Balneo and PRM Research Journal · Mar 31, 2026
The benefits of combining Kegel exercises with pelvic floor muscle electrostimulation sessions on sexual satisfaction in menopausal patients with involuntary urinary leakage
By Șerbănescu L, Mirea S, Ionescu P et al.
Sexual dysfunction and reduced sexual satisfaction are common in postmenopausal women, particularly in those with urinary incontinence. This study aimed to evaluate whether adding a structured Kegel exercise program to EMSella-based electromagnetic stimulation is associated with greater improvement in sexual satisfaction compared with EMSella therapy alone in postmenopausal women with involuntary urinary leakage. This prospective comparative study included 99 postmenopausal women (45–70 years) with stress, urgency, or mixed urinary incontinence (ICIQ-UI SF ≥6) and no hormone therapy in the prior 12 months. Participants received either EMSella therapy alone (Group A, n=49) or EMSella combined with a standardized Kegel protocol for three months (Group B, n=50). Sexual satisfaction was assessed at baseline and at three months using a 12-item, 5-point Likert questionnaire (higher scores indicating greater satisfaction). Both interven-tions were associated with improved total sexual satisfaction at three months. The largest between-group advantages for the combined protocol were observed in sexual comfort (p = 0.036) and perceived impact of urinary symptoms on sexual satisfaction (p = 0.015), The associa-tion of EMSella electromagnetic stimulation with structured Kegel exercises was linked to improvements in sexual satisfaction than electromagnetic therapy alone.Sexual dysfunction and reduced sexual satisfaction are common in postmenopausal women, particularly in those with urinary incontinence. This study aimed to evaluate whether adding a structured Kegel exercise program to EMSella-based electromagnetic stimulation is associated with greater improvement in sexual satisfaction compared with EMSella therapy alone in postmenopausal women with involuntary urinary leakage. This prospective comparative study included 99 postmenopausal women (45–70 years) with stress, urgency, or mixed urinary incontinence (ICIQ-UI SF ≥6) and no hormone therapy in the prior 12 months. Participants received either EMSella therapy alone (Group A, n=49) or EMSella combined with a standardized Kegel protocol for three months (Group B, n=50). Sexual satisfaction was assessed at baseline and at three months using a 12-item, 5-point Likert questionnaire (higher scores indicating greater satisfaction). Both interven-tions were associated with improved total sexual satisfaction at three months. The largest between-group advantages for the combined protocol were observed in sexual comfort (p = 0.036) and perceived impact of urinary symptoms on sexual satisfaction (p = 0.015), The associa-tion of EMSella electromagnetic stimulation with structured Kegel exercises was linked to improvements in sexual satisfaction than electromagnetic therapy alone.