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?