Wait… so which device is actually right for me? Inside Pelvic Floor Support: Devices, Fit & What You Should Know with Dr. Christina Prevett

Send us Fan MailAfter interviewing 10 pelvic floor support device companies—6 internal, 4 external—Dr. Carrie Pagliano sits down with researcher and pelvic health physiotherapist and researcher Dr. Christina Prevett to do what she couldn't do alone: process it all.This is the debrief episode for the Inside Pelvic Floor Support: Devices, Fit & What You Should Know mini-series—and it's where the real clinical conversation happens.Together they unpack what the marketing language actually means, how FDA clearance changes what a company can and can't say, why "neuromuscular facilitation" made Carrie twitch, and what both clinicians and consumers should actually be asking when considering a pelvic floor support device.They also tackle some of the bigger picture questions that came up across the series: When do you use a device alongside PT instead of waiting? What's the difference between a normal anatomical change and a symptomatic one? What does "failing PT" actually mean—and is it even the right framing? Who is a good candidate for internal versus external support? And how do access, cost, and geography affect all of it?This episode is for the clinician trying to make sense of an increasingly crowded market—and for the person with symptoms who just wants to know what might actually help.In this episode:Predispositions for pelvic floor dysfunction and non-modifiable anatomyUsing devices and PT in tandem, not in sequenceNormal pelvic changes versus symptomatic changesFDA-cleared vs. wellness device language—and why it mattersInternal versus external device profiles and patient fitIndustry-funded research: the double-edged swordAccess, cost, and the case for over-the-counter optionsGetting client buy-in when suggesting a deviceTime Stamps1:00 introduction3:15 PTs fitting pessaries and other devices9:21 prolapse management involving anatomy and symptoms14:44 physical comfort with pessaries17:58 cutting through the marketing20:45 FDA approval versus “wellness”26:10 studies versus real world use30:01 reality of external devices39:44 big takeaways from the seriesCONNECT WITH CARRIEIG: https://www.instagram.com/carriepagliano/Website: https://carriepagliano.comCONNECT WITH CHRISTINA:Instagram: https://www.instagram.com/dr.christina_prevett/Website: https://www.ksr.ualberta.ca/exerciseandpregnancy/Substack: https://christinaprevettphd.substack.com/This episode is for educational purposes only and does not constitute medical advice or create a provider-patient relationship.The Active Mom Podcast is A Real Moms' Guide to pregnancy, postpartum, perimenopause & beyond for active moms & the professionals who help them in their journey.  This show has been a long time in the making!   You can expect conversation with moms and professionals from all aspects of the industry.   If you're like me, you don't have a lot of free time (heck, you're probably listening at 1.5x speed), so theses interviews will be quick hits to get your the pertinent information FAST!  If you love what you hear, share the podcast with a friend and leave us a 5 ⭐⭐⭐⭐⭐ rating and review. It helps us become more visible in the search algorithm! (Helps us get seen by more moms that need to hear these stories!!!!)