Clinical guidelines support pelvic floor physical therapy as a first-line, non-invasive treatment for overactive bladder (OAB), with minimal risk of adverse effects.

Multiple studies demonstrate meaningful improvement in OAB symptoms, with up to 70% of motivated patients experiencing a reduction in symptoms within 2–3 months. Additional benefits include decreased urinary frequency, improved pelvic floor muscle strength, and enhanced overall quality of life.

Individual or group sessions with a clinician can improve adherence and outcomes. Regular check-ins and technique feedback help you stay consistent and do the exercises correctly. 

Most treatment protocols are structured over a 6–12 week period in a supervised setting. While pelvic floor exercises can be performed daily, many studies have found that this level of frequency is not sustainable for the average participant. As a result, programs often recommend completing exercises approximately five times per week.

For overactive bladder (OAB), treatment typically emphasizes urge suppression strategies alongside behavioral modifications.

Within our app, we’ve intentionally separated the exercise components from behavioral strategies (available in a separate treatment section) to keep the experience simple and focused.

As with most areas of medicine, consistency plays a critical role in achieving meaningful and sustained improvement. Our goal is to support this through mini goals, pre-assigned tasks, and progress tracking.

While many users see improvement with guided self-management, outcomes are often enhanced with additional support. Utilizing virtual pelvic floor physical therapy through our marketplace—or ideally, scheduling in-person visits with a pelvic floor physical therapist—can further improve results.

Most studies show benefits in the short term. We need more head-to-head, long-term data to know which strategies best sustain adherence over months to years.