Stress Incontinence
Reduces leakage triggered by coughing, sneezing, laughing or activity

Non-invasive HIFEM technology to strengthen the pelvic floor, fully clothed.
Understanding Pelvic Floor Health
Pelvic floor weakness affects daily life in ways many patients quietly endure. You may avoid laughing, jumping, or running because of stress incontinence. Postpartum changes can leave the core feeling disconnected, and intimacy may feel different than before. Men may notice diminished erectile function as the pelvic floor weakens with age. Women may also notice reduced sexual sensation or arousal as pelvic floor tone declines with age. These concerns are common, often progressive, and rarely improve without targeted intervention. Many patients try Kegel exercises but struggle to isolate or sustain the contractions needed for measurable results.
Emsella addresses these concerns by triggering approximately 11,000 supramaximal pelvic floor muscle contractions during a single 28-minute session, far more than voluntary exercise can achieve. The HIFEM (high-intensity focused electromagnetic) field penetrates deep into pelvic tissue, activating motor neurons and rebuilding muscle endurance and tone. Patients sit fully clothed on a specialized chair, with no anesthesia and no downtime. Clinical studies show meaningful improvement in continence and sexual wellness across the standard 6-session protocol delivered twice weekly over 3 weeks.
The Science of HIFEM Technology
Emsella is a non-invasive, FDA-cleared device manufactured by BTL Aesthetics that uses high-intensity focused electromagnetic (HIFEM) technology to strengthen pelvic floor muscles. The device received FDA clearance in 2018 for the treatment of urinary incontinence in women, with expanded clinical use for postpartum recovery, sexual wellness, and pelvic floor weakness in both women and men.
HIFEM is an electromagnetic field that penetrates pelvic tissue and induces supramaximal muscle contractions, meaning contractions stronger than what a person can voluntarily produce. According to FDA device labeling and BTL clinical data, a single 28-minute Emsella session delivers approximately 11,000 contractions, which is the equivalent of thousands of Kegel exercises performed in optimal form.
You sit fully clothed on the specialized Emsella chair. There is no anesthesia, no needles, and no downtime. Most patients describe a tingling or tapping sensation as the muscles contract, but the treatment is not painful.
Many patients notice improvement after 2 to 3 sessions, with full effect typically achieved at the end of the 6-session course. Maintenance sessions every 3 to 6 months help sustain results long term.
Non-invasive, fully clothed care
Remain fully dressed during every session for complete comfort
Return to work, exercise and daily activities the same day
No needles, no anesthesia, no surgery and no recovery period
Each treatment takes only 28 minutes from start to finish
About 11,000 supramaximal contractions per single session
Supports continence and sexual wellness in the same protocol
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Emsella | HIFEM contractions | 28 min sessions | After 6 sessions | Months to years | None | Incontinence, ED, postpartum |
| Kegel Exercises | Voluntary muscle contraction | Daily home practice | Months | Variable | None | Mild weakness, prevention |
| Pelvic Floor PT | Manual therapy and exercises | Weekly visits | 8 to 12 weeks | Months | None | Targeted dysfunction |
Finding Your Best Pelvic Health
Emsella is designed for adults experiencing pelvic floor weakness, urinary incontinence, postpartum changes, or sexual wellness concerns who prefer a non-invasive option. According to the FDA device labeling, Emsella is cleared for treatment of urinary incontinence with expanded clinical applications.
During your consultation, our practice reviews your full medical history to confirm Emsella is safe and appropriate before scheduling your first session. Patients exploring pelvic wellness alongside body wellness may also be candidates for Emsculpt Neo body contouring as part of our integrative wellness services at Gonzales-Vigilar Psychiatric Services.
Step-by-Step Process
Our practice reviews your symptoms, medical history and goals to confirm Emsella is right for you.
You sit fully clothed on the Emsella chair while staff position you for optimal HIFEM coverage.
The Emsella chair delivers about 11,000 supramaximal pelvic floor contractions over 28 minutes.
You return to normal activities immediately, with no downtime, soreness or recovery period needed.
Sessions are scheduled twice per week for 3 weeks, followed by maintenance every 3 to 6 months.
What to Know
Emsella has a strong safety profile across published clinical studies. The most common reactions are mild muscle soreness similar to a workout, transient tingling sensations during treatment, and brief muscle fatigue. These typically resolve within hours and rarely affect daily activities.
Rare reactions include skin redness or sensitivity in the seated area and temporary muscle spasms after treatment. Severe complications are uncommon when device contraindications are screened appropriately.
Emsella received FDA clearance in 2018 for the treatment of urinary incontinence and is contraindicated in patients with cardiac pacemakers, implanted defibrillators, metal implants in the pelvic region, copper IUDs and active pregnancy. Our trained clinical staff at Gonzales-Vigilar Psychiatric Services follow manufacturer safety protocols and screen every patient before scheduling. According to BTL clinical data, the device has an excellent overall safety record across thousands of treated patients.
The cost of Emsella pelvic floor therapy in Ashburn, VA varies based on the number of sessions in your treatment package and whether maintenance sessions are bundled. The standard course is 6 sessions delivered twice weekly over 3 weeks, with optional maintenance every 3 to 6 months. Factors that affect cost include package size, single-session vs. course pricing and whether the service is bundled with other wellness offerings. Exact pricing will be discussed during your consultation based on your individual treatment plan.
Emsella is a self-pay wellness service. We also work with the Advance Care Card, which lets you spread out payments over as many as 15 months, interest-free, depending on credit.
Gonzales-Vigilar Psychiatric Services accepts major credit cards, cash, and checks, and works with patients to create a workable plan. During your consultation, we can review payment timing for the full 6-session course.
Loudoun County's Trusted Provider
Every Emsella treatment is delivered under the supervision of a board-certified physician, not a spa setting
We use the BTL Emsella chair, cleared by the FDA in 2018 for the treatment of urinary incontinence
A dignified, clinical setting where sensitive pelvic health concerns are handled with full confidentiality
Patients remain fully dressed throughout each 28-minute session and can return to normal activities immediately after
A client-centered provider ensuring every patient feels understood and comfortable throughout treatment
Emsella is offered alongside psychiatric and body wellness services, addressing your health from every angle
Explore complementary wellness and psychiatric services at Gonzales-Vigilar Psychiatric Services.
Your Questions Answered
Emsella is an FDA-cleared device that uses HIFEM technology to deliver about 11,000 supramaximal pelvic floor contractions in a 28-minute session while you sit fully clothed on a specialized chair.
Yes, clinical studies show meaningful improvement in stress, urge and mixed urinary incontinence after the standard 6-session course. Many patients notice reduced leakage after 2 to 3 sessions.
Emsella is widely used clinically for men with mild to moderate erectile dysfunction tied to pelvic floor weakness. Strengthening the pelvic floor can improve erectile function and sexual wellness for many patients.
The standard protocol is 6 sessions delivered twice weekly over 3 weeks, followed by optional maintenance every 3 to 6 months to sustain results long term.
No, Emsella is not painful. Most patients describe a tingling or tapping sensation as the pelvic floor contracts. There is no anesthesia, no needles and no downtime after treatment.
Emsella is also used clinically for women experiencing sexual dysfunction, such as reduced arousal, sensation, or satisfaction, tied to pelvic floor weakness. Strengthening the pelvic floor and improving blood flow to the area can enhance sexual sensation and wellness for many patients.