There is a device gaining traction for these issues and with impressive results. This is a chair that one sits in for 28-30 minutes while High – intensity focused electromagnetic energy (HIFEM) works to contract your pelvic floor muscles. Device companies claim it contracts your muscles 10-12,000 times over the session. It probably sounds gimicky ( I thought so too) and what I found instead was very encouraging improvements that were statistically significant in just 3 weeks of 2x per week usage. In more than one study, at 3 months follow up, people were still reporting similar improvements.

https://pubmed.ncbi.nlm.nih.gov/31172580/

https://pubmed.ncbi.nlm.nih.gov/39640007/

https://pubmed.ncbi.nlm.nih.gov/39767789/

https://pubmed.ncbi.nlm.nih.gov/39760417/

https://www.sciencedirect.com/science/article/pii/S2050116120300076#:~:text=In%20general%2C%20superior%20results%20were,;8:282%E2%80%93289.

https://onlinelibrary.wiley.com/doi/full/10.1002/lsm.23106#:~:text=of%20treatment%20outcomes.-,CONCLUSION,as%20an%20increased%20sexual%20satisfaction.

https://www.dovepress.com/is-the-high-intensity-focused-electromagnetic-energy-an-effective-trea-peer-reviewed-fulltext-article-TCRM#:~:text=Results:%20The%20average%20ICIQ%E2%80%90SF,quality%20of%20life%20(QOL).