WOMEN’S HEALTH

The body changed the rules.

After childbirth, around menopause or after surgery — pelvic floor, urgency, pain, sleep, thermoregulation. Many complaints that are rarely asked about together.

Where can I go → Common questions
Information for patients
Does this sound familiar?

What it looks like day to day.

If you recognise three or more, it is worth looking not at each complaint separately, but at the system that connects them.

  • 01Urgency or leakage after childbirth or with the years
  • 02Pain or tension in the pelvic area
  • 03Hot flushes and disturbed sleep
  • 04The complaints intensify in tense periods
  • 05Several specialists, but nobody looks at the picture together
What is actually happening

The complaint is on the surface. The control sits deeper.

Pelvic floor, bladder, blood flow and thermoregulation are governed by one and the same autonomic system. That is why the complaints rarely come separately — especially after childbirth and around menopause, when the setting changes.

Pelvic floor exercises and hormonal assessment remain the foundation. But when disturbed sleep, hot flushes and tension are added to them, it becomes clear that this is about regulation and not about one organ alone.

Where NESA comes in

NESA works on that shared regulation. It is not hormone therapy and replaces neither gynaecological treatment nor pelvic floor physiotherapy — it supports the system that connects them.

How it works

We force nothing. We speak the language the body already uses.

NESA XSIGNAL® is a certified medical device for non-invasive neuromodulation of the autonomic nervous system.

01

Your body runs on electricity

The autonomic nervous system — the one that governs sleep, alertness, bladder and digestion — works at very low frequencies: between 1 and 14 cycles per second.

02

NESA speaks in the same window

Microcurrents in that same frequency range, delivered through gloves and ankle cuffs while you lie down or sit in a chair. No needles, no medication, no preparation.

03

The fact that you cannot feel it is why it works

The signal sits below the threshold of sensation. Because it does not trigger the body’s defences, the nervous system does not habituate to it, and the signal can accompany it session after session.

04

The practitioner’s hands stay free

The session runs alongside another therapy — physiotherapy, conversation, rehabilitation. Not a separate appointment, but a layer over the treatment already under way.

53
countries where it is used
6,000,000+
treatments delivered
0
reported serious adverse events
MDD
Directive 93/42/EEC · Class IIa

Manufacturer data, NESA (NGS Health and Mind S.L.), post-market surveillance system, as of July 2026. The zero refers to reported serious adverse events, not to the absence of any reaction whatsoever.

What to expect

When would I notice anything?

It depends on one thing: how long the regulation has been disturbed. We say so up front, so you know what to expect — and so you do not stop after the third session because nothing has happened yet.

SESSION 6–8

The first changes are usually felt here — most often in sleep and in recovery.

SESSION 10–30

The more substantial change comes in this range, at a steady rhythm of two sessions a week.

BLOCKS OF 10

With a chronic profile the work is done in blocks. After each block, a fresh assessment with objective measures, not by feel alone.

A guiding framework from practice, not a promise of results. The exact schedule is set by the practitioner delivering the treatment.

What the science says

The figures come from the manufacturer — with the source.

NESA is used in clinics and hospitals across 53 countries and is the subject of more than 20 peer-reviewed publications. The manufacturer publishes the results together with the journal and PMID of each study — so anyone can check the source themselves instead of relying on a retelling.

Which specialty

Where this leads.

A complaint rarely belongs to one specialty alone. This is where one usually starts with it — and what each page covers.

Specialty

Abdominal and pelvic medicine

with pelvic floor and pelvic dysfunction

To the page →
Specialty

Menopause

for the period of change

To the page →
Specialty

Intimate health

with intimate and urinary complaints

To the page →
Common questions

Short answers, no hedging.

Does it replace hormone therapy?

No. The hormonal assessment belongs to the gynaecologist. NESA works on autonomic regulation — sleep, thermoregulation, pelvic control.

And the pelvic floor exercises?

They remain. They train the muscle, NESA works on the control above it. The two complement each other.

Is it possible during pregnancy?

That is a question for the treating gynaecologist and the practitioner at the centre. We do not give that judgement from a distance.

Is it discreet?

The session takes place clothed, in a chair, with gloves and ankle cuffs. Nothing about it requires undressing.

Other complaints

It rarely comes alone.

Complaints of the autonomic nervous system rarely arrive on their own. If you recognise another one here, that is most likely not a coincidence.

Complaint

Bladder

The map of the toilets. By heart.

Complaint

Sleep

The bedroom ceiling. Again.

Complaint

Mood and low spirits

What if the body is not helping either?

All complaints →
NESA · Sessions

Where can I get a NESA session?

The authorised centres in Bulgaria — Sofia, Plovdiv and Pleven — with address, phone and contact person.

See the centres →
NESA · Materials

NESA information pack

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