What Is Pelvic Floor Strengthening?

The pelvic floor muscles work together with your core to support your bladder, posture, sexual health and physical activity. These muscles may weaken due to factors like aging or childbirth, leading to pelvic floor dysfunction that can cause you to lose your comfort and confidence. 

Traditional approaches to pelvic floor dysfunction often involve invasive procedures or time-consuming exercises with limited results. At BelleSante, our Emsella treatments transform this experience by using HIFEM technology to deliver thousands of supramaximal pelvic floor muscle contractions during a comfortable 30-minute session. This breakthrough treatment strengthens the entire pelvic floor while you sit in a specially designed chair. The pelvic floor muscles work in concert with your abdominals and glutes to create the stable “Core” foundation needed for all movement, enhancing the overall functional architecture of your body.

This treatment is ideal for individuals experiencing: 

  • Changes in bladder control when coughing, laughing or exercising
  • Decreased core strength and stability affecting balance and function
  • Pelvic floor weakness following pregnancy and childbirth
  • Age-related changes to muscle tone and tissue quality
  • Challenges with intimate wellness for both women and men

Our HIFEM, Emsella, is an incredibly convenient and accessible treatment option — there's no undressing, no discomfort and no effort required on your part. You simply sit comfortably on the Emsella chair, fully clothed, while the device works to strengthen your core from within.

The Benefits of Pelvic Floor Strengthening

The advantages of strengthening your pelvic floor extend far beyond the treatment room. Patients regularly report remarkable improvements in their daily lives, including:

  • Strengthening and re-educating the pelvic floor muscles
  • A stronger pelvic floor with increased vascularity
  • Enhanced core strength and stability for active living
  • Improved control and confidence during physical activities
  • Significant reduction in urinary urgency and leakage
  • Decreased reliance on protection products like pads and liners
  • Improved intimate wellness and satisfaction
  • Increased blood flow and tissue health, resulting in improved natural moisture
  • Reduced frequency of urinary tract infections
  • Reduced frequency of yeast infections
  • Greater comfort and confidence in social situations
  • Restored ability to participate fully in favorite activities

Emsella is especially valuable as part of a comprehensive wellness approach. Clinical studies demonstrate that HIFEM energy is seven times more effective than traditional Kegel exercises, with research showing a 64% improvement in urinary incontinence and a 57% reduction in hygiene pad usage. 

Your Treatment Experience at BelleSante

Your pelvic floor strengthening journey begins with a thorough consultation with Kristine Romine, MD or Sara Romine, DNP, FNP-C. During this initial meeting, we'll discuss your specific concerns and develop a treatment plan tailored to your unique needs. We take time to understand not just your symptoms but how they impact your daily life and activities.

On treatment day, you'll be guided to our private Emsella suite where you'll remain fully clothed throughout the entire procedure. The treatment chair is designed for comfort, allowing you to relax while the HIFEM technology stimulates powerful contractions in your pelvic floor muscles. Many patients describe feeling a strong but comfortable sensation that is very well-tolerated.

Each session triggers approximately 12,000 supramaximal pelvic muscle contractions — the equivalent of performing thousands of Kegel exercises with greater than perfect form — and lasts for approximately 30 minutes, making it easy to incorporate into your busy schedule. You can even watch educational videos, listen to music, or simply relax during your treatment. Most patients find the experience surprisingly comfortable and appreciate the dignity it offers compared to other pelvic floor therapies.

Treatment Protocol & Results

For optimal results, we recommend a "Getting Fit" series of six sessions, typically scheduled twice weekly for three weeks. This initial series builds foundational strength and function, with most patients noticing improvements after their very first session. Following your initial series, we suggest quarterly "Maintenance of Fitness" sessions to sustain and enhance your results.

There is absolutely no downtime associated with Emsella treatments. You can immediately return to all normal activities, including exercise, without any restrictions. In fact, many patients report feeling more engaged with their core muscles following treatment, which enhances awareness and function during other physical activities.

Results develop progressively as your pelvic floor muscles grow stronger. Most patients experience subtle improvements after the first session and a noticeable reduction in symptoms by the third or fourth treatment. For comprehensive core strengthening, we often combine Pelvic Floor Strengthening (Emsella) with our Core Strengthening/Body Contouring (EmSculpt NEO) treatments for a complete "Core-to-Floor" approach that optimizes the entire support system of your body from the inside out.