Non-surgical treatments for laxity, dryness, and mild urinary leakage after childbirth or menopause, using laser or radio-frequency energy inside the vaginal canal or an electromagnetic chair that contracts the pelvic floor. Evidence is stronger for the pelvic floor chair than for the energy devices, and a clinic should say so.
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Vaginal rejuvenation is the umbrella term med spas use for a group of non-surgical treatments aimed at laxity, dryness, and mild urinary leakage, most often after childbirth or with menopause. The demand is real and the problems are real. The evidence is uneven across the devices, and this is one category where the honest version of the page matters more than the marketing version.
Two different kinds of treatment
Energy devices deliver laser or radio-frequency heat to the vaginal tissue through a probe, with the goal of stimulating collagen and improving tissue quality, blood flow, and moisture. Sessions take about fifteen minutes, are done in a series of three, and involve little to no downtime. Some women report clear improvement in dryness and comfort; controlled studies have been less consistent than the claims, and regulators in the US and elsewhere have cautioned clinics against overstating results. In 2018 the FDA said it had not cleared or approved any laser or radio-frequency device for vaginal rejuvenation, including laxity, dryness and other menopause symptoms.
Pelvic floor stimulation, sold as Emsella, is a chair that delivers electromagnetic pulses contracting the pelvic floor muscles thousands of times in a thirty-minute session, fully clothed. There is some evidence for it in stress incontinence, the leak with a cough, sneeze, or run, and it is the treatment in this category with the clearest use case.
See a gynecologist first
Leakage, dryness, pain, and laxity have many causes, some of which need medical treatment a device does not provide. Prolapse, most urge incontinence, infections, and hormonal issues are all in that group. A gynecologist’s evaluation before booking any rejuvenation treatment is not a formality; it is how you avoid paying for a series aimed at the wrong problem. Clinics doing this well ask whether you have had one.
What to expect
Energy treatments: a short probe procedure, mild warmth, occasional spotting or discomfort for a day, no sex for a few days, three sessions a month or so apart, maintenance yearly. The chair: sit fully clothed for thirty minutes, feel strong pelvic contractions, six sessions over three weeks, no downtime.
What it costs
Energy treatments run $600 to $1,200 per session in a series of three. Chair sessions run $300 to $500 each in a series of six. Insurance does not cover either as a cosmetic treatment, though pelvic floor physical therapy, a proven and often covered alternative for incontinence, is worth asking about.
Choosing a provider
Ask which device, what it is being used to treat, and what evidence the provider can point to for that use. Ask whether they want you to see a gynecologist first; the right answer is yes. Ask about their training on the specific device and how they screen for conditions that rule it out. Prefer the clinic that talks about the limits.
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Why people choose Vaginal Rejuvenation
Non-surgical, in-office, no anesthesia for most devices
Pelvic floor stimulation has some evidence for stress incontinence
Energy treatments can improve dryness and comfort for some patients
A step before, or instead of, surgical repair
Are you a good candidate?
Women with laxity, dryness, or stress incontinence after childbirth or menopause who want a non-surgical option, ideally after a gynecologist has ruled out other causes; not during pregnancy or an active infection, and the pelvic floor chair is not used with a pacemaker or metal implants near the pelvis
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It depends on the device and the problem. The electromagnetic pelvic floor chair, sold as Emsella, contracts the pelvic floor muscles thousands of times per session and has some evidence for improving stress incontinence, the leaking that happens with a cough or a jump. Laser and radio-frequency treatments have mixed evidence: some women report improved dryness, comfort, and sensation, while controlled trials have been less convincing than the marketing, and regulators have cautioned against overstated claims. An honest clinic will distinguish the two.
Is it safe?
Serious complications are uncommon with trained providers, but the FDA has warned about burns, scarring, and pain from energy devices used inappropriately, and in 2018 it said it had not cleared or approved any laser or radio-frequency device for vaginal rejuvenation, including laxity, dryness and other menopause symptoms, and these treatments are not a substitute for a gynecologist's evaluation. Symptoms like leakage, pain, or dryness can have causes a device does not address. See a gynecologist first, then consider a clinic.
Who is it for?
Women with mild to moderate laxity, dryness, or stress incontinence after childbirth or menopause, who want to avoid or delay surgery. It is not for significant prolapse, most urge incontinence, or pain conditions, which need medical care rather than a device. It is also not done during pregnancy or an active infection, and the chair is not used with a pacemaker or metal implants near the pelvis.
What does it cost?
Energy treatments typically run $600 to $1,200 per session in a series of three. Pelvic floor chair sessions run $300 to $500 each in a series of six. Neither is covered by insurance as a cosmetic treatment.
Sources
Where this information comes from
Clinical facts on this page are checked against these primary sources.
1.The USFDA Warns Against Use of Energy-Based Devices to Perform Vaginal 'Rejuvenation' or Vaginal Cosmetic Procedures, Medsafe, New Zealand Medicines and Medical Devices Safety Authority (reporting the FDA safety communication of July 30, 2018)That the FDA had not cleared or approved any energy-based device to treat vaginal laxity, atrophy, dryness or itching, pain during intercourse or urination, decreased sexual sensation, or any symptom related to menopause, urinary incontinence or sexual function, and that it warned these uses may cause serious adverse events. Backs this page's statement on FDA clearance.
<a href="https://thecliniccompass.com/treatments/vaginal-rejuvenation/">Vaginal Rejuvenation: Cost, Results and Clinics</a> (ClinicCompass)
ClinicCompass. (2026). Vaginal Rejuvenation: Cost, Results and Clinics. Medically reviewed by Victoria Taraska, MD, FAAD, FRCPC. Retrieved {accessed}, from https://thecliniccompass.com/treatments/vaginal-rejuvenation/
