This is especially observed in sports modalities that require jumping, resistance exercises, or continuous ground impacts [6], similar to during most track and field events. As a result, many females end up abandoning sports [7]. Exercise programs that focus on raising awareness and strengthening pelvic floor structures are the first line of conservational management of PFD [8]. These programs often consist of exercises that firstly increase the proprioception about the pelvic floor structures and thus, increase the capability to contract this musculature [8]. Therapeutic exercise programs have been shown to reduce PFD symptoms like urine loss, especially when exercises are supervised by a health professional and/or guided by intra-vaginal biofeedback [9]. However, when referring to the female sports population, evident gaps in primary studies make expert opinion the main management [10]. The options of treatment for female athletes, when exist, are implemented without considering the specific characteristics of this population [5]. Next to these gaps, shame and normalization often characterize female athletes at younger ages. This situation limits female athletes seeking healthcare. Instead, many athletes silence their pelvic floor (PF) symptoms, acquire avoidance strategies by adapting or reducing their training sessions, or assume unhealthy habits like dehydration or preventive voiding prior to training [11]. The design of specific e-health tools could facilitate athletes to follow more autonomous management while they are supervised by health professionals. Thanks to new technologies, it is also possible to use innovative tools like 3D models to facilitate the understanding of PFD therapies [12]. Once again, these beneficial effects are unknown in the sports population. We should highlight that the female sports population has differentiating factors due to their adaptation to the physical, emotional, and social requirements of physical exercise compared to the sedentary population. Among these differences, female athletes often show specific metabolite, hormonal and lipid profiles, better body consciousness [13], different muscular architecture [14], or even different cortisol responses to stressors [15]. These aspects show the need to design specific approaches for female athletes. To the best of our knowledge, no studies to date have designed tele-rehabilitation tools that incorporate an exercise program and educational innovative resources, adapted to female athletes, and supervised by health professionals. Due to the shame that athletes often feel regarding PFD, a presidential supervision could prevent help-seeking behaviors and thus, limit the performance of the program [16]. Instead, a professional tele-supervision and/or a biofeedback guidance could compensate the independent performance of the training [17]. If female athletes should cope with specific daily sports routines and have specific characteristics, exercise programs should also be adapted to them. This study aimed to evaluate the effects of a 6-week exercise program guided by a smartphone application with and without intravaginal biofeedback guidance on the PF symptoms, as well as functional and anatomical PF characteristics of female athletes. We hypothesized that athletes with guidance from an intravaginal biofeedback would reduce PF symptomatology more than the rest of the participants.