Around six to twelve months, in our clinic's experience, with a single top-up session every six months or so keeping the result. The pelvic floor is muscle, and muscle that has been trained holds its strength for months and then slowly loses it unless it is worked again. The result of a course builds for three months after the sixth session and then eases gradually; we review you at the end of the course and again at six months.
What the studies followed
- Three months: 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 result was still improving after the course ended.
- Six months: in a 2024 study of 20 women with stress incontinence, leakage on a standard pad test fell from an average of 4.2 to 0.6 by six months.
- Beyond six months: the published follow-up is short, which is why we give our own experience as around six to twelve months and plan a top-up rather than promise a year.
Why it fades, and what keeps it
The chair trains the pelvic floor the way a course of exercise trains any muscle: thousands of contractions a session, six sessions over three weeks. Without further training the muscle loses tone over months, faster with age, after the menopause or after a further pregnancy. In our experience a single top-up session every six months or so tends to maintain it, and pelvic floor exercises between sessions help it hold.
When to come back
The result is still building for three months after the course. At the six-month review we check your symptom score and decide the top-up together; if it has not moved, we say so and talk about what else would help. The sessions page explains the course, and the full Emsella guide covers who it suits.
Book a free consultation
Call Emsella Clinic on 0207 099 9659 or use the form below. The clinician tells you what to expect for your own symptoms and sets out the course and the review in writing.
