In Emsella
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Emsella: A Breakthrough in Treating Pelvic Floor Weakness for Men and Women

Urinary incontinence is a silent epidemic that affects millions of people, regardless of gender, age, or lifestyle. It’s often thought of as a woman’s issue, especially after childbirth or during menopause. However, men are also affected. Men recovering from prostate surgery frequently experience the frustrating symptoms of a weak pelvic floor. Beyond embarrassment and inconvenience, incontinence can seriously impact quality of life, from limiting physical activities to undermining confidence and independence.

Emsella is a revolutionary solution: it uses High-Intensity Focused Electromagnetic (HIFEM) technology to non-invasively strengthen the pelvic floor muscles, helping both men and women reclaim control, dignity, and freedom.

In this article, we’ll dive into what Emsella is, how it works, and why it’s transforming lives one treatment at a time, for both men and women.

How Does Emsella Work?

First things first, how does the Emsella pelvic floor chair work?

The Mechanism at a Glance:

  • Emsella features an ergonomic chair that generates high-intensity electromagnetic pulses targeting the pelvic floor.
  • These pulses induce supramaximal contractions, far beyond voluntary strength, averaging over 11,000 Kegel-equivalent contractions in a single 30-minute session.
  • The results are often described as an intensified strengthening of pelvic muscles, deeper tissue rebuilding, and enhanced sphincter control.

How Does Emsella Work?

First things first, how does the Emsella pelvic floor chair work?

The Mechanism at a Glance:

  • Emsella features an ergonomic chair that generates high-intensity electromagnetic pulses targeting the pelvic floor.
  • These pulses induce supramaximal contractions, far beyond voluntary strength, averaging over 11,000 Kegel-equivalent contractions in a single 30-minute session.
  • The results are often described as an intensified strengthening of pelvic muscles, deeper tissue rebuilding, and enhanced sphincter control.

Typical Treatment Protocol:

  • Sessions are typically 6 treatments over 3 weeks (2 sessions per week).
  • Some users notice improvements even after just one session; however, most achieve their peak results after completing the full program.
  • There is no downtime. Patients remain clothed, fully conscious, and resume daily activities immediately.

Primary Benefits of Emsella for Both Sexes

  • No incisions or anesthesia required; fully non-invasive.
  • Targets multiple pelvic floor muscles simultaneously.
  • Addresses both types of urinary incontinence—leakage with movement and uncontrolled bladder contractions.
  • Enhances muscle tone, which can heighten sexual sensation and performance.
  • 95% patient satisfaction; 75% reduction or elimination in pad usage
  • Comfort knowing daily life—exercise, laughter, travel—is no longer hampered by leakage.

Comprehensive Overview of the Comparisons: Women vs. Men

CoolSculpting / CoolShaping Table
Feature Women Men
Primary Uses Postpartum/menopause leakage, stress & urge incontinence Post‑prostatectomy leakage, age‑related incontinence
Mechanisms Adressed Pelvic floor support, connective tissue, bladder neck control Urethral sphincter control, pelvic support after surgery
Sexual Benefits Increased sensation Improved rigidity and ejaculatory control
Combined Therapies Works synergistically with vaginal rejuvenation (e.g., ThermiVa) Complements core strengthening and physical restoration
Patient Demographics Women across lifespan—especially postpartum & menopause Men post-prostate treatment or with age-related weakening

Emsella for Women

a woman holding her baby smiling

Now let’s really break down the benefits of Emsella by gender:

First, Why Women May Benefit Most:

  • Childbirth & Menopause: These natural phases often weaken pelvic support structures, leading to leakage
  • Recovery from Vaginal Birth: Pelvic floor trauma and laxity are common; Emsella helps restore muscle fiber strength and positioning.

Specific Advantages for Women:

  • Postpartum Restoration: Speeds recovery of pelvic floor tone, preventing postpartum leakage and prolapse.
  • Menopausal Support: Addresses muscle loss and reduced estrogen support, improving bladder control and vaginal health.
  • Enhanced Sexual Satisfaction: Firmer pelvic floor muscles can heighten orgasm and overall genital sensation.
  • Time-Saving & Accessible: Over 11,000 contractions in 30 minutes makes it easy for busy women, avoiding laborious Kegel routines.

Emsella for Men

an older man smiling

Men’s use of Emsella is rising, and for good reason!

Why Men Benefit from Emsella:

  • Post-Prostatectomy Incontinence: Men experiencing leakage after prostate surgery or radiation may regain control through targeted pelvic contractions.
  • Pre-Prostatectomy Surgery: Enhance blood flow prior to surgery to speed recovery.
  • Pelvic Floor Muscle Weakness: Men suffer from weakened muscles due to aging or neurogenic disorders.

Specific Benefits for Men:

  • Post-Surgery Recovery: Accelerates regaining urinary control after prostate cancer treatments, with early evidence suggesting improved outcomes.
  • Pre-Prostatectomy Surgery: Enhance blood flow prior to surgery to speed recovery.
  • Sexual Function Support: A stronger pelvic floor can help with erectile function and ejaculatory control, enhancing sexual well-being.
  • Comprehensive Core Stability: For men combining Emsella with core-focused therapies (e.g., Emsculpt NEO), there’s “core‑to‑floor” strength, improving posture and physical resilience.

What to Expect During Emsella Treatment

someone using Emsella

Consultation & Eligibility

Before starting Emsella treatments, you’ll have an initial consultation with a qualified Emsella provider. This appointment is crucial to determine whether Emsella is the right option for you. The provider will:

  • Review Your Medical History: They will evaluate factors like childbirth, menopause, prostate health, pelvic surgeries, and any existing pelvic floor disorders.
  • Assess Incontinence Type: Whether you experience stress incontinence (leakage from physical activities like coughing or sneezing) or urge incontinence (frequent, sudden urges to urinate), Emsella can be customized to target your needs.
  • Special Considerations: For men with a history of prostate cancer treatments, additional screening may be required to ensure no underlying issues, such as residual cancer or severe scar tissue, that would interfere with treatment. Women who recently gave birth or are in menopause may be especially good candidates, but other pelvic conditions (like prolapse) may require a tailored approach.

Treatment Timeline

Emsella treatments are designed for both convenience and effectiveness:

  • Typical Course: The standard protocol involves 6 sessions, usually scheduled twice a week over three weeks.
  • Session Length: Each session lasts about 30 minutes, and you remain fully clothed throughout—no need to undress or apply gels.
  • No Downtime: You can return to your daily activities immediately, including work, exercise, or social events. There are no restrictions on driving or activity levels post-treatment.

Sensations & Side Effects

During the session:

  • Muscle Contractions: Patients typically describe a feeling of intense pelvic floor muscle contractions, like strong Kegel exercises, but without the effort. Some describe it as a rhythmic “tingling” or “pulsing” sensation.
  • Comfortable and Painless: Although the contractions are strong, the treatment is not painful. Most patients find it easily tolerable and often even relaxing.
  • Safety: The Emsella chair is FDA-cleared, meaning it has met stringent safety and efficacy standards. Side effects are uncommon. Temporary mild muscle fatigue or slight soreness that resolves quickly is possible, but our patients do not typically experience this. We are able to adjust the chair treatment settings to meet your needs at each session.

Results & Maintenance

One of the advantages of Emsella is its rapid impact:

  • Early Results: Many patients report noticeable improvements in bladder control and pelvic muscle strength by the third session, sometimes even sooner.
  • Full Benefits: After completing the full course, patients typically experience significant reductions in leakage episodes and pad use, with improvements continuing over six months.
  • Long-Term Maintenance: Muscle tone and strength can decline over time, so some patients may benefit from maintenance sessions every 6-12 months to sustain results. The frequency of maintenance sessions depends on factors like age, lifestyle, and overall pelvic floor health.

Costs & Coverage

Understanding the financial aspect is important:

  • Treatment Packages: Most providers offer Emsella as a package of 6 sessions to ensure optimal results. Packages vary with clinic expertise and whether visits are included.
  • Insurance Coverage: Because Emsella is considered a non-invasive, elective procedure for urinary incontinence (rather than a medically necessary surgery), it is usually not covered by insurance. However, some Flex Savings Plans or Health Savings Plans will cover this service.
  • Financing Options: We offer the flexible financing plan CareCredit to help make the treatment more accessible, allowing patients to pay in installments.

How Both Men and Women Can Enhance Emsella’s Impact

an older couple walking

To maximize outcomes:

  • Maintain Healthy Weight & Fitness: Reducing abdominal pressure helps pelvic stabilization.
  • Support with Kegels: Targeted home exercises can help reinforce gains.
  • Stay Hydrated & Avoid Bladder Irritants: Especially in the early phases.
  • Adopt Pelvic-Friendly Diet: Prevent constipation which can strain the pelvic floor.
  • Combine with Strength Training: Core and postural muscle training enhances whole‑body stability.

Emsella vs. Alternative Therapies: How It Compares

someone in a surgical gown looking worried

When it comes to treating urinary incontinence, patients have several options—each with its own pros and cons. Let’s take a closer look at how Emsella stacks up against the most common therapies available:

Kegel Exercises
Traditional Kegel exercises can strengthen the pelvic floor muscles, but they require consistent, correct technique and dedication over time. While some home devices aim to simplify Kegels, results can vary significantly depending on user compliance and device quality.

Medications
Certain medications—such as anticholinergics and beta-3 agonists—can help manage urge incontinence by calming bladder overactivity. However, they often come with side effects like dry mouth, constipation, dizziness, and even the risk of dementia with long term use. Moreover, these medications only manage symptoms and don’t directly strengthen the pelvic floor.

Surgical Options
For severe cases, surgical interventions such as bulking agents or sling procedures may be recommended. While these can be effective for specific types of incontinence, they come with inherent risks, require downtime for recovery, and can be expensive. Surgery also carries the potential for complications, including infection or device erosion.

Pelvic Floor Physical Therapy (PT)
Working with a pelvic floor therapist can be highly effective, providing personalized guidance, education, and exercises tailored to your individual condition. However, PT usually requires multiple in-person sessions, commitment, and consistent follow-through at home. Progress can be slow, and results vary depending on the patient’s diligence and the expertise of the pelvic physical therapist.

Why Emsella is the Best Choice for Men and Women

an older man and women hugging or looking happy

Emsella offers a compelling middle ground between at-home exercises and invasive options:

  • No Surgery: Completely non-invasive, meaning no needles, incisions, or anesthesia.
  • No Downtime: You can resume your normal activities immediately after each session.
  • Minimal Effort: Simply sit comfortably on the Emsella chair while the device delivers over 11,000 pelvic floor contractions per session, far more than what’s possible with at-home exercises.
  • Stackable Benefits: Emsella can complement other therapies like pelvic PT or medications, amplifying the overall results and speeding progress.

This combination of ease, effectiveness, and versatility makes Emsella an attractive option for both men and women seeking a long-term solution to incontinence, without the stress and potential complications of more invasive procedures.

Find Emsella Near You

Urinary incontinence is more than an inconvenience, and it can undermine confidence, limit activities, and erode quality of life for both men and women. Whether it’s postpartum changes, menopause, prostate treatments, or simply age-related muscle weakness, millions silently endure these symptoms.

Emsella represents a transformative solution that empowers individuals to take back control of their lives. Its non-invasive, no-downtime design makes it accessible and effective for strengthening the pelvic floor muscles, helping reduce leakage, improve bladder control, and even enhance sexual wellness.

If you’re tired of letting incontinence dictate your day, it’s time to explore the power of Emsella. Medical Director, Dr. Julia Edelman, MD, FACOG, MSCP of The New England Center for Body Sculpting, is proud to be a leading Emsella provider in the area. The New England Center of Body Sculpting is conveniently located near the 495 rotary in Middleboro, MA, where we proudly serve the Greater Boston, Greater Providence, South Shore, Southcoast, MA, Eastern, MA, and Cape Cod areas. Call (508) 947-2852 to schedule your Emsella consultation!

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