Short answer
PelvicEx is a local-first web application that uses your choices and recorded responses to prepare an evidence-informed pelvic-floor practice plan. It can organize educational content, prepare a session, explain which answers affected that decision, and store progress in this browser. It does not examine the pelvic floor, diagnose a condition, confirm that a contraction is correct, or decide that exercise is medically appropriate for every person.
PelvicEx provides goal selection, session planning, local progress, data controls, and a timed workout interface. Its trainer has a stable, separate advertising area that must not cover cues or controls or shift the workout layout.
What happens when you open PelvicEx
PelvicEx pages and guides are available in nine languages. The website delivers prebuilt pages, and the interactive trainer runs in your browser.
When the interactive application loads, it checks this browser for an existing PelvicEx data record. If one is present and valid, it restores the saved profile and progress. If browser storage is unavailable, the application can fall back to temporary memory and warns that changes will not survive a reload.
You do not need an account to use the current local experience. No cloud synchronization, payment system, authentication service, or subscription feature is connected in this version.
The planning flow
1. You choose what is relevant
You can choose an optional primary goal and additional goals, answer the relevant goal follow-up questions, describe your Kegel experience, and choose a Gentle or Balanced starting mode. A goal is not a diagnosis. Selecting “bladder leakage,” for example, does not establish its type or cause.
After a session, you can report difficulty, release quality, and unwanted responses. These are your observations, not a measurement of muscle function or proof of correct technique.
2. Safety rules run before progression rules
Programme rules consider the available safety and treatment context in your local profile before selecting loading. Reported pain, incomplete release, emptying difficulty, or treatment restrictions can affect the permitted route and later progression.
Depending on the answer, the result may be gentler technique education, relaxation support, a request to clarify care instructions, prompt medical review, or emergency guidance. A safety route can return no exercise. The application should never make a workout harder merely because a concerning symptom was entered.
This ordering is an application rule, not a medical clearance process. PelvicEx cannot determine whether a symptom is benign or identify its cause.
3. A rule-based next session is prepared
For an eligible self-guided route, the planning engine combines the selected programme, completed tutorials, current module levels, recent responses, recovery rules, and the relevant evidence-labelled catalogue entries. The result is a specific next-session decision rather than a generic claim that everyone should do the same repetitions.
The system keeps pelvic-floor capacities separate. Awareness, release, strength, endurance, quick response, coordination, and task-specific timing do not collapse into one “fitness level.” A person can need more support in one capacity while keeping another stable.
PelvicEx also preserves the identifiers for the rules that affected a decision. The interface can therefore explain why a session is due, why a tutorial replaced loading, why a level was held, or why exercise was withheld.
4. Your response affects later decisions
Session completion and feedback inform the next choice. The programme distinguishes:
- completing all, some, or none of a session;
- perceived difficulty;
- whether release felt complete, uncertain, or incomplete;
- unwanted responses such as pain, pressure, urgency, heaviness, or emptying difficulty;
- goal-specific symptom trends where a suitable programme uses them.
Calendar time and streak length do not prove that a muscle adapted. Progression requires a qualifying response to the current level and must remain within the programme’s safety, technique, and recovery gates.
Using the trainer and progress controls
You can:
- choose goals and a starting preference;
- keep your profile and progress in this browser;
- receive a rule-based programme and next-session plan;
- read the reasons given for your plan;
- follow timed phase cues and pause, resume, restart, or end a session;
- record post-session feedback and choose optional sound or vibration cues;
- export your record, clear session history, or delete all local app data.
The timed trainer screen runs the prepared session with phase cues and records its outcome locally. A prepared or completed session is still not proof that the requested movement occurred correctly, and the trainer cannot observe the body or create objective evidence of progress.
Advertising areas must stay separate from exercise instructions and controls. Ads must not cover cues, interrupt timing, or use your goals, symptoms, or workout history for targeting.
How local progress is stored
The current application uses browser localStorage under a versioned PelvicEx record. That record may include goal choices, context answers, planning state, session responses, and progress summaries. It is designed to remain on this device unless you export it yourself.
Local storage has important limits:
- clearing site data or using some private-browsing modes can erase it;
- anyone with access to the browser profile may be able to access the site and its data;
- PelvicEx does not claim that browser storage is encrypted or medically secure;
- a damaged or unsupported record may require export or deletion before normal saving resumes.
The interface provides export, clear-history, and delete-all controls. Older detailed applied-session records are bounded and can be compacted into month-level summaries, while pending feedback is preserved until it can be resolved.
What “personalized” means here
In PelvicEx, personalization means rule-based selection from a source-backed content catalogue using answers you supplied and responses stored on this device. It does not mean that an AI model watches your body, that a clinician reviewed your individual case, or that the software discovered a diagnosis.
Personalization can change the educational route, permitted modules, starting option, recovery timing, review prompts, or care guidance. It cannot replace palpation, observation, strength or tone measurement, neurological examination, urine or bowel testing, imaging, or a discussion of treatment alternatives.
What PelvicEx cannot verify
No ordinary phone or browser screen can confirm that you are:
- contracting the pelvic floor instead of bearing down;
- using the intended effort or force;
- fully relaxing between contractions;
- avoiding excessive abdominal, buttock, or thigh substitution;
- suitable for strengthening rather than coordination or relaxation work;
- experiencing a symptom that is safe to manage without examination.
That is why technique uncertainty, persistent symptoms, treatment-specific restrictions, and unwanted responses may need a pelvic-health physiotherapist or another qualified clinician.
How evidence is used
The programme catalogue attaches source identifiers and confidence labels to decisions that change technique, dose, frequency, progression, or safety. Internal review records are kept separately from public pages. Stronger evidence for a condition-specific supervised programme does not automatically become proof for every user or for an app-delivered version.
Exact scheduling choices can also be transparent product rules inside a broader evidence-informed range. PelvicEx should label those choices as product decisions instead of presenting them as a universally proven medical prescription.
Before you use a prepared session
Read the medical disclaimer and product limitations. Follow the instructions of your surgical, maternity, cancer, neurological, continence, or pelvic-health team when they differ from generic web guidance.
If exercise causes pain or a clear worsening of symptoms, stop rather than progressing. Sudden inability to pass urine, new saddle-area numbness with bladder or bowel change, or another possible emergency needs urgent local medical care—not another PelvicEx decision.
Sources
- Bø K, Berghmans B, Mørkved S, Van Kampen M, editors. Evidence-Based Physical Therapy for the Pelvic Floor. 3rd edition. Elsevier; 2023. Chapter 17. Official publisher record.
- Frawley H, Shelly B, Morin M, et al. “An International Continence Society report on the terminology for pelvic floor muscle assessment.” Neurourology and Urodynamics. 2021;40(5):1217–1260. Official ICS report.
- National Institute for Health and Care Excellence. Pelvic floor dysfunction: prevention and non-surgical management. NG210. Recommendations.
- National Institute of Diabetes and Digestive and Kidney Diseases. “Kegel Exercises.” NIDDK guidance.