Quick Answer
Postpartum pelvic floor laxity refers to weakening or loss of tone in the muscles and connective tissue supporting the bladder, uterus, and rectum following childbirth. Non-surgical treatments — including energy-based devices such as radiofrequency or HIFEM technology — can help restore muscle strength and tissue tone. These approaches are suited for postpartum individuals experiencing urinary leakage, reduced sensation, or vaginal laxity. Treatments work by stimulating muscle contractions and collagen remodeling. At ID Cosmetic Clinic in Markham and Toronto, Dr. Dan Xu, M.D., CCFP, personally assesses and performs each treatment. A typical protocol involves multiple sessions over several weeks, with gradual improvement over the following months.
View Contents (14)
- 01 What Is Postpartu…
- 02 5 Leading Causes …
- 03 Stress urinary in…
- 04 Why Does Pelvic F…
- 05 Combined pelvic f…
- 06 How does Dr. Xu d…
- 07 How Soon Will I S…
- 08 Am I a Candidate …
- 09 Why Can’t a…
- 10 Dr. Dan Xu, M.D.,…
- 11 《Timeless Asian B…
- 12 Why Trust ID Cosm…
- 13 About the Cost of…
- 14 Common Risks · Co…
What Is Postpartum Pelvic Floor Dysfunction? It’s More Than Just Leakage.
Postpartum Pelvic Floor Laxity (Pelvic Floor Dysfunction, PFD) the damage pregnancy and childbirth cause to the pelvic floor muscles, fascia, and nervesComposite injury. The clinical picture extends well beyond leakage — it encompasses pelvic organ prolapse, reduced sexual function, chronic pelvic pressure, and postural changes.
5 Overlooked Facts About the Pelvic Floor
Caesarean sectioncannot be entirely avoided.pelvic floor injury
Many people assume “a C-section means no leakage” — that is incorrect. Throughout pregnancy, the pelvic floor already endures 9 months ofSustained physical stress + hormonal laxity, A C-section only avoids the additional trauma of the delivery moment itself;does not mean the pelvic floor is intact..
Kegel done incorrectlymay worsen the condition instead
Studies show 50%+ of womenUnable to perform Kegel exercises correctly — A common mistake isCompensating with the abdominals, glutes, or breath-holding, done incorrectly, they increase intra-abdominal pressure and worsen incontinence. Without biofeedback guidance, Kegel exercises are often ineffective.
Incontinence is not “a normal part of aging”
1/3 women of reproductive age experience varying degrees of urinary incontinence, yet it is widelyunderestimated, silently endured, and dismissed as “just what happens after having children”. It is a treatable medical condition,and is not a condition that must simply be accepted..
The impact extends far beyond leakage — it affectsWhole-body functional chain
The pelvic floor is the foundation of core stability. When it weakens, it can causechronic lower back pain, anterior pelvic tilt, hip compensatory patterns, reduced sexual satisfaction, and social anxiety. Left unaddressed, this will progressively affect overall quality of life.
Energy-based treatment combined with training is the gold standard combination
Kegel exercises alone have limited effectiveness, and BTL Emsella® alone cannot fully replace structured pelvic floor training.Energy treatments activate the muscles + training rebuilds neuromuscular control + RF / laser tissue remodeling when indicated, All three elements working together constitute a complete protocol.
Typical Presentations of Postpartum Pelvic Floor Dysfunction
- Stress urinary incontinence (leakage with coughing, sneezing, laughing, running, or jumping)
- Urge urinary incontinence (leaking before reaching the bathroom)
- increased nocturiaor a sensation of incomplete bladder emptying
- Sensation of vaginal laxityor decreased sexual satisfaction
- Pelvic organ prolapsesensation of heaviness, a foreign body feeling, or a palpable bulge)
3 common types of pelvic floor dysfunction
Stress urinary incontinence (most common)
Leakage triggered by exertion, coughing, or jumping. Accounts for approximately 60% of postpartum incontinence cases. Responds best to BTL Emsella®.
Urgency urinary incontinence
A sudden, urgent need to urinate with insufficient time to reach the restroom. Accounts for approximately 20% of cases. Requires a combination of behavioral therapy and bladder retraining.
Mixed urinary incontinence
Both types present simultaneously in approximately 20% of cases. A combined protocol — energy treatment + training + gynecological co-management when needed — is recommended.
4 Quick Self-Assessment (Simplified ICIQ-UI SF)
- Over the past 4 weeks, have youexperiencing urinary leakage?
- per sessionHow much leakage (a few drops / moderate amount / large volume)?
- is atUnder what circumstances does leakage occur? (coughing, urgency, exercise, or falling asleep)?
- This affects yourHow significantly it affects daily life (0–10 points)?
⚠️ Any “yes” answer combined with an impact score ≥ 3 warrants a medical evaluation. A full ICIQ-UI SF score and Oxford grading are completed during your consultation with Dr. Xu.
5 Leading Causes of Postpartum Pelvic Floor Laxity
Understanding the underlying cause shapes your treatment strategy and prevention priorities — not everyone carries the same risk profile.
sustained pressure throughout pregnancy
The progressive enlargement of the uterus exerts 9 months of sustained pressure on the pelvic floor muscles, fascia, and nerves,Cannot be avoided even with Caesarean delivery. The hormone relaxin simultaneously causes ligament laxity.
Delivery-related injury (spontaneous vaginal delivery vs. assisted delivery)
Vaginal delivery — particularly with a large baby, prolonged labor, perineal tearing, or forceps/vacuum-assisted delivery — can cause damage to the pelvic floor muscle fibers andPudendal nervevarying degrees of injury.
Cumulative effect of multiple deliveries
With each additional delivery, the risk of pelvic floor dysfunction increases by 20–30%. More than 50% of women with three or more deliveries experience some degree of pelvic floor dysfunction.
Perimenopausal estrogen decline
Estrogen maintains collagen integrity and blood supply in vaginal and pelvic floor tissues. During perimenopause (ages 45–55), declining estrogen levels lead toTissue atrophy + worsening incontinence, referred to as GSM.
Chronic elevated intra-abdominal pressure (from chronic cough, constipation, obesity, or heavy resistance training)
Chronic cough, constipation, obesity, and improper high-load training (such as CrossFit or heavy squats) all progressively increase the burden on the pelvic floor.
Stress urinary incontinence vs. urgency urinary incontinence vs. mixed urinary incontinence vs. overflow incontinence
Both are described as “leakage,” but the underlying clinical mechanisms are entirely different — and so are the treatment approaches.
Stress Urinary Incontinence (SUI)
| trigger | coughing / sneezing / jumping / laughing |
| mechanism | Pelvic floor muscle laxity · Weakened urethral sphincter |
| nocturia | Typically none |
| most commonly seen in | Postpartum women |
| treatment plan | EMSELLA + Kegel training |
Urgency Urinary Incontinence (UUI)
| trigger | Sudden, intense urge to urinate |
| mechanism | detrusor overactivity |
| nocturia | commonly increases |
| most commonly seen in | 40 years+ / neurogenic |
| treatment plan | Behavioral training + medication when indicated + BTL Emsella® support |
Mixed Urinary Incontinence (MUI)
| trigger | Both stress and urgency components present |
| mechanism | Both mechanisms combined |
| nocturia | may have |
| most commonly seen in | Multiple deliveries + perimenopause |
| treatment plan | Comprehensive protocol + behavioral training + energy-based therapy |
Overflow incontinence
| trigger | Incomplete bladder emptying · post-void dribbling |
| mechanism | Bladder emptying dysfunction |
| nocturia | Yes |
| most commonly seen in | Neurogenic · Obstructive |
| treatment plan | Referral to urology (not managed within medical aesthetics) |
Why Does Pelvic Floor Treatment for Asian Women Require Cultural Sensitivity?
Language barriers, cultural norms, and differing attitudes toward privacy mean that pelvic floor concerns among Asian women areSeverely under-reported. Dr. Xu’s clinic offers a Mandarin-speaking environment and a female physician’s perspective — creating the space for real concerns to be voiced.
1. Cultural silence — incontinence is treated as a private shame
In Asian cultures, urological and reproductive concernsrarely discussed openly. Many clients endure their symptoms for 5–10 years before seeking help — only when leakage seriously affects their work or social life. Dr. Xu’s clinical observation:Asian women who come in for a consultation have, on average, endured their symptoms 2–3 times longer than non-Asian patients.. Early intervention can entirely prevent this kind of long-term loss of quality of life.
2. Smaller frame + narrower pelvis — higher rate of assisted delivery
East Asian women tend to have a narrower pelvis on average. When delivering a larger infant for the first time, rates of assisted delivery and perineal injury are higher, and pelvic floor muscle fiber and nerve damage can accumulate more readily.These patients benefit from earlier assessment, Don’t wait until symptoms become severe before seeking care.
3. The strengths and blind spots of postpartum confinement culture
Adequate rest during the postpartum recovery period supports natural pelvic floor healing — that is an advantage. However,What is missing is structured pelvic floor rehabilitation education. — Most postpartum caregivers are not trained to teach proper Kegel technique. Compensatory muscle patterns established early in the postpartum period can be difficult to correct once they become habitual.EMSELLA Combined with biofeedback trainingit helps break incorrect compensatory patterns and rebuild proper neuromuscular control.
Treatment Timing × Recommended Protocol
| phase | timeline | recommended protocol |
|---|---|---|
| Postpartum recovery period | 0–42 days | Natural recovery · No energy-based treatments |
| assessment window | 6 weeks – 3 months | Pelvic floor physiotherapy · Exercise instruction |
| Energy-based treatment | 3 starting from (month) | EMSELLA + Kegel training |
| tissue tightening | 6 starting from (month) | ThermiVa / FemiLift (as needed) |
| Breastfeeding | No restriction | EMSELLA Appropriate (no energy penetration to breast tissue) |
Note: BTL Emsella® has a favorable safety profile during breastfeeding (the magnetic field does not penetrate to breast tissue at distance); however, a consultation is still required to confirm there are no contraindications.
Postpartum incontinence is not simply “what happens after having children” — it is a treatable medical condition. In my clinical practice,Asian women endure symptoms for an average of 5–10 years before seeking help.by the time they seek a consultation, what could have been resolved in 3 months has become a chronic condition affecting quality of life. — Dr. Dan Xu, M.D., CCFP
Combined pelvic floor treatment protocol (energy-based therapy + targeted training + tissue restoration when indicated)
No single treatment addresses all pelvic floor concerns. Dr. Xu designs a personalized protocol based on your incontinence type, Oxford grading score, and hormonal status, drawing from the combination options below.
EMSELLA® High-intensity focused electromagnetic (HIFEM) chair First-line / preferred option
HIFEM triggered by a single magnetic field treatment session11,000 supramaximal pelvic floor muscle contractions, Equivalent to 11,000 perfect Kegel contractions — with zero compensatory errors. A fully clothed 28-minute session, with minimal downtime.
- 6–8 sessions, twice per week
- Minimal downtime · fully clothed · private
- Best response seen with stress urinary incontinence
- Noticeable improvement beginning from session 3
Pelvic floor biofeedback training (essential adjunct) essential
EMSELLA rebuilding muscle strength,Training to rebuild neuromuscular control. Dr. Xu’s protocol includes:
- Proper Kegel instruction (avoiding abdominal and gluteal compensation)
- Breath-synchronized training
- Home training diary
- Referral to a pelvic floor physiotherapist when indicated
ThermiVa® Vaginal tightening RF tissue tightening
Non-ablative radiofrequency gently heats vaginal wall and vulvar collagen,Minimal downtime, no anesthesia. Suitable for postpartum vaginal laxity + mild incontinence + reduced sexual satisfaction. 3-session monthly protocol.
FemiLift CO₂ fractional laser First-line option for perimenopausal patients
Fractional CO₂ laser stimulates collagen remodeling and vascular regeneration in the vaginal wall, benefitingPerimenopausal genitourinary syndrome of menopause (GSM)Significant results. 3-session monthly protocol + maintenance.
PRP Intimate Rejuvenation (PRP Platelet-rich plasma · (optional)
Autologous PRP is injected around the clitoral area and G-zone to stimulate local tissue regeneration and restore sensitivity.A non-mainstream pelvic floor therapy, used as a complement to a comprehensive treatment plan.
Behavioral training + voiding diary (mandatory for urgency incontinence)
For urge incontinence: bladder training (timed voiding / progressive interval extension) + trigger management (caffeine / alcohol reduction) + voiding diary tracking.
Gynecology / urology co-management (complex cases) When indicated
POP-Q ≥ III significant prolapse, neurogenic incontinence, overflow incontinence, or cases requiring medication or surgical intervention,Referral to gynecology or urology arranged by Dr. Xu, Medical aesthetic treatments are not covered by insurance.
Sample combination protocols (by incontinence type)
| type | Recommended protocol |
|---|---|
| Stress urinary incontinence · Mild | EMSELLA × 6 + Kegel training |
| Stress incontinence · moderate | EMSELLA × 8 + Training + ThermiVa × 3 (when indicated) |
| Mixed | EMSELLA × 8 + Behavioral training + voiding diary |
| laxity + sexual satisfaction | ThermiVa × 3 + EMSELLA × 6 + PRP Intimate Rejuvenation when indicated |
| Perimenopausal GSM | FemiLift × 3 + EMSELLA × 8 + Gynecological co-management |
How does Dr. Xu develop a pelvic floor treatment plan? (6-step process)
This is the fundamental difference between ID Cosmetic Clinic and clinics that simply sell Emsella packages — we assess your specific condition first, then select the appropriate treatment.
Symptom assessment + voiding diary
- ICIQ-UI SF Internationally validated scoring
- 3 -day voiding diary (frequency / volume / leakage episodes)
- Sexual satisfaction (if you wish to discuss)
- Sensation of prolapse / foreign body feelingchief complaint
- Impact on quality of life (0–10 points)
Clinical assessment
Completed by Dr. Xu (female physician) during consultation:
- Oxford Grading (pelvic floor muscle strength, 0–5 scale)
- POP-Q Prolapse staging (where indicated)
- Kegel Movement assessment (to identify compensatory patterns)
- Estrogen status assessment (perimenopausal)
Classification + referral screening
Classification confirmed: stress / urgency / mixed / overflow.Overflow incontinence and POP-Q grade ≥ III: immediate referral, These cases do not proceed to medical aesthetic treatment.
Designing a 12-week treatment plan
Not “just do 6 sessions and see” — but ratherComplete phase-by-phase timeline:
[Weeks 1–3]EMSELLA × 6 (twice weekly) + home-based training
[Week 4]Mid-course assessment + ThermiVa initiated if indicated
[Week 6]BTL Emsella® sessions 7–8 + voiding diary reassessment
[Week 8]ICIQ-UI SF Re-assessment + photo documentation
[Week 12]Comprehensive treatment assessment
[maintenance]BTL Emsella® maintenance session every 3–6 months + lifelong Kegel practice
Re-evaluation after each treatment session
- subjective symptoms (degree of reduction in leakage episodes)
- Oxford score / grading (every 4 weeks)
- Training adherence (home diary)
- Quality of life improvement
- sexual satisfaction (if you wish to discuss)
Maintenance phase + lifestyle integration
Once pelvic floor function is restored,Maintenance is lifelong.:
- BTL Emsella® × 1 session every 3–6 months
- Daily Kegel exercises (3 sets × 10 repetitions)
- Avoid chronic increases in intra-abdominal pressure (managing constipation / controlling chronic cough / weight management)
- Avoid extreme high-load training (heavy squats / CrossFit require proper guidance)
- Reassessment at perimenopause (declining estrogen can cause symptoms to worsen again)
Pelvic floor treatment isn’t simply “running a machine” — it’s about identifying your specific type of incontinence, selecting the right combination of tools, and pairing them with targeted training to rebuild neuromuscular control.Energy treatment and training — neither alone is sufficient.. — Dr. Dan Xu, M.D.
How Soon Will I See Results? How Many Sessions Are Needed? How Long Do Results Last?
The pelvic floor is muscle, and muscle responds to structured training. The three tables below answer the three most frequently asked questions.
When will I see results?
| phase | timeline | visible changes |
|---|---|---|
| EMSELLA After the 3rd session | 1.5 weeks | Initial improvements in bladder control · some patients notice early changes |
| EMSELLA 6 full sessions + training | 3–6 weeks | Noticeable improvement: significant reduction in daily leakage episodes |
| 8 sessions + training + ThermiVa (if applicable) | 10–12 weeks | Most clients achieve ≥ 80% reduction in leakage episodes |
| Complete protocol + maintenance | 6–12 months | Stable state: significant recovery of quality of life |
How many sessions are needed?
| type | Recommended number of sessions | total treatment cycle |
|---|---|---|
| Stress urinary incontinence · Mild (ICIQ 5–8) | EMSELLA × 6 | 3 weeks |
| Stress urinary incontinence · Moderate (ICIQ 9–14) | EMSELLA × 8 + ThermiVa × 3 | 12 weeks |
| Mixed | EMSELLA × 8 + Behavioral training | 4–6 weeks |
| Perimenopausal GSM | FemiLift × 3 + EMSELLA × 8 | 12–16 weeks |
How long do results last?
| conditions | Typical duration of results |
|---|---|
| Full protocol + Kegel training + weight stabilization + maintenance treatments | 2–3 years (longer with maintenance treatment) |
| Full protocol · no Kegel training · no maintenance | 6–12 months |
| Subsequent pregnancy | Postpartum restart protocol required |
| Perimenopause | Reassessment required + FemiLift to be incorporated |
Am I a Candidate for Pelvic Floor Treatment?
If the following questionsMost answer “yes”, You may be a suitable candidate. A consultation is recommended to confirm.
5 Quick self-assessment
- Do you haveAny form of urinary leakage (even a few drops)?
- Do you feel that your vaginalSensation of laxity or pelvic heaviness?
- Sexual satisfactionreduced compared to pre-pregnancy levels?
- Previously attempted self-directed Kegel exercises No significant improvement?
- How incontinence affects youinterfering with daily exercise or social activities?
You may be a candidate for pelvic floor treatment if you:
- ≥ 6 weeks postpartum (vaginal delivery) / ≥ 6 weeks postpartum (Caesarean section)
- stress, urge, or mixed urinary incontinence
- experiencing vaginal laxity or reduced sexual satisfaction
- Willing to follow a 6–12 week protocol + long-term training
- No metallic implants (primary contraindication for BTL Emsella®)
- No active pelvic infection
- No prolapse of Grade III or above (gynecological referral required first)
- No overflow or neurogenic incontinence
Treatment may not be suitable, or requires careful evaluation, if you:
- Pregnancy (BTL Emsella® is contraindicated)
- Presence of a cardiac pacemaker or ICD (absolute contraindication for BTL Emsella®)
- Intrauterine device (IUD) or metallic pelvic implants (assessment required at consultation)
- Active pelvic infection or open wound
- POP-Q ≥ III degree prolapse (requires gynecological referral)
- Overflow / neurogenic incontinence (urology referral required)
- Active malignancy or recent pelvic surgery
- Expecting outcomes equivalent to surgical pelvic floor reconstruction
- Unable to commit to long-term training
Why Can’t a Medspa Effectively Treat Pelvic Floor Weakness? Real Cases
Patient C — 39-year-old Asian woman · 4 years post second vaginal delivery · Mixed urinary incontinence + vaginal laxity + decreased sexual satisfaction
at a MedSpa Selling the chair alone
- No ICIQ-UI SF scoring, no incontinence subtyping
- No Oxford grading, no POP-Q assessment
- Simply selling a 6-session BTL Emsella® package
- No Kegel instruction, no training diary
- No perimenopausal assessment included
- 6 After sessions: partial improvement in stress incontinence; no change in urge incontinence
- Vaginal laxity unaddressed · Sexual satisfaction not improved
- 1 Symptoms return to baseline after years
Visit ID Cosmetic Subtyping · comprehensive protocol
- ICIQ-UI SF ICIQ score 13 → 4 (quantified progress tracking)
- Identified as mixed incontinence + mild prolapse
- EMSELLA × 8 + Behavioral training + voiding diary
- ThermiVa × 3 addressing laxity
- Correct Kegel technique guided in person by a female physician
- Monthly reassessment + training review
- 16 weeks later: comprehensive improvement in stress leakage, urgency, and feelings of laxity
Pelvic floor treatment is not “buying a chair and sitting in it 6 times” — it isClassification → Protocol → Training → Maintenancea comprehensive system. In a physician-led setting, the act of having this conversation is itself part of the treatment. — Dr. Dan Xu, M.D.
Dr. Dan Xu, M.D., CCFP
ID Cosmetic Clinic Founder & Medical Director · Author of Timeless Asian Beauty
As a widely respected Chinese-Canadian aesthetic medicine expert in Toronto, Dr. Dan Xu is recognized for herdeep clinical expertise, cultural sensitivity, and a comprehensive commitment to women’s health across all life stagesAs a family medicine specialist (CCFP), Dr. Xu brings comprehensive medical training in women’s pelvic floor health, integrating gynecology, urology, and medical aesthetic energy treatments into holistic postpartum care.
Dr. Xu’s Philosophy on Pelvic Floor Treatment:“Incontinence is not the price of aging — it is a medical condition that can be treated.”She has created a safe space for Asian postpartum women — one that offers a Mandarin-friendly environment, a female physician, and a comprehensive treatment protocol.
Professional Certifications & Credentials
- Education — M.D. + Family Medicine Specialty (CCFP)
- Experience — 5,000 clients · 80,000 treatment areas, specializing in Asian skin care and facial contour
- Expertise — Comprehensive postpartum women’s care · subtype-specific pelvic floor protocols
- Authority — Cynosure PicoSure Pro Canada KOL
- Authority — Allergan / Juvéderm North America Official Trainer
- Authority — Sofwave & Candela Medical Joint KOL
- Authority — McMaster University Clinical teaching physician
- Authority — IMCAS Guest Speaker at International Aesthetic Medicine Conferences
- Trust — CPSO Registered Physician · Verify publicly ↗
- Trust — Author, Timeless Asian Beauty (2024)
《Timeless Asian Beauty》
Timeless Asian Beauty, authored by Dr. Dan Xu, is a book that goes beyond appearance and focuses on Asian women’sOverall physical and mental well-beinga landmark reference guide, with dedicated chapters coveringPelvic health, sexual wellness, and quality of life for postpartum women, challenging the cultural narrative that incontinence is an inevitable part of life.
Drawing on cross-border clinical experience in China, Korea, and Canada, Dr. Xu provides Asian women with a safe, professional, and culturally sensitive medical environment — one where long-silenced health concerns are taken seriously.
Not to change who you are — but to embrace the most authentic version of yourself.
Identify with your own beauty. — Dr. Dan Xu, M.D.
Why Trust ID Cosmetic Clinic for Pelvic Floor Treatment?
Pelvic floor health is YMYL (Your Money Your Life) medical content, and E-E-A-T standards apply with particular rigor.
Real experiences from postpartum women
- 80,000 cumulative treatment areas
- An extensive track record of pelvic floor recovery outcomes in Asian women
- Extensive experience in comprehensive perimenopausal GSM treatment
- Quantitative progress tracking for every client (ICIQ + Oxford grading)
Medical professional training
- M.D. + CCFP Family medicine specialty
- ICIQ-UI SF + Oxford + POP-Q Standardized assessment
- Incontinence classification + multimodal protocol design
- Referral to gynecology / urology when indicated
Industry-recognized credentials
- Cynosure PicoSure Pro® Canada KOL
- Allergan / Juvéderm North America Official Trainer
- Sofwave & Candela Medical Joint KOL
- McMaster University Clinical teaching physician
- IMCAS International conference speaker
Transparent and verifiable
- CPSO Registered, licensed physician (publicly verifiable)
- Google 4.9★ · 283 Genuine client reviews
- Written informed consent form signed before each treatment
- Female physician · Mandarin-speaking environment · private consultation room
- Transparent referral when appropriate (staying within the scope of medical aesthetics)
Pelvic floor dysfunction is not an inevitable part of aging — it is a treatable medical condition.
In a physician-led clinic, talking openly about incontinence and sexual health is itself the first step in treatment. Dr. Xu provides Asian women with a medical space where their concerns are taken seriously — never minimized, never sold to, and never reduced to a label.
About the Cost of Pelvic Floor Treatment
Many clients search “BTL Emsella® package price” on Google and wonder why costs vary so widely between clinics. The answer isn’t the chair itself — the same BTL Emsella® chair sits in every clinic, butWho assesses your incontinence type, who determines whether to combine ThermiVa or FemiLift, who teaches proper Kegel technique to prevent compensatory patterns, and who integrates estrogen management during perimenopause —, These clinical decisions determine the degree of real improvement you experience at the 12-week mark.
For straightforward stress urinary incontinence, a 6-session BTL Emsella® course combined with standard Kegel instruction can be delivered by a trained aesthetic technician under Dr. Xu’s supervision; however,Years of silent suffering, mixed incontinence, perimenopausal genitourinary syndrome of menopause (GSM), mild prolapse, sexual satisfaction concerns, or cases requiring gynecological co-managementand similar concerns require active physician involvement — from assessment to protocol design to every follow-up evaluation. We don’t want you paying for physician time you don’t need, nor do we want your care oversimplified when a physician’s judgment truly matters. All treatment plans are personalized by Dr. Xu following a Free 30-Minute Consultation.
- We accept VISA / Mastercard / Amex / Debit / E-transfer.
- Affirm / PayBright financing available (select treatment packages)
- Private insurance: some Extended Health Benefit (EHB) plans may cover consultation fees — please inquire for your specific case.
- OHIP: Cosmetic procedures are not covered.
- All new clients receive a 30-minutefreeConsultation and assessment
Common Risks · Contraindications · BTL Emsella® Safety Protocol
EMSELLA These are medical devices, not consumer wellness products. We disclose all potential reactions, serious risks, and absolute contraindications in full.
Common reactions (occurring shortly after treatment)
- Mild pelvic muscle soreness (similar to post-squat fatigue, typically resolves within 24 hours)
- Occasional temporary increase in urinary frequency (24–48 hours)
- ThermiVa / FemiLift Temporary mild vaginal discharge following treatment (lasting a few days)
- Some patients report a “muscle awakening” sensation after the 1st–2nd session
Serious risks (rare, but important to disclose)
- EMSELLA Incorrect use in patients with pacemakers / metallic implants (Absolute contraindications)
- FemiLift Brief post-procedure burning sensation and minor spotting (rare)
- Treatment outcomes may fall short of expectations (severe prolapse requires surgical intervention)
- May exacerbate a pre-existing urinary tract infection (must be ruled out before treatment)
Relative contraindications (careful assessment required)
- Intrauterine device (IUD) in place — type must be confirmed at consultation
- Active menstruation (treatment can be postponed)
- Recent pelvic surgery < 3 months ago
- FemiLift deferred during breastfeeding
- Anticoagulant medication (use caution with PRP)
Absolute contraindications (not performed)
- pregnancy
- Cardiac pacemaker / ICD (BTL Emsella®)
- Pelvic metal implants
- Active pelvic infection / sexually transmitted infection
- Pelvic malignancy / recent pelvic surgery
- POP-Q ≥ III grade prolapse (surgical intervention required first)
- Overflow / neurogenic incontinence (urology referral required)
Safety protocols strictly enforced by Dr. Xu
- EMSELLA Confirm absence of metal implants + pacemaker prior to treatment
- Every client receives a full ICIQ assessment + Oxford grading + POP-Q staging (where indicated) at their consultation.
- Overflow, neurogenic, or severe prolapse cases are referred to gynecology or urology.
- Personal assessment by a female physician · Private consultation room
- Written informed consent form signed before each treatment
- Voiding diary + quantified score tracking · objective documentation of progress
Postpartum Pelvic Floor — Frequently Asked Questions (Toronto)
Postpartum Pelvic Floor Who Is This For?
Most healthy adults (18+) may be considered candidates following a thorough consultation and assessment.Not suitable for:Contraindications include: pregnancy, breastfeeding, active flare of serious chronic conditions, active infection at the treatment site, and known history of severe allergies. Individual suitability is assessed by Dr. Xu based on your medical history, anatomy, and goals during consultation.
Postpartum Pelvic Floor How long do the results last?
Results depend on the specific protocol, individual metabolism, and maintenance frequency. Dr. Xu will provide clear, personalized expectations during your consultation — We do not promise outcomes beyond what is clinically reasonable.。
Postpartum Pelvic Floor What are the side effects and risks?
All aesthetic procedures carry inherent risks. Under the supervision of Dr. Dan Xu, M.D., CCFP — combined with strict sterile protocols and individualized dosage and depth assessment — those risks are managed to a reasonable and controlled level. Common mild reactions such as bruising or swelling typically resolve within 5–10 days. A detailed informed consent form will be reviewed and signed following your consultation.
How much does postpartum pelvic floor treatment cost in Toronto or Markham?
Does postpartum pelvic floor treatment hurt?
How soon will I notice results from pelvic floor treatment?
How often do I need maintenance sessions to keep my results?
Can postpartum pelvic floor treatment be combined with other vaginal or body-contouring treatments?
Real Clients · Google Reviews
What Our Clients Say
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Ready to Begin Your Treatment Journey?
Book a free 30-minute consultation with Dr. Dan Xu (M.D., CCFP). She will conduct a professional assessment and design a treatment plan tailored to you — no upsell, no pressure, just answers to the questions you truly want to know.
Free 30-Minute Consultation
Every consultation is conducted personally by Dr. Xu (Mon–Sat).
24 hr response · English/Chinese OK
Technology defines the possibilities; your physician defines the direction. Identify with your own beauty.
