I am very pleased with Elitone. When I started I could not even feel myself contracting my Kegel muscles, that is how lax the muscle tone was. Using Elitone regularly has "woken up" and strengthened the muscles, as well as decreased my need to wear incontinence pads. I am not 100% leak free but I would say I have had a significant and impressive improvement! The device is easy to use and the app is very helpful to keep track of progress. I am so happy I found Elitone. I will definitely continue to use it and recommend it to other women.