PelviHeal Private & secure
Free eligibility check

Find out if PelviHeal is right for you

Answer a few short questions about your symptoms and health history. We will use your answers to determine whether PelviHeal is a safe and suitable option for you.

8
questions
1
minute
Your answers stay confidential

About you

How old are you?

Under 40
40 to 49
50 to 59
60 to 69
70 or older

Your symptoms

I leak when I...

Select all that apply.

Laugh
Sneeze
Cough
Jump
Workout
Run
Walk
Stand up quickly

Your symptoms

How much do you typically leak?

A few drops
Enough to dampen my underwear
Enough that I need a pad or brief
Full loss of bladder control

Your history  ·  Optional

Have you tried any of the following?

Select all that apply, or skip ahead.

Kegel exercises
Pelvic floor physical therapy
Seen a urologist or urogynecologist
Other

Safety check

Do you have a pacemaker, implanted defibrillator, or similar heart device?

Yes
No

Safety check

Do you have any metal in or near your pelvic area?

This includes genital piercings, a metal IUD, surgical clips, or other metal implants. Metal must be removed before electromagnetic treatment.

Yes
Only a piercing I can remove
No

Safety check

Are you currently pregnant or trying to become pregnant?

Yes
No

Safety check

Have you been diagnosed with any of the following?

Select all that apply.

Pelvic or gynecological cancer
Stage 2 or higher pelvic organ prolapse
A current urinary tract infection (UTI)
None of the above