Emsella for Women in Westlake Village

Emsella is a non-invasive, FDA-cleared chair that strengthens the pelvic floor while you sit fully clothed. At Hera Beauty & Wellness Med Spa, Dr. Mirela Cernaianu offers Emsella in Westlake Village for women with urinary leakage, urgency, and pelvic floor weakness.

More Than “Just Do Your Kegels”

Many women with bladder symptoms are given one piece of advice: do Kegels. Dr. Cernaianu has seen how often that advice falls short. A woman may not know whether she is contracting the right muscles, or childbirth, nerve injury, or menopause may have left those muscles too weak to respond well to exercise alone.

Dr. Cernaianu brought the Emsella chair into her Westlake Village practice because she wanted to offer her patients a better option. Her practice treats the cause behind each woman’s symptoms, so Emsella is recommended as part of a plan rather than sold as a one-size-fits-all fix.

What Is Emsella and How Does It Work?

Emsella is a treatment chair that uses high-intensity focused electromagnetic (HIFEM) energy to stimulate the pelvic floor muscles. These are the muscles that support the bladder, urethra, uterus, and rectum and help you hold in urine. In a single 28-minute session, Emsella produces the equivalent of about 11,200 Kegel-like contractions, far more than most women could do on their own.

Why Supramaximal Contractions Matter

The key to Emsella is the supramaximal contraction. This is a muscle contraction stronger than you can produce voluntarily. Dr. Cernaianu compares it to strength training. Flexing your bicep with no weight does very little, while gradually adding weight builds real strength. Emsella works the same way for the pelvic floor, which is why it can outperform Kegels or pelvic floor exercises alone.

Benefits of Emsella for Women

Emsella offers several advantages for women who want better bladder control without surgery or downtime:

Strengthens the pelvic floor muscles that support the bladder and urethra
May reduce leakage when you cough, sneeze, laugh, or exercise
May reduce urgency and frequent trips to the bathroom
Requires no undressing, needles, anesthesia, or recovery time
Works the muscles for you, even if you have trouble finding or activating them
Many patients also report greater satisfaction and stronger sensation during intimacy

Published research supports these benefits. In a 2019 study of 75 women with stress, urge, or mixed incontinence, six HIFEM sessions safely and effectively improved symptoms. A 2024 study found that symptom scores and daily pad use dropped significantly after six sessions.

Are You a Candidate for Emsella?

Emsella may be a good fit for women who:

Leak urine with coughing, sneezing, laughing, lifting, or exercise (stress incontinence)
Feel sudden, strong urges to urinate or have mixed symptoms
Have pelvic floor weakness after childbirth, pelvic surgery, or menopause
Struggle to identify or contract their pelvic floor muscles correctly
Know how to do Kegels but have trouble doing them consistently
Want a non-invasive, in-office option

Leaking when you cough is a different problem from waking up five times a night to urinate. Urgency is different from stress incontinence, and recurrent UTIs are different from muscle weakness. That is why Dr. Cernaianu evaluates each patient first and asks a simple question: what symptom should this treatment improve, and is it right for this patient’s body and medical history?

Emsella is not appropriate for everyone. It is generally not recommended during pregnancy, or for women with a pacemaker or other electronic implant, a copper IUD, or metal implants near the pelvis. Dr. Cernaianu will review these factors during your consultation.

Why Choose Hera Beauty & Wellness Med Spa for Emsella in Westlake Village?

Emsella at Hera Beauty & Wellness Med Spa is overseen by Dr. Mirela Cernaianu, a physician who treats women’s bladder, pelvic, and hormonal health every day. That means your treatment is part of a full picture that can include hormone therapy, pelvic floor therapy referrals, and other treatments when they are needed.

Why Physician Supervision Matters

How you sit on the chair affects how well Emsella works. Dr. Cernaianu and her team coach each patient on what the treatment should feel like. She encourages patients to shift side to side and front to back during a session to notice how the sensation changes. If a patient drifts into a position that weakens the treatment, such as leaning back too far while checking email, the team helps her reposition. Patients often notice the difference right away.

Dr. Mirela Cernaianu

What to Expect From Emsella Treatment

Consultation and Cost

Your Emsella journey starts with a consultation to confirm the type of incontinence you have and rule out anything that needs a different approach. Hera’s medical practice bills insurance. Some PPO plans and Medicare have covered biofeedback or neuromuscular stimulation for eligible patients, but coverage varies by plan.

For women whose insurance does not cover Emsella, Hera offers a VIP concierge membership for $199 per month. The membership includes two Emsella sessions each month, along with same-day appointments and refills, in-office testing, and blood draws. Many members say Emsella is the benefit that makes the membership worthwhile. Dr. Cernaianu’s patients call it “the vagina gym.”

During Your Session

Emsella is simple. You book an appointment, arrive, and sit on the chair fully clothed. Each session lasts about 28 minutes, and you’ll feel strong tingling and contractions in your pelvic floor. Most women read or catch up on their phones during treatment. You can return to normal activities right away.

Results and Maintenance

Many women notice improvement during their initial series of treatments. In Dr. Cernaianu’s experience, about 90% of women who use Emsella consistently see improvement. Like any muscle, the pelvic floor weakens again without regular exercise. This is especially true after menopause, when falling estrogen affects muscles and connective tissue. Periodic maintenance sessions help you keep your results, and if symptoms return after a break, a few sessions usually help.

Emsella vs. V-Tone and Other Pelvic Floor Options

V-Tone is an internal electrical stimulation device that works on the same principle as Emsella. It produces strong contractions of the muscles around the vaginal opening and deeper in the pelvic floor. Unlike Emsella, V-Tone requires undressing, a conductive gel, and a reusable applicator that you clean and bring to each visit. Some of Dr. Cernaianu’s patients prefer V-Tone because they feel it gives them a stronger workout, and some alternate between the two treatments.

Depending on your symptoms, Dr. Cernaianu may also discuss:

At-home guided training or biofeedback devices, such as Leva, Perifit, or ATTAIN, that show whether you’re contracting the right muscles
External stimulation devices, such as Elitone or INNOVO, for women who prefer a non-internal option
Internal stimulation devices, such as Yarlap, for women who need stimulation rather than coaching alone
In-office vaginal treatments such as MonaLisa Touch, Viveve, and Fotona for symptoms linked to tissue changes after menopause

The right device depends on your diagnosis and medical history. FDA status, prescription requirements, coverage, and pricing for these devices can change, so confirm the details with your clinician before you buy or start any therapy.

Emsella With or Without Hormone Therapy

Emsella can be part of a plan that includes estrogen, but it doesn’t require it. Some women prefer to avoid estrogen, have been advised against it, or want to try non-hormonal options first. Dr. Cernaianu respects those choices. She can discuss non-estrogen options such as pelvic floor technology, moisturizers, vaginal DHEA, and strategies for recurrent UTIs, along with how you’ll both know whether they’re working.

doctor educating patient with medical apparatus

When Bladder Symptoms Need a Closer Look

Some symptoms need an exam and testing rather than drugstore products or repeated guesswork. Schedule an evaluation if you have:

Bleeding after menopause or after sex
Persistent vulvar itching, white patches, or visible skin changes
Tearing, severe pain, or pain that doesn’t improve with basic care
Recurrent UTIs, or a UTI with fever, chills, or back pain
New pelvic pain or trouble tolerating a pelvic exam
Symptoms repeatedly treated as yeast without lasting improvement

Book a Dedicated Pelvic and Urinary Health Visit

Annual well-woman exams are often rushed, so Dr. Cernaianu recommends a separate yearly visit focused on bladder, vaginal, and pelvic floor health, starting at age 40. This visit is your time to discuss urgency, frequency, nighttime urination, leaking, recurrent UTIs, painful sex, dryness, and pelvic support. You deserve real answers to symptoms that affect your sleep, intimacy, confidence, and daily comfort.

FAQs About Emsella

Does Emsella hurt?

Do I need to undress for Emsella?

Is Emsella FDA-cleared?

Who should not have Emsella?

Will I need ongoing sessions?

Does Emsella hurt?

No. Most women describe Emsella as intense tingling and strong muscle contractions. The intensity is adjusted to your comfort, and some women feel mild muscle soreness afterward, similar to the soreness after a workout.

Do I need to undress for Emsella?

No. You stay fully clothed for the entire Emsella session.

Is Emsella FDA-cleared?

Yes. Emsella is FDA-cleared to stimulate the pelvic floor muscles for the treatment of urinary incontinence.

Who should not have Emsella?

Emsella is generally not recommended during pregnancy, or for women with a pacemaker or other electronic implant, a copper IUD, or metal implants in the pelvic area. Dr. Cernaianu will screen you during your consultation.

Will I need ongoing sessions?

Most women benefit from maintenance sessions, because the pelvic floor weakens again without regular exercise. Hera’s VIP membership includes two sessions each month.

Schedule Your Emsella Consultation in Westlake Village

You don’t have to plan your life around the nearest bathroom. Contact Hera Beauty & Wellness Med Spa to schedule a consultation with Dr. Mirela Cernaianu and find out whether Emsella is right for you. Book Now

This information is provided for educational purposes only and does not replace a consultation with Dr. Mirela Cernaianu or another qualified clinician. Outcomes, risks, and suitability vary from patient to patient.

Emsella for Women in Westlake Village

More Than “Just Do Your Kegels”

What Is Emsella and How Does It Work?

Why Supramaximal Contractions Matter

Benefits of Emsella for Women

Are You a Candidate for Emsella?

Why Choose Hera Beauty & Wellness Med Spa for Emsella in Westlake Village?

Why Physician Supervision Matters

What to Expect From Emsella Treatment

Consultation and Cost

During Your Session

Results and Maintenance

Emsella vs. V-Tone and Other Pelvic Floor Options

Emsella With or Without Hormone Therapy

When Bladder Symptoms Need a Closer Look

Book a Dedicated Pelvic and Urinary Health Visit

FAQs About Emsella

Does Emsella hurt?

Do I need to undress for Emsella?

Is Emsella FDA-cleared?

Who should not have Emsella?

Will I need ongoing sessions?

Schedule Your Emsella Consultation in Westlake Village

Schedule a Consultation

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