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Technology · 6 min read · June 2026

Emsella —
11,000 Kegels in 28 minutes.

Pelvic floor weakness affects roughly one in three women and one in nine men. Most treatments take months. Emsella takes 28 minutes — and you stay fully clothed.

Written by — Family Nurse Practitioner and founder of Idaho Health & Hormones, Meridian, Idaho.

Medically reviewed by Cheryl Fish, FNP-C · June 2026. This article is for education and is not a substitute for individualized medical advice.

What the pelvic floor actually does

The pelvic floor is a hammock of muscle that supports the bladder, bowel, and reproductive organs. When it weakens — from pregnancy, childbirth, aging, hormonal change, prostate surgery, or chronic strain — the consequences are not subtle: urinary leakage, urgency, prolapse, reduced sexual function, and core instability.

Most patients are told to "do their Kegels." The problem: most people cannot voluntarily contract the right muscles strongly enough, often enough, to remodel the tissue. Adherence is poor and technique is worse.

What Emsella does

Emsella is a chair. You sit on it, fully clothed, for 28 minutes. Underneath the seat, a focused electromagnetic field penetrates the entire pelvic floor and triggers ~11,000 supramaximal contractions over the session — contractions stronger and more uniform than anything you can produce on your own.

The standard protocol is six sessions over three weeks. There is no preparation, no recovery, and no disrobing. Most patients read or take a call during the session.

What it actually treats

01 · Stress urinary incontinence

Leakage with cough, laugh, sneeze, jump

Published outcomes show the majority of patients reduce or eliminate pad use after a full protocol, with durable benefit at 6 and 12 months.

02 · Urge incontinence and frequency

The sudden, hard-to-control urge

By restoring tone and reflex control to the pelvic floor, Emsella reduces both the frequency and intensity of urgency episodes.

03 · Post-prostatectomy incontinence in men

An evidence-supported rehab tool

Men recovering from prostate surgery often face months of incontinence. Emsella accelerates and improves outcomes when added to standard rehab.

04 · Sexual function

Sensation, arousal, and orgasm quality

A stronger, better-perfused pelvic floor improves sensation and orgasm quality in women and helps support erectile function in men — particularly when paired with hormone optimization.

Why we built our pelvic program around it

Pelvic floor dysfunction is one of the most under-treated problems in adult medicine. Patients are routinely told it's "normal" after childbirth or "expected" with age. It isn't either. It's a treatable muscular problem with a measurable solution.

We pair Emsella with hormone optimization where appropriate — estrogen and testosterone status directly affect pelvic tissue quality — and with Emfemme 360 for vaginal tissue health. The combination outperforms any single intervention.

Selected references

  • Samuels JB, et al. Safety and efficacy of a non-invasive high-intensity focused electromagnetic field device for urinary incontinence. Aesthet Surg J, 2019.
  • Silantyeva E, et al. HIFEM technology in the treatment of stress urinary incontinence. Female Pelvic Med Reconstr Surg, 2021.
  • Hlavinka TC, et al. HIFEM for post-prostatectomy urinary incontinence. Urology Annals, 2022.
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