developed by women's health physios. It works a greater set of core muscles and is very effective.

Some women choose to continue to use the SmartBalls as well. I would recommend if you are in a position to purchase it that you try the Natratone and use it for a longer period that the recommended minimum of 6 weeks. You can check out the Natratone information and FAQ's on the website.


Ask a Question. Why are Smart Balls not recommended during pregnancy?

By Pelvic Floor Health
on August 17, 2016


I am 26 years of age, I don't have any bladder weakness issues currently. I have not had children, but are in process of trying to conceive. I have been doing pilates for a few months now. Would Smart Balls be beneficial to me in any way now?

Why are they not recommended during pregnancy? Do they have any risk during that time we don't realise we are pregnant yet.

If you think smart balls would be useful, would just just suggest the beginner pack or another type?

Pelvic Floor Answers

SmartBalls are good for women of all ages and especially good in preparation for and then recovery from childbirth. Around 80% of pregnant women experience some form of bladder weakness during pregnancy, so anything you can do to get your pelvic floor muscles in shape is a good thing.
SmartBalls are not recommended for use during pregnancy because all manufacturers are cautious, especially as the balls are worn vaginally for prolonged periods of time.

Of themselves they do not cause harm and are unlikely to be a problem during the early stages of pregnancy. Once you know you are pregnant we suggest you stop using them and continue with pelvic floor exercises.

The Powerpack is the ideal as you can start on the single and progress to the double balls. The Duos are the ideal weight for strong pelvic floor muscles.

SmartBalls are designed to last for years and you can keep using them at different life stages and before and after each pregnancy if you decide to have more children.
After giving birth (at least 6 weeks when everything has healed), is a really good time to get your pelvic floor muscles back in shape to prevent long term bladder weakness issues. If you decide to have more children this will also set you up for having good pelvic floor strength during pregnancy.

If you want something you can use throughout the pregnancy as well as before and after, then Natratone is more suitable.


As a Question. I suffer from cystitis and am incontinent, will Smart Balls rub?

By Pelvic Floor Health
on July 22, 2016

I am 55 years and have suffered from cystitis a few times is there is any harm I can do by wearing SmartBalls?


I have just been to a menopause seminar and learnt about your Smart Balls. I am concerned that the wearing of the SmartBall may cause cystitis rubbing against the thinner bladder wall that I now have. I am 55 years and have suffered from cystitis a few times recently from the normal cause! It’s a long time since I have worn a tampon. Please advise if there is any harm I can do by wearing it? My incontinence is worse and worse (can’t even walk now without dribbling). Any reassurance would be appreciated!

Pelvic Floor Answers

I would recommend you try the Natratone as an alternative to the SmartBalls, The Natratone is only inserted in the vaginal opening during the time you are practising the exercises and is very good for correcting and preventing bladder weakness.
Have a read about Natratone on our website. The minimum commitment is 10 minutes a day 3x per week, for 6 weeks, and the Natratoner device comes with an instructional DVD.

It is a very effective way for you to regain bladder control and will eliminate any risk of aggravating your cystitis. There may be some natural treatments for recurrent cystitis and we always recommend increasing your water intake to regularly flush your system.

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