What is Estim?

Estim is known under a few descriptions, Erotic Stimulation, Erotic Electro Stimulation and Electric Stimulation.

Depending what your needs are there are plenty of devices to chose from and it is always best to discuss the types of devices with your medical advisor prior to investing.

Estim is also known as EMS Electrical muscle stimulation or neuromuscular electrical stimulation (NMES)

What ever you chose to call it or which ever product you decide to use all of them come down to one thing, which is forcing the of muscles to contract through electric impulses.

Women with weak pelvic floor muscles may see this as an easy option for pelvic floor exercising, but  with every good idea there is always a down side, which is why it is so important to discuss any alternative pelvic floor therapy with your medical advisor and physiotherapist. Over use of an electrical stimulation on muscles and cause over tightening of the muscles which can lead to fatigue.

Using Estim with a physiotherapist.

The physiotherapist may place electrodes on the skin in various locations or insert a probe into the vagina to be able to stimulate a single or group of muslces.

These controled contractions via electrical stimulation helps strengthen the affected muscles. The physiotherapist can chnage the settings to allow for a strong or gentle muscle contraction. Along with increasing muscle strength, the contraction of the muscle also promotes blood supply to the area that assists in healing.

EMS machines can be beneficial as a strengthening training device towards healthy muscles and ligaments. It can also be used effectively as a rehabilitation method in patients that have little or no sensation of the muscles.

The machines used in physiotherapy practises are more powerful and tend to reach deeper into the muscle mass than the home devices.

There are several types of EMS devices and are used in different ways but all end up with the same purpose: to contract and stimulate muscles through the delivery of electrical impulses.

EMS can be particularly helpful for stroke patients.

For more information about EMS, Estim and other muscle rehabilitation products please see the specialists www.win-health.com

IncoStress helping embarrassing situations


It is estimated that 1 in 3 women have urinary stress incontinence

It’s thanks to programs such as Embarrassing Bodies that awareness is raised about stress incontinence and women can take a positive step to react and do something about it.

Physiotherapy is a good start to break bad habits regarding the pelvic floor and train to get into good  habits which can keep the pelvic floor firm and tight, controlling those embarrassing leaks (SUI).

There are many reasons why women have stress incontinence. Some of the common reasons are

Childbirth, menopause, chronic cough, laxity of the pelvic floor, MS…..

Pelvic floor therapy has been used successfully for decades. Probably the most famous doctor of all who introduced Kegel Training was Dr Arnold Kegel. This is a set of exercises which engage the core muscles of the pelvic floor allowing the woman better control, not only for incontinence, but control during sexual intercourse and the ability to control passing wind.

There have been many products designed to help with kegels (pelvic floor exercises). Please remember that the pelvic floor muscles are a group of muscles which can be overworked, torn and damaged just like any other muscle in the body. The problem is that because you can’t see this group of muscles women tend to overwork them.

Make sure you find the right product to actual suit your specific condition (which is why as a medical company/manufacturer of Incostress and the Kegel8 Day toner we always recommend you discuss any exercises and symptoms with your  doctor or physiotherapist first).

The pelvic floor does not mean No Pain No Gain! In fact it is the opposite. If you have pain in the pelvic floor region please get to a doctor sooner rather than later.

Discuss the use of Incostress with your doctor. IncoStress is a class IIa medical device (class 2 in Canada ) which has undergone rigorous trails and scrutiny from several sceptics. Incostress has proven time and time again to be an instant solution for women with stress incontinence as it supports the bladder neck and urethra, controlling the leakage of incontinence. Incostress is also an aid to help you identify the pelvic floor muscles for you to gently work out internally.

During the design stage we considered every aspect of the symptoms, conditions it would treat and also the ergonomic shape to offer total comfort to the user.  During the clinical trial 30% of women were taken off the waiting list for surgery thanks to using Incostress.

If you have had surgery, Incostress can also be used as a support for the pelvic floor during recovery.

What in the pipeline for C&G Medicare ? We have taken the role to look after APOPS Europe (Association of Pelvic Organ Prolapse Support) a non-profit organisation, run by medical people to help women who have POP (pelvic organ prolapses)

We are designing a major product which is set to help women with pelvic organ prolapse. This project will help by concentrating on the Pelvic Myofascial Trigger points offering solutions for pelvic organ prolapse and incontinence.  If you are a women’s health physiotherapists and would like to get involved, we would love to hear from you.

Speak to your physiotherapists or doctor about IncoStress.



Pelvic Floor control and an amazing little device

Pfilates a program that every woman and man should use

Dr Bruce Crawford is an amazing doctor who has spent years perfecting a program which is sweeping the continents. Dr Crawford an international renowned gynaecologist has dedicated his life to giving women a better quality of life.

He developed a program called Pfilates. This simple program has different levels so you can build up the hold and pulse movements the stronger your pelvic floor becomes. This program has swept the USA and Canada, where instructors and being trained to help women benefit from Pfilates.

C&G Medicare Ltd United Kingdom, are advocates of the Pelvic Floor Movement. Its founder and CEO Gaynor Morgan has won many international awards for her medical device Incostress and has built up the company from ground level. Now Gaynor works with many respected medical professionals bridging the gap between patients and medical professionals.

C&G Medicare Ltd run APOPS Europe a free advice center whereby men and women but mainly women can call and ask for advice about pelvic floor issues. They find the best solution via the medical route to help those who are suffering with pelvic organ issues.

Gaynor says “Its about education and finding a solution for the men and women who are suffering. Our job is simply to listen offer general advice about symptoms and try to find a suitable doctor,clinic, physiotherapist etc who are able to help these men and women.

Its saddening to see so many women with incontinence problems or/and prolapse issues that when they call they feel so helpless and don’t realise that there are plenty of good medical solutions without the intervention of surgery available.

Of course, we ALWAYS encourage them to seek a suitable doctor first as there maybe other complications going on we are not aware of with the women who speak to us. It is so important that they are seen by a medical professional before going onto the net to try to self diagnose. There is a lot of good information on the net, but many women do tend to try so many products which are not necessarily suited to their condition and as a result they make the condition worse, which is why we URGE women to first speak to the medical team about their problem.

Many women are too embarrassed or ashamed and this holds them back from speaking about their condition. Many think that incontinence is a way of life if they end up with this condition, and feel pads are the only way to treat incontinence.

Women who have any sort of pelvic organ prolapse are frightened due to the sensation of their insides literally falling out and cut themselves off from even speaking to their partners about it, which doesn’t help their position in their relationship.

There isn’t one quick fix – fix all product on the market because every person is unique, their build, their structure, their lifestyle habits etc this all plays a large part in how the condition is treated. If you have two women of the same build etc, with the same condition, there is no guarantee the same treatment will be successful for both, which is why your medical professional should be consulted first.


C&G Medicare Ltd also offer a basic pelvic floor training with patients on the phone, which has helped many women. The company has also developed several free downloadable print off sheets to help the women speak to their doctor about their condition. These sheets have proven successful as patients simply answer the questions on the sheet, print and take to their doctor. They don’t even have to speak as all the information is there for the doctor to read.  Free downloads questions you should ask your doctor here One of the reasons its been so successful is the fact we don’t ask for details. So many websites now won’t let you access information unless you leave your name, email etc. That’s not what we are about. We don’t collect customers details. These downloads are between the patient and doctor to discuss.

Pfilates kit

Pfilates instructors/physiotherapists and qualified instructors contact us for the instructor package and training package.

C& G Medicare Ltd are offering a limited edition Pfilates complete kit

  •     Includes the 64 minute Pfilates easy to follow different levels instructional DVD,
  •     Pfilates instructional guide book
  •      20cm ball
  •     Medical pelvic toning device (medical grade silicone)
  •     Satin bag Size 26cm X 31cm- Colour – Royal Blue

Designed and tested by key opinion leader Uro/gynaecologist Dr Bruce Crawford

Clinically tested to obtain positive results. Ideal for post natal use and pelvic floor muscles which are neglected in exercise.

Pfilates are a cross between gentle yoga and Pilates. The most effective pelvic floor training ever.

A perfect gift to give all men and women of any age. There are different levels to achieve during this program, all are gentle and progressive.

These exercises have proven to help:

  •     Control bladder issues
  •     Increase pelvic floor and abdominal strength (inside and outer muscle strength)
  •     Help avoid pelvic organ prolapse
  •     Strengthen the muscles to enhance sexual feeling
  •     The pelvic toning device trains the vaginal muscles the grip/strengthen/resistance movements.
  •     Those who encounter painful intercourse

Pelvic floor training is important not only for the fact these important muscles hold the vital organs in place, but that they are needed to be in good condition to allow an easier childbirth.

The pelvic floor needs to be stong so that women do not encounter pelvic organ prolapse (a collapse or drop of the one organ into the wall of another)

And of course we need a good pelvic floor contraction during sexual intercourse to be able to reach the ultimate orgasm.

Did you know that natural red heads are more prone to weak pelvic floor muscles due to the structure of the fibres in the pelvic floor of a red head?

Anyone can use the pfilates program regardless of sex or age. We have a limited edition offer with the pelvic floor toning device. Normal price £67.00 but with using the discount code PFJUL you get £20.00 off the pfilates limited edition.

For more information click here to the pfilates limited edition kit.

Recommended reading for those who have pelvic floor/ incontinence issues. These books have all been endorsed by leading medical doctors.

Pelvic Organ Prolapse by Sherrie Pam (this book is an award winner) Available in all leading book stores in the UK

Hold It Sister & Hold It Mam by Mary O’Dwyer (lead physiotherapist for women’s health) Available in all leading book stores in the UK (Blackwell’s bookstore have  special prices for medical staff at their exhibitions)

Pelvic Floor Recovery by Sue Croft (lead physiotherapist)



Teenage Pelvic Floor Dysfunction- those little leaks


When treating women, I am often asked by mums about “little leaks”  their teenage girls complain of (or don’t but Mum suspects ). This will often be called “giggle incontinence” and I often hear women say to me “Oh I have always had a weak bladder …I used to wet myself when laughing as a kid.”  The only wetting you should do when laughing is the tears running down your face. Unless you have an anatomical or physiological ( medical talk for problem) with your actual bladder or urinary system (this is very rare) then you don’t have a weak bladder and it isn’t something that you just put up with or accept .

Teenage girls can also leak a bit when coughing and sneezing. All of these are scenarios known as Stress Urinary Incontinence…..involuntary leaks when the bladder is placed under stress or pressure. One of two things is happening here  – either the urethral sphincter ( the washer that keeps the bladder safely closed) or the pelvic floor muscles which tighten to help hold this sphincter closed are weak or not functioning properly. Now again, it is rare in a teenager for this to actually be a structural problem.
It is more likely a bad habit or poor muscle strength / co-ordination. The more this is accepted, the worse the problem can potentially become.

Read more…

With thanks to Fiona, womens health physiotherapist http://www.pelvicexercisesinfo.com.au

If you are worried that your teenage daughter is having ‘little leak’ issues speak to her. Ask her when does she notice the leaks? Treating this sooner rather than later is crucial for her wellbeing.

One of Australia’s lead women’s health physiotherapists has written an amazing book on how to self manage the pelvic floor and incontinence problems. Hold It Sister is available in most English speaking countries and available throughout the web.

Ask your physiotherapist about advice on training the pelvic floor (kegel exercises) Getting into good habits is far easier than breaking bad ones.

From today until 30th June C&G Medicare Ltd are giving away Hold It Sister books in their continued effort to raise awareness about pelvic floor issues. Claim your free Hold it Sister book when you order Incostress a medical device to control incontinence  and allows you to identify the pelvic floor muscles ready for exercise. Use code JUNEHIS to claim your free book. click here to order




As part of our commitment to helping women improve their quality of  life through pelvic floor management we are giving away a superb book written by lead women’s health physiotherapist Mary O’Dwyer. HOLD IT SISTER WORTH £15.99 ABSOLUTELY FREE.

18-30 June SPECIAL OFFER: BUY 2 INCOSTRESS SAVE £10 AND GET A HOLD IT SISTER BOOK worth £15.99 ABSOLUTELY FREE. Enter code JUNEHIS to get your free Hold It Sister Book. Go to our shop- incontinence section.

June 18th -30th claim your FREE hold it sister with the dual pack of Incostress. Enter code JUNEHIS to activate the free product.

Hold it Sister offers advice on dealing and coping with incontinence and pelvic organ prolapse issues.

How to improve and maintain a strong pelvic floor to prevent incontinence and a stronger muscle contraction which is needed for  better sexual health.


Male Overactive Bladder – OAB

Over Active Bladder (OAB) Urge Incontinence in men

In a day and age where sex drugs and rock and roll are spoken openly about, the incontinence issues is still very much and embarrassment to many and kept a secret from partners, family and their doctor.

It is acceptable in society that for one reason or another that women are prone to  incontinence. But what about men? Very little is spoken about what men go through and how they feel. In all cases the quality of life (QOL) is affected.

SUI, or Stress Urinary Incontinence is more prevalent in women than men due to their short urethra. (the tube which allows urine to flow from the bladder out of the body.

Over Active Bladder, is common in men, women and children. One of the worst things a parent can do is to force the child to go to the toilet when they really don’t need to.  How many of you are guilty of saying to your child. ‘go now just in case,  honey’?

This force and destabilization of  the bladder eventually may affect the whole natural process and contraction of the detrusor muscle which lines the inside of the bladder. This precontraction then builds up and before you know it, you or your child has OAB. (That’s not to say this is the cause in every case. OAB can occur under other medical conditions and for other reasons).

But if we go back to focusing on the male incontinence issues:

It is common in some men who have a prostate enlargement or BPH. Men who are recovering from prostate surgery or if they have had a laser prostate ablation are prone to OAB.

Other conditions which may trigger OAB are previous bladder or prostate complications, being exposed to radiation, brain or spinal injury, strokes  etc. Parkinson’s is extremely common. Many diabetics present with OAB and SUI.

Before you seek professional advice, download the OAB questionnaire from www.incostress.com No personal information is asked, this is so you can fill the questionnaire in, print and show your doctor. It’s an excellent way for you to explain your symptoms and for your doctor to determine the best course of treatment for you. Incostress.com is all about eduction and helping the public find solutions.

The good news is, incontinence is reversible. There are several methods of treatment and finding the right one for you will be determined by your doctor.

If your doctor choses the most common solution drugs, don’t be afraid to ask him:

  • What are the side effects?
  • Will this drug interfere and cause other problems with medication I am currently taking?
  • How long will I be on this medication for?
  • What happens if I forget to take it?
  • Are there any natural remedies available?
  • If I have a side affect such as dry mouth, dry eyes (a very common one with anticholinergic medication ) I would naturally drink more, so would this have an effect on me?

What are anticholinergics ?

Anticholinergics are a group of drugs which are aimed at combating OAB by blocking the nerve signals related to bladder muscle contractions. They are meant to help increase bladder capacity and decrease the ‘urge’ to go due to the effect they have on the detrusor muscle.

What are the natural solutions for male OAB?

Bladder training without medication is one solution for  the treatment of OAB.  The treatment involves scheduled voiding (scheduled training bladder sheets can be downloaded free of charge here. Bladder training helps change the way routinely head for the toilet. Bladder training will put you into a pattern of holding back from accessing the toilet at set times of the day. It will teach you to have  control over the urge to go by waiting. This buildup is a slow process from waiting for a few minutes to gradually increasing to an hour or more between toilet visits.

Pelvic Floor or kegel exercises
Pelvic floor control is and excellent method to strengthen the muscles that control urination. Part of this exercise will teach you to tighten, hold, and then relax the muscles that you use to start and stop the flow of urination. This form of  training control is called biofeedback, which allows you to identify and move by squeezing the right muscles. Free download for kegel exercises here

Its important not to over work the muscles and if possible I would suggest you work with a physiotherapist or pelvic floor expert.

Electrical stimulation have also been proven to work, but it is strongly recommended you seek professional advice first.

One excellent program I have personally found helps is the Pfilates program developed by Dr Bruce Crawford. More information here.

Many men are subjected to wearing diapers or male incontinence nappies/incontinence pads. These can be undignified, uncomfortable and can cause skin irritation. Nobody wants to sit in urine do they?

An alternative to adult diapers is the Urox System.Hygienic, washable long-lasting and no more sitting in your own urine.

If you have found the information on this site helpful, let me know. It’s always good to get feedback.

What is a ‘relaxed vaginal outlet’?

Sumitted by Mary O’Dwyer lead womens health phyiotherapist. Author of Hold It Sister and Hold It Mama http://www.holditsister.com

What is a ‘relaxed vaginal outlet’?

Recently a 32-year-old mother asked me this question after her obstetrician mentioned the term during her six weeks post baby visit. I explained that damage to the perineal musculature from childbirth (or surgery) is a common cause of the relaxed vaginal outlet (not all women have symptoms). When the tissues between the rectum, vagina and perineal body (area between the vagina and anus) are weakened, this causes a relaxed vaginal outlet, which is usually associated with a rectocoele (posterior vaginal wall prolapse). Normally the rectovaginal fascia, which is attached to the levator ani muscles, prevents the rectum from prolapsing into the vagina.

The levator ani muscles support the pelvic organs and when the pelvic floor is intact the organs rest on the levator muscles, significantly reducing tension on the supporting ligaments and fascia.  The pelvic floor muscles and pelvic ligaments work together to support pelvic floor structures. If the levators are damaged during childbirth (related to use of instruments, episiotomy, back-lying or early forced pushing), the muscles fail to effectively lift and hold to support the organs. Extra loading is then placed on the ligaments (when lifting or exercising) leading to possible pelvic organ prolapse.

After childbirth or pelvic surgery a women’s health physiotherapist will evaluate the structural integrity of the perineal body, assess for pelvic organ prolapse, treat pain, specific muscle weakness or tendon damage and provide an individual program to restore pelvic floor function. This program may involve treatment of any muscle/tendon damage, pain relief, life style advice, postural correction, and guidelines for safe return to exercise, pelvic friendly exercises and specific pelvic floor muscle strength exercises.

Read Hold It Sister for more practical guidance.

available in the UK and Ireland from www.incostress.com and from leading bookstores

You may want to also try Incostress a medical device clinically proven to work. Incostress is availabe from www.incostress.com and www.boots.com

Incostress and Hold it Sister