Ask about clinical review when it matters
Let the team know about implants, recent surgery or symptoms that need a medical discussion before treatment. You can request a private conversation with Dr Emir about clinical suitability.
Can I Speak to a Doctor Before EMSculpt Neo or EMSELLA Treatment? · Who May Not Be Suitable for EMSCULPT NEO or EMSELLA?
Yes. EMSELLA at ¹EM is delivered within a structured, doctor-led clinical framework overseen by Dr Emir Ashour.
That means treatment is not approached as simply sitting on a device for a series of isolated sessions.
The ¹EM pathway includes:
an individual suitability assessment
review of relevant symptoms and medical history
screening for treatment contraindications
a structured treatment program
medical oversight when clinical questions arise
treatment progression within an established plan
review of progress across the program
access to Dr Emir when individual medical assessment is required
¹EM's current clinical model specifically places Dr Emir in oversight of treatment planning, patient suitability and the broader clinical framework across the clinic.
The purpose is straightforward:
the technology should sit within a treatment plan, rather than the treatment plan simply being the technology.
Does Dr Emir personally perform every EMSELLA session?
Not necessarily.
Doctor-led care does not mean that Dr Emir needs to personally operate the EMSELLA® chair during every 30-minute treatment.
Routine treatment sessions may be delivered by appropriately trained members of the ¹EM clinical team within your established treatment program.
What remains doctor-led is the clinical framework surrounding those sessions.
Dr Emir oversees areas including:
treatment suitability
treatment planning
medical questions
contraindications
more complex presentations
clinical escalation
changes that may affect treatment safety
reassessment where appropriate
This allows routine treatment to remain efficient while medical judgement remains available where it actually matters.
What happens before my first treatment?
The process begins with understanding why you are considering EMSELLA.
Depending on your presentation, the team may ask about:
urinary leakage
stress incontinence
urgency or frequency
postpartum pelvic floor changes
menopause
previous prostate treatment
pelvic floor weakness
sexual-health concerns
previous pelvic or abdominal surgery
implanted medical devices
medications
other relevant medical conditions
The purpose is not to make a non-invasive treatment unnecessarily complicated.
It is to establish whether pelvic floor strengthening is actually an appropriate treatment for the problem you are experiencing.
Why does suitability need to be assessed?
Because similar symptoms can have different causes.
For example, urinary leakage with coughing or exercise may be consistent with stress urinary incontinence and pelvic floor weakness.
Urinary urgency or frequency, however, can have several possible causes.
Likewise, erectile dysfunction can involve:
pelvic floor function
vascular health
neurological factors
medications
hormonal factors
previous prostate treatment
psychological factors
A treatment designed to strengthen muscle should not simply be applied to every patient who reports a symptom involving the pelvis.
At ¹EM, the clinical assessment helps answer:
What are we treating, and is EMSELLA the right tool for it?
What does Dr Emir oversee?
Dr Emir oversees the medical and treatment-planning framework at ¹EM.
Depending on the patient's presentation, this can include consideration of:
Treatment suitability
Whether EMSELLA is appropriate for your symptoms and circumstances.
Medical history
Conditions or previous treatments that may affect whether treatment should proceed.
Implanted devices
Pacemakers, active electronic implants and certain metallic implants are particularly important with electromagnetic treatment.
Previous surgery
This may include:
prostate surgery
pelvic surgery
Caesarean delivery
other abdominal procedures
orthopaedic implants around the pelvis
Treatment goals
Whether the objective is:
improved urinary control
pelvic floor strengthening
postpartum rehabilitation
post-prostate rehabilitation
another pelvic-health goal
Clinical escalation
If something changes or requires medical judgement, the case can be reviewed rather than leaving the patient to navigate the issue alone.
Who actually delivers the treatment?
EMSELLA® sessions can be delivered by appropriately trained members of the ¹EM team according to the patient's established treatment plan.
During a routine treatment session, the treating team is responsible for areas such as:
ensuring appropriate positioning
running the treatment according to protocol
adjusting treatment intensity according to the established plan and patient tolerance
checking how you are feeling
recording relevant treatment information
identifying anything that may require further clinical review
If a new medical concern arises, the appropriate next step is not simply to continue treatment automatically.
It can be escalated for clinical review.
Is the first consultation always directly with Dr Emir?
The ¹EM pathway is doctor-led, but that does not necessarily mean every administrative or routine component of your first visit needs to be conducted personally by Dr Emir.
Members of the clinical team can gather information, discuss the treatment process and help coordinate your care.
Where your situation requires individual medical judgement, Dr Emir can become directly involved.
You can also specifically request to discuss a clinical concern with him.
Can I specifically ask to speak with Dr Emir?
Yes.
If you have a medical question, significant medical history or something you would simply feel more comfortable discussing directly with the doctor, tell the team.
This can be particularly useful for patients with:
complicated urinary symptoms
previous prostate treatment
previous pelvic surgery
unusual symptoms
implanted devices
sexual-health concerns
significant medical conditions
uncertainty about whether treatment is appropriate
You do not need to give reception a detailed explanation of a sensitive medical issue.
You can simply ask for clinical review.
Why does doctor-led care matter for urinary incontinence?
Urinary incontinence is a symptom, not a single diagnosis.
Someone may be experiencing:
Stress urinary incontinence
Leakage with:
coughing
sneezing
exercise
running
jumping
lifting
Urgency urinary incontinence
A sudden difficult-to-control need to urinate, sometimes followed by leakage.
Mixed urinary incontinence
Features of both stress and urgency incontinence.
These presentations do not necessarily have identical causes or management.
A clinically guided approach helps determine what type of problem appears to be present before pelvic floor strengthening is recommended.
Related article: Can EMSELLA® Help With Urinary Incontinence?
Why does doctor-led care matter for men?
Male pelvic health can become particularly complex after prostate treatment.
A man may experience:
urinary leakage
pad dependence
erectile changes
altered pelvic floor function
several symptoms at the same time
There may also be important questions about:
surgical recovery
cancer treatment
implanted devices
medications
ongoing urological care
EMSELLA may form part of pelvic floor rehabilitation, but it should not replace appropriate medical or urological assessment.
At ¹EM, the aim is to integrate the treatment into the man's broader clinical picture.
Related article: Does EMSELLA Help Men as Well?
Related article: What Clinical Results Has EMSELLA Shown for Men?
What about erectile dysfunction?
Pelvic floor muscles contribute to erection rigidity and maintenance.
This provides a clinical rationale for strengthening the male pelvic floor in selected men with erection-quality concerns.
However, erectile dysfunction can also relate to:
cardiovascular disease
diabetes
neurological disease
medications
hormonal factors
previous prostate treatment
psychological factors
A doctor-led model helps avoid reducing every case of erectile dysfunction to pelvic floor weakness.
Where pelvic floor function appears relevant, EMSELLA® may form part of the plan.
Where another issue needs investigation, that can be recognised.
Related article: Can EMSELLA® Help With Sexual Function or Erection Quality?
Why does doctor-led care matter after childbirth?
Postpartum pelvic health is another area where timing and context matter.
Pregnancy and childbirth can affect pelvic floor strength and bladder control.
But recovery can also involve:
vaginal tears
episiotomy
Caesarean surgery
pelvic pain
prolapse symptoms
other postpartum complications
At ¹EM, treatment is not performed during pregnancy or within the first three months after childbirth.
After that point, treatment suitability depends on individual recovery and clinical assessment.
The fact that somebody has had a baby and experiences leakage does not mean they should automatically start treatment.
Related article: Can I Have EMSELLA After Pregnancy or Birth?
What about menopause?
Menopause can affect:
bladder control
urinary urgency
pelvic floor strength
vaginal and urinary tissues
EMSELLA specifically strengthens the pelvic floor muscles.
It does not treat every hormonal or genitourinary change associated with menopause.
Clinical assessment helps determine whether pelvic floor strengthening is relevant or whether other aspects of menopause care should also be considered.
Related article: Is EMSELLA Suitable for Women Going Through Menopause?
Why are implanted devices important?
EMSELLA uses a strong electromagnetic field.
Certain implanted medical devices therefore matter.
Important examples include:
pacemakers
implanted defibrillators
active electronic implants
certain metallic implants
An online answer or reception should not independently clear a patient with an implant simply because it appears distant from the treatment area.
Where an implant requires individual review, Dr Emir may consider:
what the implant is
where it is located
what material it contains
manufacturer information
operative reports or imaging where relevant
applicable treatment restrictions
If the device makes EMSELLA contraindicated, treatment does not proceed.
Related article: Who May Not Be Suitable for EMSCULPT NEO or EMSELLA?
What if something changes during my treatment program?
Tell the team.
A suitability assessment at the beginning of treatment does not mean new medical information becomes irrelevant afterwards.
You should tell us if you:
have surgery
receive a new implanted device
become pregnant
start experiencing new symptoms
have a significant change in your health
develop a concern about treatment
The team can determine whether treatment should continue or whether clinical review is required.
Is my progress reviewed?
Yes.
¹EM uses structured treatment programs rather than treating each session as an isolated appointment.
For EMSELLA, progress can be assessed according to the problem being treated.
For urinary incontinence, this might include:
number of leakage episodes
pad use
leakage during exercise
leakage when coughing or sneezing
urinary urgency
functional confidence
change from baseline symptoms
For men's post-prostate treatment, the focus may include continence recovery and pad dependence.
The aim is to know whether something meaningful is changing.
Does Dr Emir need to review me after every session?
Not necessarily.
Routine treatment does not require a new medical consultation after every appointment.
Clinical review becomes particularly important when:
symptoms change unexpectedly
progress is not following the expected pattern
a new medical issue develops
treatment suitability changes
additional medical judgement is required
the patient's treatment plan needs reconsideration
This keeps the program clinically supervised without making a straightforward 30-minute treatment unnecessarily cumbersome.
What makes this different from simply booking EMSELLA somewhere else?
The EMSELLA technology itself does not change because it is located at ¹EM.
The framework around it does.
At ¹EM, the model is built around:
assessment before treatment
personalised treatment planning
clinical oversight
structured programs
progress review
escalation when medical input is needed
This is an intentional part of how ¹EM operates.
The clinic's public treatment framework describes EMSELLA as being delivered within a medically supervised protocol designed and overseen by Dr Emir rather than as a standalone device treatment.
Does doctor-led mean treatment is more invasive?
No.
EMSELLA remains non-invasive.
During treatment:
you remain fully clothed
you sit on the treatment chair
nothing is inserted internally
there are no injections
no anaesthetic is required
a session takes approximately 30 minutes
there is generally no required downtime
Doctor-led describes how treatment decisions are made and supervised, not whether treatment itself is invasive.
What does a typical ¹EM EMSELLA pathway look like?
Step 1: Consultation
We establish what you are experiencing and what you want to improve.
Step 2: Suitability assessment
Relevant medical history, surgery and implanted devices are reviewed.
Step 3: Clinical review where required
More complex questions can be reviewed by Dr Emir.
Step 4: Treatment plan
If EMSELLA is appropriate, a structured program is established.
Step 5: Treatment sessions
Appropriately trained team members can deliver routine sessions within the
treatment plan.
Step 6: Progress monitoring
Symptoms and functional changes are reviewed during the program.
Step 7: Reassessment
The response to treatment determines what, if anything, should happen next.
Frequently asked questions
Is EMSELLA at ¹EM doctor-led?
Yes. EMSELLA is delivered within a structured clinical framework overseen by Dr Emir Ashour.
Does Dr Emir personally perform every EMSELLA session?
Not necessarily. Routine sessions can be delivered by appropriately trained members of the team within your established treatment plan.
What does "doctor-led" actually mean?
It means treatment suitability, planning, clinical escalation and medical oversight sit within a doctor-led framework rather than EMSELLA® being offered simply as an isolated device session.
Will I have a medical assessment before treatment?
Yes. Treatment suitability is assessed before your program begins.
Can I ask to speak with Dr Emir?
Yes. If you have a medical question or would prefer direct clinical input, tell the team.
What happens if I have a complicated medical history?
Relevant medical issues can be escalated for clinical review before treatment proceeds.
What if I have a pacemaker or implant?
Tell the team before treatment. Certain implanted electronic and metallic devices can make EMSELLA inappropriate.
Who adjusts the treatment during the session?
Your treating team administers the session according to your treatment plan and adjusts treatment delivery according to the clinical protocol and your tolerance.
Is progress reviewed?
Yes. EMSELLA at ¹EM is delivered as a structured treatment program with progress monitored rather than assumed.
Do I still need my urologist, GP or other specialist?
Yes, where relevant. EMSELLA® does not replace appropriate ongoing medical or specialist care.
Is the consultation confidential?
Yes. Pelvic health, continence and sexual-health concerns are handled within a confidential clinical environment.
More than access to the machine
EMSELLA® is advanced technology.
But technology alone does not decide:
who should be treated
what is causing the symptoms
whether an implant matters
when treatment should start
whether progress is meaningful
or when a different clinical pathway is needed
That is why ¹EM has chosen to deliver EMSELLA® within a doctor-led clinical framework.
The device provides the pelvic floor stimulation.
The clinical framework determines how, why and in whom it should be used.
Start with a doctor-led consultation
If bladder leakage, pelvic floor weakness, postpartum changes, menopause, post-prostate symptoms or men's pelvic-health concerns are affecting you, start by discussing the problem rather than choosing a treatment package yourself.
The ¹EM team can assess your presentation, with Dr Emir providing clinical oversight and individual medical review where required.
CTA heading: Start With a Doctor-Led Pelvic Health Assessment
CTA description: Discuss your symptoms confidentially, understand whether EMSELLA® is appropriate and receive a structured treatment plan within the ¹EM clinical framework.
CTA button: Book Your Complimentary Consultation
Internal links to add:
EMSELLA® at ¹EM
What Is EMSELLA®?
Can I Speak to the Doctor?
What Happens During a ¹EM Consultation?
Who May Benefit From EMSELLA®?
Is EMSELLA® Safe?
Who May Not Be Suitable for EMSCULPT NEO or EMSELLA®?
Does EMSELLA® Help Men as Well?
What Clinical Results Has EMSELLA® Shown for Men?
References
1. ¹EM. Doctor-Led Body Sculpting & Pelvic Health Melbourne.
¹EM describes its treatment model as doctor-led, with Dr Emir Ashour overseeing treatment planning and treatments delivered within a structured and medically supervised framework.
2. ¹EM. EMSELLA® Pelvic Floor & Incontinence Treatment.
¹EM describes EMSELLA® as being delivered within a doctor-led treatment framework rather than as a standalone device treatment, with individual assessment, treatment planning and progress monitoring incorporated into the treatment pathway.
3. ¹EM. About ¹EM.
The ¹EM clinical model identifies Dr Emir Ashour as overseeing patient suitability, treatment planning and the clinical framework across the clinic.
Medical disclaimer
This article describes the clinical framework used by ¹EM and provides general information about the EMSELLA® treatment pathway. Individual treatment suitability and the degree of medical review required depend on the patient's symptoms, history and clinical circumstances.
