Emsella Pelvic Floor Therapy: 11,200 Kegels in 28 Minutes — Fully Clothed
Let's talk about something that affects millions of people but nobody wants to bring up at brunch: pelvic floor weakness. Sneeze-peeing. Laughing and crossing your legs. Urgently mapping every bathroom in every building you enter. Declining trampoline parks, jumping jacks, and running because... well, you know.
If any of this sounds familiar, you're not alone — and more importantly, you don't have to live with it. At SkinArtMD at Metrotown, we offer Emsella, the revolutionary chair-based treatment that strengthens your pelvic floor with electromagnetic energy while you sit fully clothed. No undressing, no invasive procedures, no awkwardness. Just science.
What Is Emsella?
Emsella is a Health Canada and FDA-cleared medical device that uses High-Intensity Focused Electromagnetic (HIFEM) technology to stimulate deep pelvic floor muscle contractions — the kind your body literally cannot achieve on its own, no matter how diligently you do your Kegels.
Here's the jaw-dropping stat: a single 28-minute Emsella session delivers approximately 11,200 supramaximal pelvic floor contractions. To put that in perspective, even the most dedicated Kegel practitioner might manage 100-200 contractions per day. Emsella does the equivalent of weeks of perfect Kegel training in less than half an hour.
How HIFEM Technology Works
- Electromagnetic energy passes through the treatment chair and into your pelvic floor muscles
- The energy triggers supramaximal contractions — contractions that are more intense than anything achievable voluntarily
- These contractions force the entire pelvic floor musculature to activate simultaneously (manual Kegels only engage about 40% of the muscle group)
- The repeated intense contractions induce muscle remodeling: strengthening, tightening, and restoring neuromuscular control
- Over a series of sessions, the pelvic floor becomes significantly stronger and more responsive
Think of it as an intense workout for muscles you can't easily target in the gym — except the machine does all the work while you sit comfortably.
What Emsella Treats
Urinary Incontinence
The primary indication — and the condition that brings most clients through our door:
- Stress incontinence: Leaking during coughing, sneezing, laughing, jumping, or exercise
- Urge incontinence: Sudden, strong urges to urinate that are difficult to control
- Mixed incontinence: Combination of stress and urge symptoms
Clinical studies show that 95% of Emsella patients report improved quality of life, with significant reduction in pad usage and incontinence episodes.
Pelvic Floor Weakness
Not all pelvic floor concerns involve incontinence. Weakness can manifest as:
- A feeling of heaviness or pressure in the pelvic area
- Difficulty fully emptying the bladder
- Lower back pain related to pelvic floor dysfunction
- Reduced core stability and strength
- Postpartum recovery challenges
Intimate Wellness
A strong pelvic floor is directly connected to intimate health and satisfaction:
- Improved sensation during intimacy
- Better control and confidence
- Enhanced satisfaction for both partners
- Improved blood flow to the pelvic region
- Restoration of confidence and comfort in intimate relationships
Postpartum Recovery
Pregnancy and childbirth are among the most common causes of pelvic floor weakening. Emsella offers:
- Non-invasive pelvic floor rehabilitation after vaginal delivery
- Support for C-section recovery (the pelvic floor is affected regardless of delivery method)
- Gradual restoration of pre-pregnancy pelvic floor strength
- Safe treatment — typically recommended 3+ months postpartum (consult with your OB/GYN first)
Age-Related Changes
Hormonal changes during perimenopause and menopause naturally weaken pelvic floor tissues:
- Emsella counteracts estrogen-related muscle thinning
- Maintains continence through hormonal transitions
- Supports overall pelvic health in combination with hormonal management
The SkinArtMD Emsella Experience
What a Session Looks Like
This might be the most unique medical treatment experience you'll ever have:
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Arrive fully clothed. Yes, really. You don't need to change into a gown, undress, or do anything remotely awkward. Wear comfortable clothes (avoid metal zippers/buttons near the pelvic area — activewear or loose pants are perfect).
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Sit in the Emsella chair. It looks like a modified regular chair. You literally just... sit down.
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The treatment begins. You'll feel the electromagnetic pulses activating your pelvic floor muscles. The sensation is intense but not painful — it feels like strong, rhythmic contractions and vibrations. Most clients describe it as "weird but okay" for the first 2-3 minutes, then "totally fine" after adjusting.
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28 minutes later, you're done. Stand up, thank the chair, and go about your day. No recovery time, no soreness, no post-treatment restrictions.
Comfort level: Most clients rate it 2-3/10 on discomfort. We start at a lower intensity and gradually increase to your comfort level. By session 2-3, most clients are requesting higher intensity because they can feel it working.
How Many Sessions?
| Protocol | Sessions | Frequency | Best For |
|---|---|---|---|
| Standard | 6 sessions | Twice per week for 3 weeks | Mild to moderate incontinence |
| Enhanced | 8-10 sessions | Twice per week | Moderate to severe cases |
| Maintenance | 1 session/month | Monthly | Sustaining results long-term |
Most clients notice improvement after sessions 2-3, with full results developing over the 2-4 weeks following their completed treatment series as muscle remodeling continues.
Emsella Pricing
Your complimentary consultation at SkinArtMD includes a thorough assessment and personalized pricing. We offer competitive rates with package options for the standard 6-session protocol. Ask about our maintenance packages to sustain your results long-term.
The Science Behind Emsella
Emsella isn't a gimmick — it's backed by rigorous clinical research:
Published Study Highlights:
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A 2019 multicenter study published in Lasers in Surgery and Medicine showed that 95% of patients reported significant improvement in quality of life after Emsella treatment, with 75% reporting reduced pad usage.
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MRI studies have confirmed measurable increases in pelvic floor muscle thickness following Emsella treatment — proving the muscle actually grows stronger, not just temporarily contracted.
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A 2020 study demonstrated statistically significant improvements in both stress and urge incontinence symptoms, with results maintained at 6-month follow-up.
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Patient satisfaction rates consistently exceed 90% across published studies, with many patients reporting improvement after just 2-3 sessions.
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Research shows Emsella's supramaximal contractions activate 100% of pelvic floor muscle fibers — compared to approximately 40% activation during voluntary Kegel exercises.
Emsella vs. Other Options
| Treatment | Invasiveness | Time Investment | Effectiveness | Downtime |
|---|---|---|---|---|
| Emsella | Non-invasive, clothed | 28 min/session | 95% satisfaction | Zero |
| Manual Kegels | Non-invasive | Daily, indefinite | Variable (compliance issues) | None |
| Biofeedback therapy | Minimally invasive | Weekly visits, months | Moderate | Minimal |
| Vaginal laser | Mildly invasive | 15-20 min/session | Good for some conditions | 1-3 days |
| Surgery (sling) | Invasive | Hospital procedure | High but with risks | Weeks |
Emsella occupies a unique position: it's as effective as more invasive options but requires no undressing, no insertion, no downtime, and no surgery. For most clients, it's the obvious first choice.
Who Gets Emsella at SkinArtMD?
Our Emsella clients are diverse:
- Postpartum mothers (3+ months post-delivery) rebuilding pelvic strength
- Women in perimenopause/menopause managing hormonal pelvic changes
- Athletes seeking core and pelvic floor optimization
- Men with pelvic floor concerns (yes, men benefit from Emsella too — prostate surgery recovery, urinary control, intimate wellness)
- Anyone who laughs, sneezes, or jumps and has to think about it first
- Preventative wellness — strengthening the pelvic floor before problems develop
Age range: We see clients from their 20s (postpartum) to their 70s+. Pelvic floor health matters at every age.
Combine with Complementary Treatments
For comprehensive pelvic and intimate wellness, consider combining Emsella with:
- Ultra Femme 360 — radiofrequency for vaginal tightening and tissue rejuvenation, complements Emsella's muscular strengthening
- Hormonal optimization — addressing the hormonal root causes of pelvic floor weakening
- Core strengthening — Emsella provides the pelvic foundation; targeted exercise builds on it
- Emsculpt — HIFEM for abdominal and glute muscles, creating a complete core stabilization approach
FAQs
Q: Is Emsella really effective if I just sit there? A: Absolutely. The HIFEM technology does not require any effort from you — the electromagnetic pulses directly stimulate your muscles at an intensity impossible to achieve voluntarily. Clinical studies consistently show significant improvement in over 90% of patients.
Q: Does it hurt? A: It's not painful, but it is unusual. You'll feel strong muscle contractions and a tingling/vibrating sensation. Most clients find it comfortable after the first few minutes. We control the intensity and always start lower, building up as you acclimate.
Q: Will people know I'm getting this treatment? A: Emsella is completely private and discreet. You walk in wearing regular clothes, sit in a chair, and walk out. There's no visible evidence of treatment whatsoever.
Q: How soon will I notice improvement? A: Many clients notice improvement after 2-3 sessions. Full results develop over 2-4 weeks after completing the treatment series as muscle remodeling continues. Maintenance sessions sustain results long-term.
Q: Is it only for women? A: No. Men benefit significantly from Emsella too. Male pelvic floor weakness can cause urinary control issues, particularly after prostate surgery, and can affect intimate performance. We treat clients of all genders.
Q: Can I do Emsella if I have a metal IUD? A: Generally no — metal implants in the pelvic area are a contraindication for HIFEM treatment. Copper IUDs are not compatible. If you have a hormonal IUD (like Mirena), we'll discuss during your consultation. Metal hip replacements or other metal implants in the treatment area would also need to be assessed.
Q: What about after a C-section? A: Yes, Emsella is appropriate for post-C-section recovery. The pelvic floor is affected by pregnancy regardless of delivery method. We typically recommend waiting 3+ months post-delivery and clearing with your OB/GYN first.
Q: How long do results last? A: Results from a full treatment series typically last 6-12 months. Monthly maintenance sessions help sustain results indefinitely. Like any muscle, the pelvic floor benefits from ongoing conditioning.
Book Your Emsella Consultation
Ready to stop planning your life around bathrooms? Done crossing your legs every time you sneeze? Book a complimentary consultation at SkinArtMD at Metrotown. We'll discuss your concerns (in complete privacy), explain the treatment, provide personalized pricing, and create a plan to restore your pelvic floor strength and your confidence.
Your pelvic floor has been doing the best it can. Time to give it some serious backup.
SkinArtMD at Metrotown — Modern aesthetic medicine and intimate wellness in Burnaby, BC. Serving Burnaby, Vancouver, New Westminster, Coquitlam, and Metro Vancouver.



