EMSELLA® for Women: What to Expect From Treatment Sessions

Dr. Ryan Tubre, Board Certified Urologist owner of Rose City Urology in Tyler, Texas
Dr. Ryan Tubre

Publish Date:

March 13, 2026

Understanding Urology: The Medical Specialty Focused on the Urinary Tract

If you’re experiencing bladder leakage, pelvic pressure, or changes in control after childbirth or menopause, you are not alone. These concerns are common, and they are treatable.

At Rose City Urology, we offer EMSELLA®, a non-invasive treatment designed to strengthen the pelvic floor muscles. These muscles play a key role in bladder control, pelvic support, and overall confidence. When they weaken, symptoms such as stress urinary incontinence and urgency can develop.

Many women hesitate before starting treatment. You may wonder:

  • Will it be uncomfortable?
  • Will I need to undress?
  • How much time will this take?
  • Will this disrupt my routine?

The reassuring news is that EMSELLA sessions are quick, private, and require no downtime. Most women return to their normal activities immediately after each visit.

Before Your First EMSELLA Session

Your experience begins with a thoughtful consultation. We take time to listen to your symptoms, understand how they affect your daily life, and review your medical history. This helps us determine whether EMSELLA is the right fit for you.

During this visit, we will explain how the EMSELLA chair works and what you can expect throughout treatment.

What to wear:

Comfortable clothing is ideal. You remain fully clothed during your session, so there is no need to undress.

Preparation:

No special preparation is required. There are no needles, no anesthesia, and no medications involved.

Our goal is to ensure you feel informed, comfortable, and supported before your first session begins.

What Happens During an EMSELLA Session?

You will sit comfortably on the EMSELLA chair in a private treatment room. The device uses HIFEM® technology to electromagnetically stimulate the pelvic floor muscles.

These pulses cause thousands of supramaximal muscle contractions in a single session. These contractions are equivalent to over 11,000 Kegel exercises. This level of activation is not something you can achieve through exercises alone.

The treatment is:

  • Hands-free
  • Non-invasive
  • Fully clothed

Your provider will gradually adjust the intensity based on your comfort level and treatment goals. You remain fully in control throughout the session.

Mother and children playing happily on couch.
Experience the confidence that EMSELLA can bring!

What it Feels Like & How Long Each Session Takes

During treatment, you will feel your pelvic floor muscles contracting. Most women describe the sensation as:

  • A rhythmic tightening or lifting
  • A tingling or pulsing feeling
  • Similar to an intense pelvic workout

The intensity increases gradually as your muscles adapt. It is not painful, but it can feel strong, much like challenging exercise.

Each EMSELLA session lasts approximately 28-30 minutes. Many women schedule appointments during a lunch break or between daily responsibilities, and there is no recovery period before or after treatment, which makes it easy to fit into a busy schedule.

Typical Course of Care

A standard EMSELLA treatment plan typically includes six sessions over several weeks. Sessions are usually spaced a few days apart. Just like any muscle-strengthening program, consistency is important, and results build over time.

Your plan may be adjusted based on your symptoms, response to treatment, and personal goals.

What to Expect After Each Session

You can return to work, exercise, and normal daily activities immediately after treatment.

Some women notice mild muscle fatigue or soreness, similar to what you might feel after a workout. There are no restrictions on lifting, driving, or physical activity.

When Results Are Typically Noticed & How Long May They Last

Every woman’s body responds differently.

  • Some notice improvement after just a few sessions.
  • Many experience steady progress throughout the treatment series.
  • Full results are often appreciated several weeks after completing the initial sessions.

We emphasize realistic expectations. Pelvic floor strengthening is a gradual process, and improvement builds over time.

The longevity of results depends on factors such as age, lifestyle, hormonal changes, and overall muscle strength.

Some women choose periodic maintenance sessions to sustain their improvement. Pelvic floor health is an ongoing part of overall wellness, and we can help you create a long-term plan that fits your needs.

Non-invasive urinary incontinence treatment for women's intimate health and wellness.
Non-invasive urinary incontinence treatment with EMSELLA treatments.

Who Might Benefit Most From EMSELLA Treatments?

EMSELLA may be especially helpful for women who:

  • Experience stress urinary incontinence
  • Have postpartum pelvic floor weakness
  • Notice changes during perimenopause or menopause
  • Want to improve pelvic support without surgery

If leakage, urgency, or pelvic weakness is affecting your confidence, this treatment may offer meaningful relief.

Frequently Asked Questions

Q: Is EMSELLA uncomfortable or embarrassing?

A: Treatment is performed in a private setting, and you remain fully clothed. Most women feel comfortable and at ease during sessions. Our team approaches every visit with professionalism, discretion, and respect.

Q: Can I do EMSELLA during my period?

A: In most cases, yes. We can discuss any concerns during your consultation to ensure you feel comfortable proceeding.

Q: Is it safe for women with IUDs or implants?

A: Many women with IUDs can safely undergo treatment, but candidacy depends on individual circumstances. We will review your medical history carefully to determine whether EMSELLA is appropriate for you.

Q: How does EMSELLA compare to pelvic floor physical therapy?

A: Pelvic floor physical therapy relies on voluntary exercises. EMSELLA stimulates deep muscle contractions that are difficult to achieve on your own. In some cases, the two approaches can complement each other. We can help you decide which option aligns best with your goals.

Taking the Next Step

Bladder leakage and pelvic weakness can affect your confidence, comfort, and quality of life. You do not have to manage these changes alone.

EMSELLA offers a non-invasive, surgery-free option to strengthen your pelvic floor and restore control.

If you are curious whether this treatment is right for you, we encourage you to schedule a consultation at Rose City Urology. Together, we can create a plan that supports your comfort, confidence, and long-term wellness.

HELP IS AVAILABLE

We aim to restore your quality of life

At Rose City Urology, we aim to treat the most common to the most complex conditions to help you get back to living your best.