Six. A course is six sessions of 28 minutes, twice a week, over three weeks. That is the protocol the published studies used and the one we follow at Emsella Clinic, and BTL, the manufacturer, describes the same course: about 30 minutes a session, six sessions, twice a week. A single session shows you what the chair feels like, not what the course does; in our experience some people notice fewer leaks after one or two sessions, but the pelvic floor is a muscle and it strengthens with repetition.
Why six, twice a week
Each session makes the pelvic floor contract thousands of times at an intensity you cannot reach voluntarily. Like any training, the gain comes from repeating it before the muscle has lost what the last session built, which is why the sessions are a few days apart rather than weekly. In the main study of 75 women, symptom scores were about 50% lower after the sixth session and about 64% lower three months later. So the course sets the improvement going and the three months after it are when it builds.
The course, step by step
| Feature | What to expect |
|---|---|
| Sessions | 6, each 28 minutes |
| Spacing | Twice a week, over 3 weeks |
| During a session | You sit fully clothed; you feel the muscles contract and a tingling; no probe, nothing inserted |
| After a session | No downtime; straight back to your day |
| First change | In our experience some people notice fewer leaks after one or two sessions; in the main study 81% reported a significant reduction after the sixth |
| Main result | Lower again 3 months after the course in the main study; we review your score at the end of the course and at 6 months |
| Holds | Around 6 to 12 months in our experience |
| Top-up | A single session every 6 months or so |
What if I miss a session
Tell us and the session is rebooked: the studies spaced the six sessions twice a week, and keeping close to that is the aim. The clinician books the six sessions with you at the start so the diary is set.
More than six
Some studies used ten sessions; our course is six, as in the main study. Whether you need more than a top-up is decided with the clinician at your six-month review, never sold in advance. The how long it lasts page covers the review and the top-up, and the full Emsella guide the whole treatment.
Book a free consultation
Call Emsella Clinic on 0207 099 9659 or use the form below. The clinician confirms the course for you and sets out the six dates and the price in writing.
