01
Stress incontinence
Leaks with cough, sneeze, run, or jump. Postpartum, post-menopause, or age-related. Often resolved with Emsella + targeted therapy.
The Practice
ServicesAesthetic & Regenerative MedicineSexual Health & IntimacyPelvic Floor & Urinary HealthMenopause & Hormone TherapyVaginal RejuvenationBody Contouring & Weight LossBerman SupplementsNew patient
Ready to be heard?
A 60–90 minute new-patient consult with Dr. Berman. We listen, we work it up, we make a plan together.
Pelvic & Urinary · 03 of 06
Pelvic floor &
urinary health.
Leaks. Urgency. Pelvic pressure or pain. Prolapse symptoms. These are not the price of childbirth or aging — they are diagnosable conditions with treatments most patients never get offered.
What it treats
Six clusters of pelvic-floor symptoms that get dismissed as “normal.”
02
Urge incontinence
Sudden, hard-to-defer urge with leakage. Overactive bladder. Treatable with combined behavioral, pharmacological, and device protocols.
03
Frequency & urgency
Going more than 8× a day, waking 2+ times a night, urgency without leakage. Often hormonal, sometimes neurological.
04
Pelvic prolapse
Pressure, bulge, dragging sensation. Cystocele, rectocele, uterine prolapse. Diagnosed by exam; treated medically or surgically based on grade.
05
Pelvic pain
Chronic pelvic pain, painful intercourse, pelvic floor hypertonicity. Multidisciplinary workup — gynecology, urology, neurology, PT.
06
Recurrent UTIs
Three or more documented infections in twelve months. Hormonal evaluation, vaginal estradiol, prophylactic protocols, behavioral changes.
How it works
A real diagnostic process, not a sales funnel.
Intake & history
Detailed obstetric, surgical, and urological history. Symptom diary and bladder diary review.
Diagnostics
Pelvic exam, prolapse staging, post-void residual, urinalysis, hormone panel. Imaging or urodynamics when indicated.
Treatment plan
Emsella sessions, pelvic floor PT referral, vaginal estradiol, surgical referral, or pessary fitting — chosen based on diagnosis, not catalog.
Follow-up
Re-evaluation at 4–6 weeks, then quarterly. Symptom score retake, regimen tuning, escalation only when warranted.
What to expect
The first ninety days, in honest detail.
- Week 0
Booking & intake
Health intake + bladder diary submitted online before the first appointment.
- Week 1
Initial consultation
60–90 min in-person. Pelvic exam, prolapse staging, treatment plan drafted on the spot.
- Week 2–4
Treatment start
First Emsella sessions begin (typical course is 6 sessions, twice weekly), or hormonal/medication protocol initiated.
- Week 6
First follow-up
Symptom score retake. Therapy adjustments. Pelvic floor PT progress review.
- Week 12
Plan optimization
Most patients see meaningful symptom reduction by this point. Focus shifts to maintenance protocol and long-term plan.
FAQ
Questions most patients ask.
What is Emsella and does it actually work?
Emsella is a high-intensity focused electromagnetic (HIFEM) device that contracts the pelvic floor muscles thousands of times per session — the equivalent of an intensive Kegel workout, while you stay clothed and seated. Published trials show meaningful improvement in stress and urge incontinence in about 75% of women across a 6-session course.
Will I need surgery?
Most pelvic-floor patients do not. Surgery is reserved for advanced prolapse or refractory cases. We refer to highly vetted surgical urogynecologists when surgery is clearly indicated — and only then.
Do you take insurance?
The practice operates out-of-network. We provide superbills you can submit to your insurance for partial reimbursement under your out-of-network benefits. We accept HSA/FSA cards.
Will I see Dr. Berman herself, or a nurse practitioner?
Every initial consultation is conducted by Dr. Berman. Follow-ups may be conducted by Dr. Berman or a member of the clinical team based on the visit type, but Dr. Berman remains the supervising physician for every patient on the panel.
How long until I see results?
Emsella patients often notice change after the third session, with full effect at 3 months. Pelvic floor PT is generally 8–12 weeks. Hormonal protocols 4–8 weeks.
Ready to be heard?
N° 01 · Beverly Hills
In‑person consultation
N° 02 · Anywhere
Telehealth visit
— not sure which? — or .
