How much does EMSELLA cost?

Pricing depends on the number of sessions in your treatment plan. Contact Defiance Health for current pricing. We accept HSA/FSA cards and can provide superbills for insurance reimbursement where applicable.

No. Most patients describe the sensation as intense tingling and rhythmic contracting — unusual at first, but not painful. Your provider adjusts the intensity throughout the session to keep you comfortable. Many patients find it pleasant enough to relax, read, or scroll their phone during treatment.

How many EMSELLA sessions do I need?

The standard protocol is 6 sessions over 3 weeks (two sessions per week). Some patients benefit from additional sessions depending on the severity of their symptoms. Maintenance sessions every 6–12 months help sustain results long-term.

When will I notice results from EMSELLA?

Many patients notice improvement after just 2–3 sessions — reduced leaking, fewer urgent bathroom trips, and better control. Results continue to improve over the full treatment series and for several weeks after your last session.

Is EMSELLA a replacement for Kegels?

EMSELLA delivers far more intense and complete pelvic floor contractions than Kegels can achieve voluntarily. A single session produces roughly 11,200 supramaximal contractions — engaging 100% of the pelvic floor musculature at maximum intensity. Most providers consider EMSELLA a superior alternative to Kegels.

Do I need to undress for EMSELLA?

No. You remain fully clothed throughout the entire treatment. You simply sit on the EMSELLA chair in your normal clothes. There are no probes, no gels, and no contact with skin.

Can men benefit from EMSELLA?

Yes. While pelvic floor dysfunction is more commonly discussed in women, men also experience weakening of the pelvic floor — particularly after prostate surgery, with age, or due to chronic straining. EMSELLA strengthens the male pelvic floor and can help with urinary incontinence.

What is EMFEMME 360 and how is it different from EMSELLA?

EMFEMME 360 uses radiofrequency energy to deliver gentle, deep heating to intimate tissue — improving blood flow, collagen production, and tissue quality. While EMSELLA strengthens the pelvic floor muscles, EMFEMME 360 targets the tissue itself. Many patients combine both for comprehensive pelvic and intimate wellness.

Is there any downtime after pelvic floor treatment?

None for either EMSELLA or EMFEMME 360. You can return to all normal activities — including exercise — immediately after your session. There's no soreness, no swelling, and no recovery period.

Do Emsella or Emfemme 360 treatments hurt?

No. Emsella feels like strong muscle contractions, similar to an intense workout. Patients remain fully clothed and can read during the session. Emfemme 360 feels like comfortable warmth. Neither treatment requires anesthesia, and neither causes pain or recovery time.

How long do pelvic health treatment results last?

Emsella results typically last 6-12 months. Most patients do maintenance sessions every few months or a short refresher yearly. Emfemme 360 results often last 12+ months. Results are not permanent but are designed to be sustainable with periodic maintenance.

Who should not get Emsella or Emfemme 360?

Emsella is not recommended for patients with pacemakers or electronic implants, metal implants in the pelvic area, during pregnancy, with copper IUDs, or with certain seizure disorders. Emfemme 360 is not recommended during pregnancy or with active pelvic infection. Complete medical history is reviewed at consultation.

How much do Emsella and Emfemme 360 cost at Defiance Health?

Pricing is customized based on the recommended treatment plan, whether that's a full Emsella series, Emfemme 360 series, or combination. During consultation, all costs are outlined upfront. HSA and FSA cards are accepted, and financing is available through CareCredit and Cherry.

Can Emsella sessions be done back-to-back?

The standard clinical protocol is 6 sessions over approximately 3 weeks, typically scheduled 2-3 days apart, not back-to-back. This spacing allows pelvic floor muscles to respond and strengthen between sessions. The full series is scheduled at the first appointment.

Non-Surgical · FDA-Cleared · In-Office

Pelvic Health: Emsella & Emfemme 360

Regain confidence and control. Non-surgical treatments for urinary incontinence and intimate wellness — for women AND men — at our Centennial and Alamosa locations.

Book a Consultation Call (719) 480-2400

The Pelvic Health Conversation

Millions Live With Pelvic Floor Issues in Silence

One in three women and one in ten men experience some form of urinary incontinence, pelvic floor dysfunction, or intimate wellness concerns during their lifetime. It's one of the most common — and most under-treated — health issues of midlife.

The reason is simple: it's uncomfortable to talk about. Patients feel embarrassed. Providers don't always ask. And the default response for decades has been "do Kegels" or "consider surgery" — with very little in between.

At Defiance Health, we offer non-surgical, non-invasive treatments that actually work: Emsella for pelvic floor strengthening and incontinence (for both women and men), and Emfemme 360 for women's intimate wellness. Real results, no downtime, no surgery.

"You don't have to live with leaks. You don't have to avoid workouts, long drives, or laughter. And you definitely don't need surgery to fix it."

Who This Is For

Signs You May Benefit

If any of these sound familiar, you're a candidate for a consultation. These concerns are common, treatable, and absolutely nothing to be embarrassed about.

Stress incontinence

Leaking during laughter, coughing, sneezing, jumping, or lifting

Urge incontinence

Sudden, urgent need to urinate with little warning

Post-pregnancy weakness

Pelvic floor laxity after childbirth or C-section

Post-prostate issues (men)

Incontinence following prostate surgery or BPH treatment

Vaginal laxity or dryness

Changes in intimate sensation or comfort after menopause or childbirth

Decreased intimate satisfaction

Reduced sensation, arousal, or comfort during intimacy

The Treatments

Two Proven, Non-Surgical Solutions

BTL Emsella®

The "Kegel Chair" · Men & Women

Emsella uses High-Intensity Focused Electromagnetic (HIFEM) technology to trigger thousands of supramaximal pelvic floor contractions in a single 28-minute session. One Emsella session delivers the equivalent of approximately 11,000 Kegel exercises.

You sit fully clothed on the Emsella chair. No recovery. No discomfort. Just read a book while the chair does the work.

FDA-cleared for urinary incontinence
Treats stress, urge, and mixed incontinence
Effective for both women AND men
Fully clothed · 28 minutes · no downtime
Typical protocol: 6 sessions over 3 weeks
Results noticeable within weeks, continue improving for months

Emfemme 360

Intimate Wellness · Women Only

Emfemme 360 uses monopolar radiofrequency to stimulate collagen production and improve blood flow in the labia, vaginal canal, and surrounding tissue. It addresses concerns that naturally emerge with age, childbirth, and hormonal changes.

The treatment is comfortable, brief, and requires no recovery. Most patients describe it as a gentle warmth — no pain, no downtime.

FDA-cleared for women's wellness
Supports vaginal laxity, dryness, and sensation
Can help with mild stress urinary incontinence
Single-session treatment is approximately 8 minutes
No anesthesia, no downtime
Typical protocol: 3 sessions spaced monthly

What to Expect

Your Pelvic Health Journey

Consultation

A private conversation about your symptoms, goals, and history. No judgment.

Personalized Plan

We recommend the right treatment — or combination — for your specific concerns.

Treatment Series

Sessions in-office at Centennial or Alamosa. Comfortable, quick, no downtime.

Follow-Up

We track your progress and recommend maintenance sessions to sustain results.

Frequently Asked Questions

Pelvic Health Questions, Answered

Is Emsella really effective?

Yes. Clinical studies show approximately 95% of treated patients experience significant improvement in quality of life, with 67% reporting elimination or significant reduction in the use of pads. The standard 6-session protocol over 3 weeks is what's been studied and clinically validated. Most patients notice improvement by their 2nd or 3rd session.

Does Emsella treat men too?

Yes. Emsella is FDA-cleared for both men and women. For men, it's particularly effective for incontinence following prostate surgery or BPH (enlarged prostate) treatment, and for pelvic floor strengthening in general. Many of our male patients find Emsella is the first treatment they've tried that's actually worked after years of Kegels or pelvic floor physical therapy.

What's the difference between Emsella and Emfemme 360?

Emsella uses electromagnetic technology to strengthen your pelvic floor muscles — you sit fully clothed in a chair. It's primarily for incontinence and pelvic floor weakness. Emfemme 360 uses radiofrequency to stimulate collagen and blood flow in vaginal and surrounding tissue — it's a women's intimate wellness treatment. Some patients benefit most from a combination of both. Your provider will recommend the right protocol.

Do the treatments hurt?

No. Emsella feels like strong muscle contractions (similar to an intense workout for muscles you may not be used to activating). You remain fully clothed and can read or relax during the session. Emfemme 360 feels like comfortable warmth. Neither treatment requires anesthesia, and neither causes pain or recovery time.

How soon will I see results?

Many Emsella patients notice initial improvement after the 2nd or 3rd session. Full results typically emerge 3-4 weeks after completing the 6-session protocol and continue improving for several months as muscle strength builds. Emfemme 360 results often begin showing after the first session, with continued improvement through the 3-session protocol.

How long do results last?

Emsella results typically last 6-12 months. Most patients do a single maintenance session every few months or a short 2-3 session "refresher" yearly to sustain improvements. Emfemme 360 results vary by individual but often last 12+ months. As with any aesthetic or wellness treatment, results are not permanent, but they're designed to be sustainable with periodic maintenance.

Are there any reasons I shouldn't get these treatments?

Emsella is not recommended for patients with electronic or metal implants (pacemakers, copper IUDs, metal joint replacements in the pelvic area), during pregnancy, or with certain seizure disorders. Emfemme 360 is not recommended during pregnancy, active pelvic infection, or for patients with specific pelvic conditions. We review your complete medical history at your consultation to ensure safety.

How much does treatment cost?

Pricing is customized based on your recommended treatment plan, whether that's a full Emsella series, an Emfemme 360 series, or a combination. During your consultation, we'll outline all costs upfront — no surprises. Visit our pricing page for general service pricing or book a consultation for a personalized plan.

Does insurance cover pelvic health treatments?

Emsella and Emfemme 360 are generally considered elective and are not typically covered by insurance. Defiance Health operates on a direct-pay model. We accept HSA and FSA cards, and offer financing through CareCredit and Cherry for patients who want to spread costs over time. Both CareCredit and Cherry offer promotional financing with no or low interest for qualified applicants.

Can I do Emsella sessions back-to-back?

The standard clinical protocol is 6 sessions over approximately 3 weeks — typically scheduled 2-3 days apart, not back-to-back. This spacing allows your pelvic floor muscles to respond and strengthen between sessions. We'll schedule your full series at your first appointment.

Take the First Step

Ready to Stop Living With Leaks?

Book a consultation with our experienced providers. Private, no-judgment conversation about what's going on and what will actually work for you. In-person at Centennial or Alamosa.

Book a Consultation Call (719) 480-2400