Declining estrogen doesn't just cause hot flashes — it weakens the muscles that control your bladder, your pelvic support, and your intimate health.
During perimenopause and menopause, estrogen levels decline significantly — and this hormonal shift has direct consequences for pelvic floor health. Estrogen plays a critical role in maintaining the collagen content, elasticity, and blood flow of pelvic tissues, including the muscles, ligaments, and mucosal lining of the urethra and vagina. As estrogen drops, collagen production decreases, the pelvic floor muscles atrophy and lose tone, the urethral mucosal lining thins (reducing its ability to form a tight seal), and the vaginal walls become drier and less elastic. These changes explain why many women who never experienced bladder leakage or pelvic floor symptoms before menopause suddenly develop them in their late 40s, 50s, or 60s. The onset can feel confusing and frustrating — especially for women who have always been active and healthy. The truth is that these are hormone-driven muscular and tissue changes, and they respond to strengthening.
Menopausal pelvic floor changes often arrive alongside other menopause symptoms — hot flashes, sleep disruption, mood changes — creating a cumulative burden that can feel overwhelming. Bladder leakage that starts as an occasional nuisance can progress if the underlying muscle weakness isn't addressed. Urgency and frequency disrupt sleep and daily routines. Intimate discomfort or reduced sensation can strain relationships. Many women in menopause feel like their body is changing in ways they have no control over. Pelvic floor strengthening is one area where you can actively reclaim control and see measurable improvement.
"If any of this sounds familiar, you're not alone — and you don't have to keep adapting your life around it. There's a real, non-invasive solution."
Managing menopausal pelvic health typically involves hormone replacement therapy (HRT) to address systemic estrogen decline, topical estrogen for localized urogenital symptoms, kegel exercises for bladder control, and lifestyle modifications. HRT can slow tissue atrophy but doesn't directly rebuild muscle strength. Kegels are beneficial but limited in intensity and compliance. Pelvic floor physical therapy provides guided rehabilitation but requires ongoing visits. Emsella offers targeted pelvic floor strengthening that works regardless of hormonal status: HIFEM technology delivers 11,000 supramaximal contractions per session, rebuilding the muscular support that declining estrogen has weakened. The treatment restores continence, improves intimate function, and strengthens the pelvic foundation — without hormones, without surgery, and without any downtime. Emsella can complement HRT and other menopause management strategies.
From your first consultation to visible results — here's exactly what to expect.
Your consultation will cover your menopausal symptoms, pelvic floor concerns, and any current treatments (including HRT). Dr. Bromberg's team understands that menopause affects every woman differently and will create a treatment plan that fits your specific situation and goals.
You sit fully clothed on the Emsella chair for 28 minutes. The HIFEM technology stimulates your pelvic floor muscles with thousands of deep contractions that rebuild the strength and tone that estrogen decline has eroded. The treatment is comfortable, non-invasive, and requires no preparation. You can schedule it alongside other appointments or errands.
Patients typically notice improvement in bladder control and pelvic stability within the first few sessions. The standard 6-session protocol provides comprehensive strengthening. Because estrogen-related pelvic floor changes are ongoing, maintenance sessions (typically twice a year) are particularly important for menopausal patients to sustain their results. Many patients describe Emsella as one of the most impactful things they've done for their quality of life during menopause.
If you answer "yes" to two or more of these questions, you may be a strong candidate for treatment.
Have you developed bladder leakage or urgency since entering perimenopause or menopause?
Do you notice that pelvic symptoms are gradually worsening over time?
Have hormonal changes affected your intimate comfort, sensation, or satisfaction?
Are you looking for a treatment that strengthens your pelvic floor regardless of your hormonal status?
Would you appreciate a non-invasive approach that complements your existing menopause management?
Free consultation. No obligation. Confidential.
Dr. Bromberg has spent over 40 years helping patients navigate the physical changes that come with aging. He understands that menopause-related pelvic floor weakness is a medical condition — not an inevitable decline — and that restoring strength and function at this stage of life is both possible and profoundly impactful.
Bromberg Wellness is a division of Bromberg Chiropractic — a Cambridge medical practice trusted since the 1980s. Not a med spa. Not an aesthetician-led clinic. A doctor's office with four decades of clinical standards.
Book Free Consultation →"After six Emsella sessions, I can laugh, sneeze, and exercise without worrying. It genuinely changed my daily life. I wish I had done it sooner."
Stress incontinence, age 58
"Emsella is a life changer. It gave me more confidence, and I don't feel like I have to prepare for an emergency every time I leave the house."
Bladder leakage, age 52
"I had increasing incontinence after prostate treatment, and medication wasn't helping. After Emsella, my muscles are much stronger. I would recommend it to anyone."
Post-prostate incontinence, age 64
* Individual results may vary. Testimonials reflect personal experiences.
See how Emsella works — the science behind HIFEM pelvic floor strengthening.
See the technology →201 Broadway, First Floor, Cambridge, MA 02139. Red Line to Central Square — a 3-minute walk. Free street parking available.
Learn more about our location →Schedule a free, confidential consultation with Dr. Bromberg's team. We'll assess whether Emsella is the right solution for you — no obligation, no pressure, just honest guidance.
Or call us directly:
(617) 494-1166📍 Visit us at
201 Broadway, First Floor, Cambridge, MA 02139
Bromberg Wellness, a division of Bromberg Chiropractic
Free, confidential, no-obligation. Dr. Bromberg's team will reach out within 24 hours.