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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. What exactly is the Natratone?

By Pelvic Floor Health
on November 22, 2016

What is Natratone?


Found your website and came across this Natratone programme. What I don’t understand it mentions that one has to choose carefully however it doesn’t appear to give options.
What is someone meant to be choosing. I see there is a white strange looking item – is it this that we are meant to be choosing and if so what are we looking at exactly.

Pelvic Floor Answers

There is just one NatraTone device -the small white NatraToner which comes with an instructional DVD or web link.
The NatraTone device is inserted in the vaginal opening and then you follow the exercises as demonstrated on the DVD.
The exercises using the NatraToner trains both your muscles and your brain to engage the core and pelvic floor muscles correctly to tone and strengthen them over time. 

The NatraTone is a simple and effective system for women who can commit a small amount of time to completing the exercises. You can read the 'How to' section on the website to find out more about NatraTone.

Ask a Question. Is your packaging discreet?

By Pelvic Floor Health
on November 21, 2016


Are these sent in discreet packaging so no one can identify the purchase?

Pelvic Floor Answers

Yes we are very discreet, your purchase is supplied in a plain express post courier bag, we put only our return address on the package, no business details.

We appreciate that Smart Balls and Natratone are a very personal Item and totally respect the privacy of our customers.



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. Having a cramping response to wearing the SmartBalls

By Pelvic Floor Health
on October 31, 2016

Cramping when I wear the SmartBall, is this normal?


I can only wear it for ten mins max and i have severe cramping like menstrual pain. Its quite bad. I tried 15 mins one day and o gosh I had to get a hotwater bottle on my tummy. Im 50 and going into menopause. I've never had any problems with my uterus, a prolapse or sexual intercourse. I have been told though i have a tilted cervix. Is this normal?

Pelvic Floor Answers

Thanks for your question. It sounds as if your body is having a strong reaction to wearing the Smartball Uno, even for a relatively short time.
Having a tilted cervix usually does not mean that wearing the Smartball Uno is uncomfortable. Your body is giving you the message that it’s not sure about having the Smartball inserted, so you need to gently let it know that its ok and safe.

I suggest that you create some relaxed time to experiment with your SmartBall, where there is no time pressure and when you are feeling relaxed. Ensure you are using a natural water-based lubricant to insert the Uno, and even lie on a towel and focus on relaxing your vaginal muscles.
Apply lubricant to your vaginal opening and the Uno, and gently insert the ball. Your muscles may naturally contract during insertion. If this happens, focus on relaxing your muscles and then gently but firmly try to insert again.

If lying down does not feel comfortable, try squatting or standing with one leg on a chair. Insert the Uno as high in your vagina as possible but not so it creates uncomfortable pressure on your cervix.
When inserted lie down for 5 minutes and if any cramping occurs gently massage your uterus to encourage relaxation. If the cramping is severe, remove the Smartball and try again another day.

For some woman the first step is the body getting used to having the Uno inserted before you can start moving and being vertical so that pelvic floor toning occurs. Slow and gradual steps, but do persevere –it will be worth it.

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.


Ask a Question. At risk of prolapse can you please advise what I should use?

By Pelvic Floor Health
on August 04, 2016

Can you give me some advice on which of your products would be best suited for me please?


I was wanting a bit of help in deciding which option would be best for me. I have been told that the walls of my vagina are starting to fall in and are very floppy. I have had three children and my first birth suffered a lot of trauma to the vagina. I was also told that I may be at risk of developing a prolapsed uterus. Can you give me some advice on which of your products would be best suited for me please.

Pelvic Floor Answers

If you are at risk of a prolapse I would recommend the Natratone. It works a greater group of muscles than the SmartBalls and is very good for toning and strengthening you pelvic floor and core muscles.
I would also recommend you use it more frequently than the minimum of 3x per week and for several months rather than the minimum of 6 weeks.
You can follow the Natratone programme daily if you wish and long term.
The Natratone device comes with a DVD or you can view the online video on how to use, I recommend watching this first before starting the exercises.

Using the Natratone you will learn to identify and correctly engage your pelvic floor muscles and can continue the exercises without using the Natratone device. While it will not fix-undo your prolapse,the improved strength and support of the pelvic girdle will help prevent further deterioration and you are likely to notice some improvements.

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