At our clinic, finding the right treatment for incontinence is a partnership. It’s about creating a personalized plan that puts your safety and long-term wellness first. Emsella is one of the most powerful tools we have for non-invasively strengthening the pelvic floor, but our process always begins with a thorough health assessment. A crucial part of this is reviewing all potential Emsella contraindications to ensure the treatment is a perfect fit for you. If we find that Emsella isn’t your ideal path, don’t worry. This guide will not only cover who should avoid the treatment but also point you toward other effective options we offer.

Key Takeaways

  • Certain Health Factors Are Non-Negotiable: For your safety, Emsella is not suitable if you are pregnant, have a pacemaker, or have metal implants like a copper IUD. A thorough review of your health history is the first step to ensure this treatment is a safe choice for you.
  • Allow Your Body Time to Heal Post-Surgery: The powerful muscle contractions of Emsella require a fully recovered body. If you’ve recently had pelvic, abdominal, or spinal surgery, you’ll need to wait until your doctor gives you the all-clear to ensure a safe and effective treatment.
  • An Honest Conversation Opens Up All Your Options: A thorough consultation is where you create a personalized plan. Being upfront about your medical history ensures your safety and helps determine if Emsella is right for you. If not, it’s the perfect opportunity to explore other effective treatments for incontinence.

What Is Emsella and How Does It Work?

If you’ve ever dealt with an unexpected leak when you laugh, sneeze, or jump, you know how frustrating urinary incontinence can be. It can feel isolating, but I want you to know you’re not alone, and there are effective, modern solutions that don’t involve surgery. One of the most innovative treatments we offer is Emsella. Think of it as a revolutionary way to strengthen your pelvic floor without you having to do a single Kegel. Emsella is a comfortable, non-invasive treatment designed to address all types of urinary incontinence—from stress and urge to mixed cases.

The process itself is incredibly simple and discreet. You just take a seat on the Emsella chair, fully clothed, and can even read a book while the technology does all the work. During a session, which lasts about 30 minutes, you’ll feel a tingling sensation and strong muscle contractions as the chair uses a powerful electromagnetic field to stimulate your pelvic floor. This deep stimulation is essential for re-educating your muscles, restoring neuromuscular control, and giving you back the confidence you deserve. Many women notice significant improvements after just a few sessions, making Emsella incontinence therapy a true game-changer for pelvic health.

The Science: Understanding HIFEM Technology

The science behind the Emsella chair is fascinating. It’s all powered by a technology called HIFEM, which stands for High-Intensity Focused Electromagnetic energy. This isn’t just a surface-level vibration; HIFEM technology creates a deep, penetrating electromagnetic field that stimulates the entire pelvic floor area. It triggers what are known as supramaximal contractions—muscle contractions far more intense than what you could achieve voluntarily with Kegel exercises. In a single 28-minute session, your pelvic floor muscles will contract over 11,000 times. This intense workout strengthens the muscles that support your bladder, effectively treating the root cause of incontinence. It’s a completely effortless way to achieve the kind of muscle re-education that can lead to lasting results.

Is Emsella Safe? A Look at FDA Approval

Your safety is always the top priority, which is why we only offer treatments that are proven to be both effective and secure. Emsella is FDA-approved for the treatment of urinary incontinence in women, a designation that confirms it has been rigorously tested and reviewed for safety. Because the procedure is completely non-invasive, there are no incisions, no anesthesia, and absolutely no downtime required. You can walk out of your appointment and get right back to your day. The electromagnetic energy used is specifically targeted to the pelvic floor muscles and does not affect any surrounding organs or tissues. When administered by a trained professional, Emsella is a remarkably safe procedure. A thorough consultation will always be done first to ensure it’s the right fit for your specific health profile.

Is Emsella Right for Everyone?

Emsella is a fantastic, non-invasive option for strengthening the pelvic floor and addressing incontinence, but it’s not the right fit for every person. Your safety and well-being are the top priorities, so it’s crucial to understand the specific situations and conditions that are considered contraindications for this treatment. Think of it as a safety checklist. Because Emsella uses high-intensity focused electromagnetic (HIFEM) technology to stimulate deep muscle contractions, certain medical devices, implants, or health conditions can interfere with the treatment or pose a risk.

Before you even book a consultation, running through this list can help you get a clearer picture of whether you might be a good candidate. This section breaks down the most common reasons why Emsella might not be recommended. Honesty about your medical history is key to ensuring a safe and effective outcome. If you find that you fall into one of these categories, don’t worry. Dr. Berman offers a wide range of treatments for incontinence and can help you find the perfect alternative to meet your goals. The first step is always a conversation about your unique health profile and needs.

Pregnancy and Breastfeeding

If you are pregnant, might be pregnant, or are currently breastfeeding, you’ll need to wait to schedule Emsella treatments. The effects of the powerful electromagnetic energy on a developing fetus have not been studied, so for the safety of you and your baby, it’s a firm contraindication. Similarly, it’s best to wait until you have finished nursing before beginning treatment. This time is all about focusing on your health and your little one. Once you’ve finished breastfeeding and have clearance from your doctor, you can revisit Emsella as a great way to help restore your pelvic floor strength postpartum.

Pacemakers and Electronic Implants

Because Emsella uses powerful electromagnetic currents, it can interfere with the function of any electronic implants in your body. This is a major safety concern, so the treatment is not an option for anyone with devices like pacemakers, implantable defibrillators, or neurostimulators. The HIFEM technology that makes Emsella Incontinence Therapy so effective at stimulating your muscles could potentially disrupt or damage these essential medical devices. It’s vital to disclose any and all implanted electronics during your consultation to ensure your safety is never compromised.

Metal Implants and Surgical Hardware

Just as electronic implants are a contraindication, so are certain metal implants. The electromagnetic energy used in Emsella can cause the metal to heat up, which could lead to discomfort or internal burns. This includes things like metal plates or screws from a past surgery, joint replacements (especially in the hip area), or a copper IUD. If you have any metal hardware in your body, particularly in the pelvic or abdominal region, Emsella is not a safe option for you. Always be sure to discuss any past surgeries or implants with your doctor to determine if this treatment is appropriate.

Certain Active Medical Conditions

Your overall health plays a big role in determining if you’re a good candidate for Emsella. The treatment is not recommended for individuals with certain active medical issues. This includes conditions like malignant tumors, as the effects of electromagnetic stimulation on cancer cells are unknown. Other contraindications are hemorrhagic (bleeding) conditions, epilepsy, active fevers, or severe pulmonary insufficiency. Emsella is designed for those who are otherwise in good health but are seeking to address pelvic floor weakness. A thorough review of your medical history is a critical step in the consultation process.

Medical Conditions That Rule Out Emsella

While Emsella is a fantastic, non-invasive option for many women dealing with incontinence, it’s not a one-size-fits-all solution. Your safety and well-being are always our top priority, which is why we carefully review your full medical history before starting any treatment. Certain pre-existing medical conditions can make Emsella unsuitable, and it’s crucial to be open and honest during your consultation so we can find the best path forward for you. Think of it as a partnership—the more we know about your health, the better we can tailor a plan that truly works for you. Let’s walk through some of the key health factors that we’ll need to discuss to ensure this treatment is the right choice.

Heart Conditions and Devices

Emsella works by using high-intensity focused electromagnetic (HIFEM) energy to stimulate your pelvic floor muscles. It’s an incredible technology, but that same energy means it’s not safe for everyone. If you have a cardiac pacemaker, implanted defibrillator, or any other electronic implant, Emsella is not for you. The electromagnetic fields from the treatment can interfere with these devices, which could create serious health risks. We need to ensure any Emsella Incontinence Therapy you receive works in harmony with your body, not against it. Your safety is the most important part of any treatment plan we create together.

Neurological Disorders

The deep muscle stimulation that makes Emsella so effective can also be a concern for individuals with certain neurological conditions. For example, if you have a history of epilepsy or other seizure disorders, we would not recommend this treatment. The powerful stimulation involved in the procedure could potentially trigger a seizure or affect your condition. Our goal is to improve your quality of life, so we’ll explore other incontinence treatments that are a safer fit for your specific health profile. There are many ways to address pelvic floor health, and we’ll find the one that aligns perfectly with your needs.

Active Cancer or Malignancies

Your health journey is unique, and if you are currently undergoing treatment for cancer, our focus is on supporting that primary care. For this reason, Emsella should not be used if you have active cancer or malignant tumors. There’s a possibility that the treatment could interfere with your ongoing cancer therapies, and we always err on the side of caution to ensure nothing gets in the way of your recovery. We can always revisit Emsella as an option later on, once you’re in remission and have been cleared by your oncologist. We offer a wide range of services to support you at every stage of your wellness journey.

Bleeding Disorders

Emsella causes thousands of powerful muscle contractions in a single session. While this is what strengthens the pelvic floor, it’s an intense workout for your muscles. If you have a bleeding disorder or take anticoagulant medications (blood thinners), this treatment isn’t a safe choice. The procedure could increase the risk of bleeding or bruising in the muscle tissue. Your safety is paramount, and a thorough review of your medications and health history helps us make the best recommendation for you. Learning about our patient-first philosophy means understanding that we prioritize your well-being above all else.

What If You’ve Had Recent Surgery?

If you’re considering Emsella, it’s important to think about any recent surgeries you’ve had. Because the treatment stimulates deep muscle contractions, your body needs to be fully healed before you begin. Think of it like starting a new, intensive fitness routine—you wouldn’t jump in before your doctor gives you the all-clear. Allowing your body proper time to recover ensures the treatment is both safe and effective, without disrupting the healing process. During your consultation, we’ll go over your complete surgical history to make sure the timing is right for you.

Pelvic Surgery Recovery

Procedures in the pelvic region, like a hysterectomy or C-section, require a significant healing period. The powerful muscle contractions from Emsella could strain incisions and interfere with your body’s recovery. It’s essential to give your internal tissues enough time to fully mend. We always prioritize your safety, so we’ll need to confirm you are well past the initial recovery phase before starting any Emsella treatments for incontinence. A thorough discussion about your surgery will help us determine the safest timeline for you.

Abdominal and Spinal Procedures

Your core is an interconnected system. The intense contractions of the pelvic floor during an Emsella session also engage your lower abdominal muscles and require spinal stability. For this reason, if you’ve recently had abdominal surgery (like a tummy tuck) or any spinal procedures, Emsella is not recommended until you are fully recovered. We need to ensure these areas are strong enough to handle the treatment without risking injury or compromising your surgical results. Our comprehensive approach to women’s wellness takes your entire medical history into account.

Why Healing Time Matters

Giving your body adequate time to heal is non-negotiable. After surgery, your body is working to repair tissue and regain strength. Introducing the powerful muscular contractions of Emsella too soon can disrupt this delicate process, potentially delaying your recovery. The waiting period can vary from weeks to months, depending on the surgery and how your body is healing. This is why a personalized consultation is so important. We can assess your individual situation and create a treatment plan that aligns with your body’s readiness, ensuring you get the best results safely.

Other Health Factors to Consider

Beyond major medical diagnoses and implants, a few other personal health factors can influence whether Emsella is the right choice for you right now. These considerations are all about ensuring your safety, comfort, and the best possible outcome from your treatments. Think of it less as a list of strict rules and more as a way to fine-tune the timing and approach to your care. A thorough consultation will always cover these points, but it’s helpful to think about them ahead of time. Open communication about your complete health picture allows us to create a plan that truly works for your body and your life.

Breathing and Pulmonary Conditions

Your ability to breathe comfortably is a key factor in determining if Emsella is a safe option. The treatment uses high-intensity focused electromagnetic (HIFEM) energy to create powerful muscle contractions in your pelvic floor. This intense muscle activity can sometimes affect your breathing pattern during the short session. For this reason, anyone with pulmonary insufficiency or other significant breathing conditions should not undergo Emsella Incontinence Therapy. It’s a necessary precaution to ensure your respiratory system isn’t placed under any unnecessary strain. During your consultation, be sure to discuss any history of lung or breathing issues you may have.

Skin Conditions in the Treatment Area

The health of your skin in the pelvic region is another important consideration. The Emsella chair delivers energy through your skin to the underlying muscles, so the area needs to be free of any issues that could be irritated by the treatment. This includes active infections, rashes, or open wounds. It’s also crucial to wait until you’ve fully healed from any recent surgeries in the pelvic area. The powerful muscle contractions stimulated by Emsella could interfere with the healing process of incisions or internal tissues. Giving your body the proper time to recover ensures your pelvic pain treatment and Emsella sessions are both safe and effective.

Timing and Your Menstrual Cycle

While not a strict medical contraindication, we generally advise against scheduling Emsella treatments during your period. The primary reason is your comfort. Many women experience increased pelvic sensitivity, cramping, and discomfort during menstruation, and the deep muscle contractions from Emsella could potentially amplify these sensations. Scheduling your sessions for a different time in your cycle helps ensure the experience is as comfortable and relaxing as possible. This simple scheduling adjustment can make a big difference in your overall treatment experience as you address your incontinence concerns, allowing you to focus on the benefits without any added discomfort.

How to Prepare for Your Emsella Consultation

Walking into your consultation ready and informed is the first step toward getting the results you want. A little preparation helps ensure your appointment is productive and that you and your doctor can create the best possible treatment plan for you. Think of it as a collaborative meeting where your input is just as important as the doctor’s. Coming prepared with your health history and a few questions will help you feel confident and make the most of your time. This way, we can focus on what truly matters: your health, comfort, and goals for a life free from incontinence worries.

What to Bring: Your Medical History

Your safety and success are the top priorities, and that starts with a complete picture of your health. Be ready to discuss your full medical history, as some conditions and devices can be contraindications for Emsella. It’s crucial to mention if you are pregnant or could be pregnant. You should also disclose any metal implants in your body, including copper IUDs, pacemakers, defibrillators, cochlear implants, or surgical hardware like plates and screws. The HIFEM technology used in Emsella Incontinence Therapy relies on electromagnetic energy, so having a clear understanding of any metal in your body is essential for a safe procedure.

Questions to Ask Your Doctor

Your consultation is the perfect time to get all your questions answered. Don’t hesitate to bring a list so you don’t forget anything. You might want to ask about how the treatment feels, what the typical session schedule looks like, and when you can expect to notice changes. It’s also a good idea to discuss any specific medical conditions you have, even if they seem unrelated. For example, ask how recent surgeries or a history of bleeding disorders might affect your eligibility. Understanding every aspect of the treatment will help you feel comfortable and confident as you move forward with improving your sexual and urinary tract health.

Your Pre-Treatment Checklist

To make your first appointment as smooth as possible, run through a quick mental checklist. First, make a list of all medications and supplements you are currently taking, paying special attention to anything like anticoagulants (blood thinners). On the day of your treatment, wear comfortable, loose-fitting clothing without any metal snaps, zippers, or belts. You’ll remain fully clothed during the session, so comfort is key. Finally, remove any electronic devices, like your phone or smartwatch, before your session begins. Following these simple steps helps ensure your treatment for incontinence is safe, effective, and completely stress-free.

Common Myths About Emsella Safety

When it comes to any medical treatment, especially one involving new technology, it’s natural to have questions. Misinformation can spread quickly, creating confusion about what’s safe and effective. The Emsella chair is an FDA-cleared, non-invasive treatment, but that doesn’t stop the myths from circulating. Let’s clear up a few common misconceptions so you can feel confident and informed when considering if this treatment is the right step for you. Understanding the facts is the first step toward taking control of your pelvic health.

Debunking Safety Misconceptions

One of the biggest myths is that Emsella is risky or comes with significant side effects. The reality is quite the opposite. Because the treatment is completely external—you remain fully clothed in the chair—it avoids the risks associated with surgery or more invasive procedures. Emsella Incontinence Therapy uses high-intensity focused electromagnetic (HIFEM) technology to stimulate deep pelvic floor muscles, essentially doing thousands of Kegels for you in a single session. For suitable candidates, there are no major risks or side effects. It’s a straightforward procedure designed with your safety and comfort in mind.

Is Age a Factor?

You might have heard that Emsella is only for a specific age group, whether that’s younger women postpartum or older women dealing with age-related changes. This is simply not true. Pelvic floor weakness and incontinence can affect women at any stage of life for a variety of reasons. Your eligibility for Emsella isn’t determined by your age but by your overall health and medical history. The treatment is effective for adults of all ages who are looking for a non-invasive way to strengthen their pelvic floor and regain bladder control. What truly matters is whether you are a good candidate based on a thorough medical consultation.

Exploring Your Other Options for Incontinence

Finding the right solution for incontinence is a personal process, and it’s important to know that you have choices. While Emsella is a fantastic, non-invasive option for strengthening the pelvic floor, it’s one of several tools we can use to help you regain control and confidence. Every woman’s body is different, and the root cause of bladder leaks can vary. That’s why a personalized approach is so crucial.

Your journey might involve a single type of treatment or a combination of therapies designed to address your specific needs. The goal is to find the most effective, least invasive path to get you the results you deserve. Whether you’re dealing with stress incontinence (leaking when you laugh or sneeze) or urge incontinence (that sudden, gotta-go feeling), we can explore the full spectrum of modern treatments together. Let’s look at some of the other powerful, non-surgical solutions we offer, as well as when a more traditional approach might be the right call.

Non-Invasive Alternatives We Offer

Beyond Emsella, we offer a suite of advanced, non-invasive treatments designed to restore pelvic health. For instance, Votiva uses gentle radiofrequency energy to tighten tissues and improve neuromuscular control, which can significantly reduce leakage. Another option is the O-Shot, which uses your body’s own growth factors to rejuvenate vaginal tissue and improve urinary control. We also offer V Tone, a therapy that uses electrical muscle stimulation to gently exercise and strengthen your pelvic floor muscles from the inside out. During your consultation, we can determine which of these innovative incontinence treatments, or combination of them, will best help you achieve your goals.

When to Consider Surgical Options

Non-invasive treatments are incredibly effective at addressing incontinence caused by weakened pelvic floor muscles. However, they aren’t a one-size-fits-all solution. Sometimes, incontinence stems from more complex structural issues or other contributing factors that muscle-strengthening therapies can’t fully resolve. If your condition is related to significant pelvic organ prolapse or other anatomical changes, a surgical procedure might be the most direct and effective path forward. Understanding the root cause is key. We are committed to helping you find the right solution, even if it’s a referral for a surgical consultation to address underlying issues related to pelvic pain treatment or structural support.

Related Articles

Frequently Asked Questions

What does an Emsella session actually feel like? You’ll feel a distinct tingling sensation along with strong, but not painful, muscle contractions in your pelvic floor. It’s a unique feeling because the machine is doing all the work for you. Many women describe it as feeling like intense Kegels that they aren’t controlling. You remain fully clothed and can simply relax, read a book, or listen to music during the 28-minute session.

Is there any downtime after an Emsella treatment? Absolutely not. One of the best things about Emsella is that you can immediately return to your daily activities right after your appointment. There’s no recovery period needed. You can head back to work, run errands, or even go to the gym without any restrictions.

I have a metal implant (like a hip replacement or copper IUD). Why is that a problem? Emsella uses powerful electromagnetic energy to stimulate your muscles. If you have metal implants, especially in the pelvic or hip area, this energy can cause the metal to heat up, which could lead to internal discomfort or burns. Your safety is the top priority, which is why we must rule out this treatment if you have any metal hardware that could be affected.

How quickly will I see results from Emsella? Many women report feeling an improvement after just a few sessions, but results can vary based on your individual condition. The standard treatment plan is typically six sessions scheduled twice a week for three weeks. You will likely notice continued improvement in the weeks following your final treatment as your pelvic floor muscles get stronger.

If Emsella isn’t right for me, does that mean I’m out of options? Not at all. Emsella is just one of many effective treatments we offer for incontinence and pelvic health. If you’re not a suitable candidate, we can explore other non-invasive options like Votiva or the O-Shot. The most important step is your consultation, where we can assess your specific needs and create a personalized plan to help you achieve your goals.