EMSELLA® and V-Shot® for Vaginal Health: A Non-Surgical Approach to Pelvic Floor Strength and Intimate Wellness

Woman Smoothie Urban

Vaginal health is an essential part of a woman’s overall wellness; yet it is often overlooked. Chronic pelvic conditions and symptoms often are ‘quietly endured’ rather than openly addressed.

An average of 37% of women under the age of 30 experience urinary incontinence while over 61% of women over the age of 50 suffer with some type of pelvic disorder, such as bladder leakage including stress urinary incontinence, decreased sensation and changes after childbirth or menopause, pelvic prolapse, and other pelvic conditions. Not many effective therapeutic options exist for female pelvic conditions. Hence, these conditions often leave women feeling resigned to their condition while they quietly suffer. For many women, these conditions lead to intimate concerns that affect confidence, comfort, sexual function, relationships and quality of life.

Advances in non-surgical wellness therapies supporting vaginal and pelvic health are making it easier than ever to address these pelvic and genitourinary conditions to help women feel strong, supported, and confident again. Two of the most talked-about options today are EMSELLA® and the V-Shot®. When used together, a unique therapeutic combo option offered at Holistique, these two powerful therapies can offer a comprehensive approach to vaginal and pelvic wellness.

Understanding EMSELLA®

EMSELLA® is a non-invasive therapy designed to strengthen the pelvic floor muscles. Using high-intensity focused electromagnetic (HIFEM) technology, EMSELLA® stimulates deep pelvic floor contractions far beyond what can be achieved with traditional Kegel exercises. One 30 minute session causes 20,000 contractions of the pelvic musculature, activating muscle strength and toning. Using this system 2x per week for 3 weeks has been shown to improve pelvic musculature strength, vaginal quality and moisture to address stress urinary incontinence and sexual dysfunction.

Potential benefits of EMSELLA® include:

  • Improved bladder control

  • Stronger pelvic floor muscles

  • Enhanced core stability

  • Increased confidence in daily activities

Each session is about 30 minutes, fully clothed, and requires no downtime, making it a convenient option for busy lifestyles.

What Is the V-Shot®?

The V-Shot® is a regenerative therapy using platelet-rich plasma (PRP) derived from your own blood. PRP contains at least 7 growth factors that may activate cellular regeneration to support tissue health and natural rejuvenation. Initial recent studies support its benefits in stress-induced urinary incontinence, pelvic prolapse, genitourinary syndrome of menopause, lichen sclerosis and vaginal fistulas.

Women often seek the V-Shot® to support:

  • Vaginal tissue health, support and tightness

  • Sensitivity and sexual wellness

  • Natural lubrication

  • Overall intimate comfort

Because PRP comes from your own body, the V-shot is considered natural and is typically well-tolerated.

Why Combine EMSELLA® and the V-Shot®?

While each therapy offers benefits on its own, at Holistique we believe combining EMSELLA® and V-Shot® addresses vaginal health from two complementary angles, optimizing results. EMSELLA® focuses on muscle strength and pelvic structural support while the V-Shot® focuses on tissue quality and regenerative support. 

Together, they create a more effective holistic approach supporting both the structure and the function of the intimate area. As a result, reduction in symptoms and pelvic conditions may be achieved quicker and the results may possibly last longer.

Who May Benefit from This Combination?

This therapeutic pairing is often considered by women who:

  • Have experienced childbirth or pelvic floor changes

  • Are navigating menopause-related changes, including lichen sclerosis and prolapse

  • Notice mild bladder leakage or experience stress urinary incontinence

  • Want to proactively support intimate wellness

  • Prefer non-surgical, low-downtime options

A personalized consultation with a qualified medical provider is essential to determine whether these therapies are appropriate for your individual needs.

A Modern, Empowering Approach to Intimate Wellness

Vaginal health isn’t about vanity but rather about health, confidence and quality of life. Combining EMSELLA® and V-Shot® offers a modern, empowering option for women who experience chronic pelvic conditions.  These innovative, non-invasive therapies have been clinically shown to be effective, though more studies are needed.

If you have been suffering with chronic pelvic symptoms and are curious about improving pelvic strength, intimate comfort, or overall vaginal wellness, this combination may be worth exploring with your Holistique provider.

Disclaimer: Results vary by individual and are not guaranteed. EMSELLA® and the V-Shot® are medical procedures that should be discussed with a qualified healthcare professional. This blog is for educational purposes only and is not a substitute for medical advice. EMSELLA is FDA-cleared for stress urinary incontinence while V-shot is not FDA-approved. 

References

1. Berndt et al, Optimizing the regenerative potential of vaginal fibroblasts: The role of autologous platelet-rich palsma and hyaluronic acid in vitro. Maturitas. 2025 March doi: 10.1016/j.maturitas.2025.108196. Epub 2025 Jan 15.

2. Prodromidou et al, Platelet rich plasma for the management of urogynecological disorders: the current evidence. 2022 Dec 1. Current Opinion Obstetrics Gynecol. doi: 10.1097/GCO.0000000000000820. Epub 2022 Aug 17.

3. Long et al, Effect of High-Intensity Focused electromagnetic Technology in the Treatment of Female Stress Urinary Incontinence. Biomedicine. 2024 Dec 18;12(12):2883. doi: 10.3390/biomedicines12122883.

4. Pitsillidi et al, PRP Therapy for Stress Urinary Incontinence and Pelvic Organ Prolapse: A New Frontier in Personalized Treatment?  J. Pers. Med.2025, 15(6), 214;https://doi.org/10.3390/jpm15060214

5. Leonardo et al, Noninvasive High-Intensity Focused Electromagnetic Therapy in Women With Urinary Incontinence: A Systematic Review and Meta-Analysis. Neurourol Urodyn. 2025 Feb;44(2):424-433. doi: 10.1002/nau.25658. Epub 2025 Jan 6.

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Dr. Nooshin K. Darvish is an awarding-winning Washington board-licensed Naturopathic Doctor, certified in Anti-Aging and Regenerative Medicine with Fellowships in Integrative Cancer Therapies and Metabolic and Nutrition Medicine. She is the founder and Chief Medical Officer of Holistique Medical Center & IV Lounge, and the author of "The Golden Gate". A 1995 graduate, former Chief Resident, and Affiliate Faculty of Bastyr University, with more than 30 years of clinical practice, Dr. Darvish practices Regenerative, Naturopathic, and Integrative medicine with a passion to assist patients in their transformation towards physical, mental, emotional, and spiritual wellness. As a physician, author, educator, lecturer, and a TEDx speaker, her mission is to inspire others to become 'agents of transformation'.