There have apparently been studies that the Epi-No does help, but please don't go overboard ladies and think that if you decide to use it like crazy, there is even less chance you will tear! Definitely not more than they recommend in the directions as you don't want to be so overstretched that you have unpleasant problems later in life... physiotherapists have spoken about this. Massage is great though, like I mentioned, the Pink Kit is a must!