We usually don’t think much about our pelvic floor until it starts demanding our attention.
Maybe it’s a little leak when you sneeze. Getting up multiple times during the night. Or realizing that jumping jacks suddenly require more planning than they used to.
However, your pelvic floor does much more than help with bladder control. These muscles support the bladder and other pelvic organs and also play a role in sexual function. Like other muscles, they can weaken with age, pregnancy, childbirth and hormonal changes around menopause.
And yes, they can be strengthened.
Urinary incontinence becomes increasingly common in women as they age, and menopause can add another layer. Changes in estrogen, connective tissue and muscle function can all affect the pelvic floor.
Still, bladder leakage isn’t something women simply have to accept as part of getting older. Schedule now.
Pelvic floor muscle training, including Kegel exercises, remains an established conservative approach for urinary incontinence. More recently, technologies such as EMSELLA have provided another noninvasive way to stimulate and strengthen pelvic floor muscles.
EMSELLA in Scottsdale uses high-intensity focused electromagnetic energy to create pelvic floor muscle contractions while you’re sitting fully clothed in a specialized chair.
Basically, it’s a pelvic floor workout without spending the entire time wondering, Am I even doing this Kegel correctly?
This is where things get interesting.
Clinical studies summarized by BTL have reported:
Researchers have also studied sexual-function outcomes. One 12-month multicenter study of 31 women with urinary incontinence and decreased interest in sexual activity reported a 51% improvement in sexual-dysfunction scores and a 62% improvement in orgasm scores after treatment.
It’s important to put those numbers in context. These are results from individual clinical studies, not a promise that every patient will experience the same improvement. In the United States, Incontinence with Emsella is centered on urinary incontinence, which is the pelvic-health use cleared by the FDA. Sexual-wellness results are research findings rather than an FDA-cleared sexual-function indication.
This part caught our attention.
A 2026 prospective study followed 99 postmenopausal women with urinary incontinence. Women received either EMSELLA alone or EMSELLA combined with structured Kegel exercises.
Both groups experienced improvement. However, women who combined EMSELLA with Kegels had greater symptom improvement, and 76% achieved the study’s definition of clinically meaningful improvement, compared with 57.1% receiving EMSELLA alone.
That also makes an important point: technology doesn’t necessarily replace the basics. Sometimes the best approach is combining them.
For many women, bladder leakage is what finally starts the conversation. But pelvic floor health is part of a much bigger picture.
A strong, well-functioning pelvic floor can affect bladder control, daily confidence and overall quality of life. Sexual function is another area researchers continue to study.
Most importantly, pelvic floor concerns shouldn’t be embarrassing or dismissed as something you simply have to live with.
Because crossing your legs before every sneeze isn’t really a long-term wellness strategy.
At The Peak Wellness Spa in Scottsdale, EMSELLA is one of the noninvasive technologies we use to support pelvic floor health and urinary incontinence in both women and men.
Treatments are performed while you’re fully clothed, with no needles or surgery and no treatment-related downtime. A typical treatment plan is based on the individual’s needs, health history and goals.
And because pelvic floor symptoms can have several causes, some concerns should first be evaluated by a medical provider to determine the most appropriate approach.
Curious whether EMSELLA might be right for you? Talk with our team at The Peak. Pelvic floor health may not be the first thing we talk about over brunch, but perhaps it deserves a little more attention.
Yes, EMSELLA may help some women experiencing bladder leakage after menopause, particularly when symptoms are related to weakened pelvic floor muscles. However, treatment effectiveness depends on the underlying cause of urinary incontinence.
During perimenopause and menopause, declining estrogen levels can affect the tissues surrounding the bladder and urethra. Aging, childbirth, and changes in pelvic floor muscle strength may also contribute to urinary leakage.
Common symptoms include:
EMSELLA is a noninvasive pelvic floor treatment that uses high-intensity focused electromagnetic (HIFEM) technology to stimulate pelvic floor muscle contractions while you remain fully clothed and seated.
At The Peak Wellness Spa in Scottsdale, EMSELLA may be considered for patients whose symptoms are associated with pelvic floor weakness. However, bladder leakage can have multiple causes, and not everyone will benefit from the same treatment.
A qualified healthcare professional can help determine whether EMSELLA, pelvic floor physical therapy, or another treatment approach is most appropriate.
EMSELLA and Kegel exercises both target the pelvic floor muscles, but they work differently. Neither treatment is automatically better for everyone.
Kegel exercises involve voluntarily contracting and relaxing the pelvic floor muscles. When performed correctly and consistently, pelvic floor muscle training is an established first-line treatment for certain types of urinary incontinence.
EMSELLA treatment uses electromagnetic energy to stimulate repeated pelvic floor muscle contractions without requiring patients to perform the exercises themselves.
The main differences include:
Although EMSELLA is designed to stimulate pelvic floor muscles, high-quality comparative research remains limited. It has not been established that EMSELLA is consistently more effective than properly supervised pelvic floor muscle training.
For patients in Scottsdale considering non-surgical pelvic floor treatment, the most appropriate option depends on muscle function, symptoms, medical history, and professional evaluation.
Yes. Men can experience pelvic floor weakness and urinary control problems, and EMSELLA may be an option for selected patients following medical evaluation.
The male pelvic floor supports the bladder and bowel and plays a role in urinary control and sexual function.
Pelvic floor dysfunction in men may be associated with:
Symptoms may include urinary leakage, urgency, frequent urination, or difficulty controlling the bladder.
However, these symptoms can also be caused by prostate enlargement, infection, neurological conditions, or other medical problems that EMSELLA does not address.
Men considering EMSELLA in Scottsdale should first have the cause of their symptoms evaluated. Depending on the diagnosis, pelvic floor physical therapy, bladder training, medication, or other treatment may be more appropriate.
Pelvic floor weakness can affect much more than bladder control. For some women, it can interfere with exercise, travel, sleep, social activities, and confidence.
The pelvic floor is a group of muscles and connective tissues that helps support the bladder, bowel, and pelvic organs.
When these muscles become weak or function poorly, women may experience:
Pregnancy, childbirth, menopause, aging, and certain medical conditions can contribute to pelvic floor changes.
Importantly, bladder leakage is common, but it should not be dismissed as an unavoidable part of aging.
Treatment may involve pelvic floor physical therapy, lifestyle adjustments, bladder training, or other medical interventions. For appropriately selected patients, EMSELLA may be considered as part of a broader pelvic floor care plan.
At The Peak Wellness Spa, our goal is to help patients explore treatment options that support their comfort, confidence, and quality of life.
No. EMSELLA does not treat every type or cause of urinary incontinence. It may be considered for certain patients with pelvic floor weakness, but identifying the underlying cause of bladder leakage is essential.
Common types of urinary incontinence include:
Stress urinary incontinence: Leakage that occurs when coughing, sneezing, laughing, lifting, or exercising increases pressure on the bladder.
Urgency urinary incontinence: Leakage associated with a sudden, difficult-to-control need to urinate.
Mixed urinary incontinence: A combination of stress and urgency symptoms.
Overflow or other forms of incontinence: Leakage associated with incomplete bladder emptying, neurological conditions, obstruction, or other medical problems.
EMSELLA uses electromagnetic stimulation to activate pelvic floor muscles. It does not treat urinary tract infections, bladder obstruction, or every neurological or structural cause of urinary leakage.
For this reason, EMSELLA should not be presented as a universal solution for bladder control problems.
A healthcare professional can determine whether your symptoms are related to pelvic floor weakness and discuss suitable options, which may include pelvic floor muscle training, physical therapy, bladder training, medication, or additional evaluation.
You should seek medical advice if bladder leakage occurs regularly, worsens, affects daily activities, or causes you to change your normal routine.
Although urinary incontinence becomes more common with age, it is not something you should automatically accept as normal.
Schedule an evaluation if you experience:
Seek prompt medical attention if urinary symptoms occur with blood in the urine, fever, painful urination, significant abdominal or back pain, or an inability to urinate.
If you’re considering EMSELLA pelvic floor treatment in Scottsdale, an appropriate medical assessment can help determine whether muscle weakness is contributing to your symptoms and whether electromagnetic stimulation is a suitable option.
The right treatment begins with understanding the cause—not simply managing the symptoms.
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