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Prolapse Treatment Decisions Pessary vs Surgery vs Rehab What to Know with AIMEE OLIVER

Prolapse Treatment Decisions: Pessary vs Surgery vs Rehab—What to Know —with AIMEE OLIVER (@bodyfitmums)

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In this episode, I’m joined by Aimee Oliver of Body Fit Mums, a pre and postnatal fitness specialist, Hyrox athlete, and former volleyball player. Aimee shares her personal journey navigating stress incontinence as an athlete, the emotional impact of feeling limited in her sport, and the decisions she made along the way, including exploring devices and ultimately choosing surgery.

This conversation is honest, nuanced, and incredibly relatable for anyone who has felt restricted by pelvic floor symptoms. We talk about the reality of managing leakage with high-impact activity, the role of pelvic floor physical therapy, and why one solution doesn’t work for everyone. Aimee also opens up about competing, recovery, and what life looks like now on the other side.

We Talk About:

-predispositions for pelvic floor dysfunction

-combining PT and devices

-getting buy-in from clients

-raising public awareness

-normal changes versus symptomatic changes

-getting through the marketing

-internal versus external devices

-access and cost concerns

Time Stamps

1:00 introduction

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

Course waitlist: https://course.carriepagliano.com/RSAWL

CONNECT WITH AIMEE

Instagram: https://www.instagram.com/bodyfitmums/

Website: www.bodyfitmums.co.uk

The Active Mom Postpartum Podcast is A Real Moms’ Guide to Postpartum for active moms & the postpartum professionals who help them in their journey.

This show has been a long time in the making!

You can expect conversation with moms and postpartum 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 start 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!!!!)

Listen on Buzzsprout:

Adapted YouTube Covers

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

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In this episode, I’m joined by Dr. Christina Prevett to wrap up the Inside Pelvic Floor Support mini-series. After speaking with 10 different companies about both internal and external support devices, we take a step back to look at the bigger picture—what the research says, how these devices actually work in real life, and how to determine what might be the right fit for different individuals.

We dive into the nuances of pelvic floor dysfunction, the role of physical therapy alongside devices, and how to navigate the growing number of options without getting lost in marketing claims. This conversation is about helping both clinicians and consumers make more informed, individualized decisions when it comes to pelvic floor support.

We Talk About:

-predispositions for pelvic floor dysfunction

-combining PT and devices

-getting buy-in from clients

-raising public awareness

-normal changes versus symptomatic changes

-getting through the marketing

-internal versus external devices

-access and cost concerns

Time Stamps

1:00 introduction

3:15 PTs fitting pessaries and other devices

9:21 prolapse management involving anatomy and symptoms

14:44 physical comfort with pessaries

17:58 cutting through the marketing

20:45 FDA approval versus “wellness”

26:10 studies versus real world use

30:01 reality of external devices

39:44 big takeaways from the series

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

CONNECT WITH CHRISTINA

Instagram: https://www.instagram.com/dr.christina_prevett/

Website: https://www.ksr.ualberta.ca/exerciseandpregnancy/

The Active Mom Postpartum Podcast is A Real Moms’ Guide to Postpartum for active moms & the postpartum professionals who help them in their journey.

This show has been a long time in the making!

You can expect conversation with moms and postpartum 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 start 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!!!!)

Listen on Buzzsprout:

uresta

The Truth About Internal Support Devices: Uresta Explained

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In this episode of the Active Mom Podcast mini-series
Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Lauren Barker, CEO & Co-founder of Uresta—a company developing a self-managed internal support device for stress urinary incontinence.

Uresta was designed to provide a more accessible alternative to traditional pessaries by allowing users to size, insert, and manage the device independently.

We Talk About:

 • how Uresta works mechanically (intravaginal bladder support)
 • who it may be a good fit for (and who it’s not)
 • how sizing and fitting works without a clinician
 • how to use it correctly and common mistakes
 • how it compares to traditional pessaries
 • where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

2:34 how Uresta started

6:37 how to use Uresta

10:46 who this is for

12:52 explaining the studies

16:38 real world use

21:23 common misconceptions

22:18 rapid fire questions

Uresta is a reusable device designed for daily or situational use and is available direct-to-consumer without a prescription on their website.

💲 Starter Kit: ~$179 USD
💲 Replacement Size: ~$129 USD

Discount Code:  https://uresta.com/ACTIVEMOM (10% off)
Website: https://uresta.com

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

reia

A Modern Pessary for Prolapse? Reia Explained

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In this episode of the Active Mom Podcast mini-series
 Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Ariana Sopher, COO at Reia—a company developing a modern pessary for pelvic organ prolapse.

Reia was designed to improve on traditional pessary models by allowing for easier insertion and removal through a collapsible shape and applicator system, making self-management more accessible.

We Talk About:

 • how Reia works mechanically (collapsible pessary + applicator system)
 • how it compares to traditional pessaries
 • who it may be a good fit for (and who it’s not)
 • how sizing and fitting works
 • how patients access it (prescription-only model)
 • where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

5:27 how Reia works

10:04 who is this for?

15:48 real world use

21:55 common misconceptions

25:27 rapid fire questions

Reia is a prescription-only device available in the U.S. and New Zealand and must be ordered through a qualified healthcare provider.

💲: Approximately $200 (pessary + applicator)
Website: https://reiahealth.com
Contact: hello@reiahealth.com

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

revive

Internal Pelvic Floor Support for Leaks? Revive Explained

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In this episode of the Active Mom Podcast mini-series Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Steve Bollinger, Founder @Revive—an internal pelvic floor support device company based out of Pittsburgh, Pennsylvania.

Revive was developed to address stress urinary incontinence and light bladder leakage by providing internal urethral support using a tampon-like applicator system.

We Talk About:

 • how Revive works mechanically (intravaginal urethral support)
 • who it may be a good fit for (and who it’s not)
 • how to use it correctly and common mistakes
 • how it compares to traditional pessaries
 • where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

 2:52 how Revive started

5:08 how Revive works

9:01 who is this for?

14:34 real world use

19:18 common misconceptions

23:44 rapid fire questions

Revive is a reusable device designed for daily or situational use and does not require sizing or clinician fitting, making it more accessible for many users.

Their products are currently available in the U.S. via their website, Amazon, and Walmart.

💲 ~$40–$60 per device (reusable; multi-pack options available)

Discount Code: DOC10 (10% off any purchase)

Website: https://userevive.com

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

cosm

Custom Pelvic Floor Support? COSM Gynethotics Explained

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In this episode of the Active Mom Podcast mini-series
Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Goli Ameri, PhD (Head of Research) and Cara McDougall, MPT (Clinical Specialist, Founder of Toronto Pessary Clinic) from COSM Medical.

COSM was founded by Derek Sham, BEng, MBA, whose background in developing widely used urodynamics systems helped shape a more personalized approach to pelvic health technology.

COSM Gynethotics are custom-designed intravaginal devices created using 3D printing technology to match an individual’s anatomy and symptom presentation.

We Talk About:

 • how COSM Gynethotics work (internal structural support for prolapse + incontinence)
 • how they differ from traditional pessaries (personalization vs standard sizing)
 • who they may be a good fit for (including those who haven’t found success with standard devices)
 • how the fitting process works (clinical exam + collaborative design)
 • what to expect (manufacturing time, trial period, real-world use)
 • where they fit alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

3:41 how COSM started

7:43 how COSM works

12:06 who it’s for

15:59 dealing with avulsions

17:20 real world use

24:09 common misconceptions

27:19 rapid fire questions

These devices are not available over the counter and must be accessed through trained healthcare providers in Canada and the United States, including professionals already fitting pessaries (such as pelvic health physical therapists).

💲 ~$500 CAD per device
 Website: https://cosm.care

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

pippa

Internal Resistance Training for Your Pelvic Floor? Pippa Explained

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In this episode of the Active Mom Podcast mini-series
Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Melody Roberts, CEO & Co-founder of Liv Labs—a company developing a pelvic floor fitness device designed to support active women.

Pippa is an internal resistance-based device that works by creating load within the vaginal canal to stimulate neuromuscular activation of the pelvic floor during movement.

We Talk About:

 • how Pippa works mechanically (internal resistance vs passive support)
 • who it may be a good fit for (active women, runners, fitness-focused users)
 • who it’s not designed for (e.g. prolapse support)
 • how to use it correctly (applicator-based insertion)
 • common misconceptions about strengthening and performance
 • where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

2:30 how Pippa got started

5:59 how Pippa works

8:55 who is this for?

12:34 research and development

15:24 real world use

19:30 common misconceptions

24:26 quick fire questions

Pippa is available direct-to-consumer in the U.S. and is designed for reusable, independent use.

💲 Starter Kit: $99
💲 Fit Kit: $149

Discount Code: ACTIVE-MOMS-FOR-THE-WIN (10% off + free shipping)
 Website: https://livlabsfitness.com

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

Flexible Internal Pelvic Floor Support? SomaFlex Explained

Flexible Internal Pelvic Floor Support? SomaFlex Explained

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In this episode of the Active Mom Podcast mini-series
Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Sandra Whittle, pelvic health physiotherapist and inventor of SomaFlex—a device designed to provide a softer, more flexible approach to internal pelvic support.

SomaFlex was developed to offer an alternative to more rigid internal devices by using a multi-directional, shape-shifting design that blends with the body’s tissues.

We Talk About:

 • how SomaFlex works mechanically (flexible intravaginal support)
 • how it differs from traditional pessaries
 • who it may be a good fit for (and who it’s not)
 • how sizing and fitting works
 • how to use it correctly and common mistakes
 • where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

2:45 how SOMA started

8:48 who this is for

10:34 real life application

16:07 common misunderstandings

20:36 dealing with birth injuries

22:51 quick fire questions

SomaFlex is available as a starter kit and single units, designed for independent use and flexible wear depending on activity level.

💲 Starter Kit: ~£80
💲 Single Unit: ~£60

Discount Code: CP10 (10% off purchase)
Website: https://somalives.com

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

Support Mini Series Pod Covers (YouTube Thumbnail)

Pelvic Floor Support Underwear for Prolapse? HEM Support Wear Explained

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In this episode of the Active Mom Podcast mini-series
Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Lauren Fleming, Founder @HEM Support Wear—an external pelvic floor support device company based out of Central Texas (just outside Austin).

HEM Support Wear is a woman-founded pelvic health company redefining what support looks and feels like. After developing pelvic organ prolapse following the birth of her first child, Lauren couldn’t find a discreet, comfortable option that actually helped—so she created one.

We Talk About:

• how the device works mechanically
• who it may be a good fit for (and who it’s not)
• how to use and fit it in real life
• where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 Introduction

2:30 the founding of HEM

4:21 how HEM works

6:30 who this is for

9:31 real world use

12:332 common misconceptions

15:37 rapid fire questions

HEM’s patented support garment uses an internal support panel to gently lift and support the pelvic floor—designed to integrate into daily life rather than feel like a brace or medical device.

Their devices are currently available online via their website, with shipping across the U.S. and internationally (Australia, New Zealand, the UK, and Canada).

💲 ~$70–$130 (varies by product type and bundle)

💻 DISCOUNT CODE: $15 off with code ACTIVEMOM15
🔗 https://hemsupportwear.com

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

Support Mini Series Pod Covers (YouTube Thumbnail)

Pelvic Floor Support Device for Prolapse My Pelvic Bra Explained

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In this episode of the Active Mom Podcast mini-series
Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:

Jeanice Mitchell, Inventor @myPelvicBra—an external pelvic floor support device company based out of Central Texas (Killeen).

As a pelvic floor physical therapist with prolapse herself, she set out to create a device that offered supportive, discreet, external lift—something she couldn’t find in existing pelvic health products.

We Talk About:

• how the device works mechanically
• who it may be a good fit for (and who it’s not)
• how to use and fit it in real life
• where it fits alongside pelvic floor rehab and return to activity

Time Stamps

1:00 introduction

3:15 how My Pelvic Bra was founded

7:00 how it works

12:31 who is this for

16:17 real world use

20:55 common misconceptions

25:19 rapid fire questions

Their devices are currently available online via their website and Amazon, with global shipping (where DHL ships).

💲 ~$49-$79 USD (depending on style and configuration)

Discount Code: Active25 (25% off your first product)
Website: https://mypelvicbra.shop

Important Disclaimer:  This podcast is for educational and informational purposes only and is not intended as medical advice.

Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.

As you listen, it’s important to remember: these are device companies.

Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.

Many of the people behind these products are not medical providers—and they are definitely not your medical provider.

That doesn’t mean the devices aren’t helpful.


But it does mean context matters.

So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed

Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.

Listen on Buzzsprout:

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