Can EMSELLA Help With Sexual Function or Erection Quality in Men?

Yes, EMSELLA may support erection quality and aspects of sexual function in selected men by strengthening pelvic floor muscles involved in erectile rigidity and control.

A muscle’s role in erection does not mean every erectile problem is caused by that muscle. The most useful research reports the population, questionnaire, treatment protocol and follow-up together. Your assessment also considers vascular, neurological, hormonal, medication-related and psychological factors.

Can EMSELLA Help Men With Erectile Dysfunction? · Measuring pelvic-floor progress: what is useful to track?

The male pelvic floor contributes to more than bladder control.

Specific pelvic floor muscles help:

Pelvic floor muscle rehabilitation has demonstrated improvements in erectile function in clinical research. [1]

There is also early direct research evaluating high-intensity focused electromagnetic treatment in men with erectile dysfunction, with improvements reported in erection maintenance and several other sexual-function measures. [2]

Importantly, erectile dysfunction and changes in sexual function can have many different causes.

At ¹EM, Dr Emir Ashour assesses your symptoms, medical history and likely contributing factors before determining whether EMSELLA® pelvic floor strengthening is appropriate for you.

Yes.

BTL Australia's current information states that EMSELLA® is intended in Australia to provide pelvic floor muscle strengthening for genitourinary disorders including:

The device is listed under ARTG 302821. [3]

This does not mean every case of erectile dysfunction is caused by pelvic floor weakness or that every man is suitable.

It means erectile dysfunction is among the pelvic-health applications for which the Australian EMSELLA® device is intended to provide pelvic floor muscle strengthening.

An erection depends on blood entering the erectile tissues of the penis and sufficient pressure being maintained.

Two pelvic floor muscles are particularly relevant:

These muscles contribute to increasing and maintaining pressure during erection and participate in ejaculation.

Research into male pelvic floor rehabilitation therefore focuses on strengthening and improving control of muscles that contribute mechanically to erectile function.

A systematic review of pelvic floor muscle training for erectile dysfunction included ten clinical trials.

All included trials reported comparative improvement in measures of erectile dysfunction following pelvic floor treatment, although the treatment protocols varied considerably and study quality ranged from low to moderate. [1]

Traditional pelvic floor exercises require you to voluntarily identify and repeatedly contract the correct muscles.

EMSELLA® uses high-intensity focused electromagnetic technology, or HIFEM, to produce repeated pelvic floor contractions while you remain seated.

You do not need to consciously generate every contraction.

During treatment:

There is no internal probe, injection or surgery.

What Does EMSELLA Actually Do?

Yes, although the direct evidence is still developing.

A 2024 observational study evaluated HIFEM treatment in men experiencing urinary symptoms alongside erectile dysfunction.

Twenty men had complete data available for analysis.

Following treatment, researchers reported improvements including:

[2]

These results are encouraging, but they need context.

The study was:

The percentages should therefore not be interpreted as expected or guaranteed individual results.

They provide early evidence supporting further research.

Yes.

A registered clinical trial is specifically comparing the BTL EMSELLA chair with sham treatment for male sexual dysfunction.

The trial is designed to assess outcomes including:

The ClinicalTrials.gov record, last verified in December 2025, lists the study as recruiting, with planned enrolment of up to 117 men and estimated completion in 2027. [4]

This is important because a sham-controlled randomised study should provide considerably stronger evidence than the small observational studies currently available.

Potentially, particularly when pelvic floor function is contributing to the problem.

Pelvic floor rehabilitation may help improve the muscular contribution to:

The 2024 direct HIFEM study reported its largest sexual-function improvement in men's ability to maintain an erection through intercourse. [2]

But erection quality also depends heavily on other systems.

EMSELLA does not directly correct every vascular, neurological or hormonal cause of erectile dysfunction.

Potentially.

The pelvic floor muscles help maintain pressure during erection.

This is one reason pelvic floor rehabilitation has been studied for ED.

A randomised controlled trial of traditional pelvic floor exercises and biofeedback found significantly greater improvement in erectile function than lifestyle advice alone.

After six months:

[5]

That study evaluated pelvic floor rehabilitation rather than EMSELLA® specifically, but it supports the biological rationale behind strengthening these muscles.

Possibly, but this is an emerging area of research.

Pelvic floor muscles participate in ejaculation.

The small 2024 HIFEM male study reported improvements in ejaculation frequency and orgasm frequency following treatment. [2]

The ongoing sham-controlled EMSELLA® trial is also specifically assessing:

[4]

At this stage, these outcomes should be described as promising but still under investigation rather than established treatment effects.

Potentially, where pelvic floor function contributes.

The early male HIFEM study reported improvement in frequency of orgasm or climax after treatment. [2]

The pelvic floor participates in the muscular component of orgasm and ejaculation.

Sexual response, however, is influenced by much more than muscle strength alone.

Psychological state, medications, hormones, nerve function, relationship factors and underlying disease can all influence orgasm.

EMSELLA should not be described as a treatment for low testosterone or low sexual desire itself.

Libido can be influenced by:

Improving pelvic floor function or erectile confidence may indirectly influence someone's sexual experience, but EMSELLA does not function as hormonal therapy.

The ongoing male sexual-function trial is measuring sexual desire as an outcome, but definitive results have not yet been published. [4]

It is more accurate to describe EMSELLA as a pelvic floor muscle treatment, not a penile vascular treatment.

Its primary mechanism is electromagnetic stimulation of pelvic floor muscles.

Treatments such as PDE5 inhibitor medications work through a different mechanism involving penile vascular function.

That distinction is important.

Not automatically.

Sildenafil and tadalafil are PDE5 inhibitors that primarily help support the vascular process involved in erection.

EMSELLA® targets pelvic floor muscle function.

These are different mechanisms.

Depending on why erectile dysfunction is occurring, treatment may involve:

Do not stop or change prescribed erectile dysfunction medication because you are considering EMSELLA

That is a useful reason to assess the problem more broadly.

A partial response can occur for several reasons.

These include:

Pelvic floor rehabilitation may be relevant to some men, but it should not be assumed to be the missing piece in every case.

Dr Emir can assess the broader picture.

Because erectile dysfunction is sometimes more than an isolated sexual-health problem.

Persistent ED can be associated with:

It can also precede the diagnosis of cardiovascular disease in some men.

This is why the ¹EM approach is not simply:

"You have ED, therefore sit on EMSELLA."

Instead, the question is:

"What is contributing to the problem, and is pelvic floor dysfunction one part we can reasonably address?"

That is worth discussing.

Useful information includes:

You do not need to diagnose the cause yourself.

Pelvic floor rehabilitation can be particularly relevant following prostate surgery.

Men may experience both:

after radical prostatectomy.

Pelvic floor muscle training has been studied for erectile dysfunction following prostatectomy.

A systematic review found that most included studies reported improvements in erectile function, although methodological weaknesses and differences between rehabilitation protocols limited firm conclusions. [6]

EMSELLA® also has direct clinical evidence supporting pelvic floor rehabilitation for urinary incontinence following prostatectomy.

Related article: Does EMSELLA Help Men as Well?

This is harder to measure directly, but it is clinically relevant.

Sexual confidence can be affected by:

If pelvic floor strengthening improves bladder control or erection reliability in an individual patient, confidence may improve alongside those physical changes.

It is still better to measure the actual functional symptoms rather than promise an emotional outcome.

This is an especially logical reason to consider a pelvic floor assessment.

The male pelvic floor contributes to both:

Men following prostate treatment can experience both problems simultaneously.

EMSELLA has stronger direct evidence for male urinary incontinence than it currently does for sexual dysfunction, but the overlapping pelvic floor mechanism makes combined symptoms particularly relevant for assessment.

No.

You remain fully clothed and seated.

There is:

For men who have delayed seeking pelvic-health treatment because the idea feels awkward or invasive, this can make treatment considerably easier to approach.

You feel:

The intensity is increased progressively according to your treatment plan and tolerance.

A typical treatment takes approximately 30 minutes.

Related article: What Does EMSELLA Treatment Feel Like?

The standard ¹EM EMSELLA course is generally:

6 sessions

Usually twice per week

Approximately 3 weeks

However, research specifically investigating male sexual function has used varying protocols.

This is another reason treatment should be personalised rather than assuming every research protocol applies identically to every patient.

Related article: How Many EMSELLA Sessions Are Recommended?

There is generally no formal recovery period.

Most suitable patients can return directly to:

after treatment.

Related article: Is There Any Downtime After EMSELLA?

For appropriately selected patients, HIFEM pelvic floor treatment has generally been well tolerated in published male research.

However, important contraindications include certain:

Tell the team about implanted medical devices or significant surgical history before treatment.

Related article: Is EMSELLA Safe?

You do not need to give reception a detailed sexual history.

During clinical assessment, Dr Emir can privately discuss factors including:

The purpose is not to make the consultation unnecessarily intrusive.

It is to determine whether pelvic floor treatment actually makes sense.

Potentially, particularly when pelvic floor dysfunction contributes to erection quality. Pelvic floor rehabilitation has supportive evidence for ED, while direct EMSELLA® research remains developing.

It may improve erection rigidity or maintenance in selected men by strengthening pelvic floor muscles involved in erectile function.

Potentially. Early direct HIFEM research reported improvement in maintaining erection through intercourse.

Early research has reported improvements in some ejaculatory measures, and this is being studied further in an ongoing sham-controlled EMSELLA trial.

Possibly, where pelvic floor function is contributing. Early data are encouraging, but this is not yet an established guaranteed treatment effect.

No. EMSELLA is not testosterone therapy.

It should not be described as a direct treatment for low libido.

Its principal mechanism is pelvic floor muscle stimulation rather than direct vascular treatment of the penis.

Potentially, depending on your individual medical situation. Do not stop prescribed medication without medical advice.

Yes. A small published observational HIFEM study reported improvements in erection maintenance and other sexual-function measures. A larger randomised sham-controlled EMSELLA® trial is also underway.

Yes. BTL Australia's current intended-purpose information includes erectile dysfunction among the genitourinary disorders for which EMSELLA® provides pelvic floor muscle strengthening.

No.

No. EMSELLA treatment itself is performed fully clothed.

Yes.

Blood flow is extremely important.

So are nerves, hormones and psychological factors.

But the pelvic floor is another part of the erectile system that is sometimes overlooked.

For selected men, improving pelvic floor strength may support better erection rigidity, maintenance and broader pelvic function.

The useful question is therefore not:

"Does EMSELLA cure erectile dysfunction?"

It is:

"Is pelvic floor function contributing to what I am experiencing, and could strengthening it improve my sexual function?"

That is what the assessment is designed to answer.

Changes in erection quality, urinary control or sexual function are common medical concerns and deserve a proper assessment.

At ¹EM, Dr Emir can confidentially review your symptoms, medical history and treatment goals and determine whether EMSELLA® pelvic floor strengthening may form part of your personalised plan.

CTA heading: Take a More Complete Look at Men's Sexual Health

CTA description: Book a confidential complimentary consultation to discuss erection quality, pelvic floor strength, urinary symptoms and whether EMSELLA® may be appropriate for you.

CTA button: Book a Men's Health Consultation

Internal links:

Men's Health at ¹EM:https://menshealth.1em.com.au/

EMSELLA® at ¹EM:https://emsella.1em.com.au/

Related article: Does EMSELLA® Help Men as Well?

Related article: What Does EMSELLA® Actually Do?

Related article: Is EMSELLA® Safe?

Related article: How Many EMSELLA® Sessions Are Recommended?

1. Myers C, Smith M. Pelvic Floor Muscle Training Improves Erectile Dysfunction and Premature Ejaculation: A Systematic Review. Physiotherapy. 2019;105(2):235-243. PMID: 30979506.

Ten trials were included. Pelvic floor muscle training was associated with comparative improvements in erectile-function outcomes, although study quality and treatment protocols varied.

2. Brandeis J. Improving Male Pelvic Health: Efficacy of HIFEM Muscle Stimulation for Urinary Function and Sexual Dysfunction in Men. Reproductive System & Sexual Disorders. 2024;13:408.

Twenty men with complete outcome data were analysed after HIFEM pelvic floor treatment. Reported sexual-function improvements included erection maintenance, intercourse satisfaction, ejaculation frequency and orgasm frequency. The study was small and uncontrolled, so results should be interpreted as preliminary rather than predictive of individual outcomes.

3. BTL Aesthetics Australia. EMSELLA® Australian Intended Purpose and Safety Information.

BTL states that in Australia EMSELLA® is intended to provide pelvic floor muscle strengthening for genitourinary disorders including erectile dysfunction. EMSELLA® is listed under ARTG 302821.

4. ClinicalTrials.gov NCT05370651. A Single-Blind, Randomized Study of the BTL EMSELLA Chair Versus Sham for the Treatment of Male Sexual Dysfunction.

The registered trial is designed to compare EMSELLA® with sham treatment and assess erection, ejaculation, sexual satisfaction and desire. The record was last verified in December 2025 and lists an estimated enrolment of 117 participants.

5. Dorey G, et al. Pelvic Floor Exercises for Erectile Dysfunction. British Journal of General Practice. PMID: 16104916.

A randomised trial found significantly greater improvement in erectile function following pelvic floor exercises and biofeedback than control treatment.

6. Wong C, Louie DR, Beach C. A Systematic Review of Pelvic Floor Muscle Training for Erectile Dysfunction After Prostatectomy. Journal of Sexual Medicine. 2020;17(4):737-748. PMID: 32029399.

Most included studies reported improvements in erectile function following pelvic floor muscle rehabilitation after prostatectomy, although variability and methodological limitations restricted firm conclusions.

This article provides general health information and does not replace individual medical assessment. Erectile dysfunction and changes in male sexual function can have vascular, neurological, hormonal, medication-related, psychological and pelvic floor causes. Persistent or new symptoms should be clinically assessed so that relevant underlying factors are not overlooked.