I asked my Ob about the epi-no after it was recommended by a friend. The Ob said not to bother because you go through unecessary pain without the hormones to help you through it, plus they're not guaranteed to work. She said she sees the same percentage of tears from women who use it as those who don't.

However.... my friend swears that the reason she didn't tear was because of the Epi-No.

I'm not using one. Just doing the Pelvic floor exercises and crossing my fingers :P