Abstract: A range of surgical treatment options for pelvic organ prolapse (POP) and urinary incontinence (UI) as well as non-surgical treatments exist for POP and UI. However, the fitting of physical non-surgical devices such as Kegel assist devices and pessaries is by best guess or trial-and-error. The inventors have established methods, processes and devices to provide measurements of user specific anatomy and physiology in a reproducible manner with devices and systems that remove measurement artifacts, errors, bias etc. whilst providing the patient with an improved experience and the medical personnel with ergonomic, efficient, and easy to use systems. Further, new and improved designs, processes and methods for providing user specific physical non-surgical devices based upon such measurements are established that incorporate user specific anatomy and physiology, user lifestyle, and user experiences into the design and implementation of custom vaginal therapeutic devices.