In an RCT, women who used Efemia Bladder Support had 77% lower bladder leakage

Our Mission

At AGHealth, we want to empower and support women with important health decisions. We are highly selective and only support products that we truly believe will change women’s lives for the better. That’s why we’ve recently decided to partner with the Efemia team. Sharing a passion to transform everyday lives of women with Stress Urinary Incontinence, we want Efemia Bladder Support to be available to as many women as possible. Efemia Bladder Support is now available on NHS prescription in England. It can be purchased directly here.

What is Stress Urinary Incontinence?

Stress Urinary Incontinence or ‘SUI’ is defined as involuntary urine leakage on effort, exertion, sneezing or coughing affecting women of all ages with a ranging severity and nature. Although not life threatening, it can be detrimental to the physical, psychological and social wellbeing of women.  Multiple treatment options have been developed and offered to women.

In 2015 the NHS England Mesh Working Group report identified multiple safety and efficacy concerns relating to surgery for SUI. This subsequently led to the development of Efemia Bladder Support; an effective, comfortable and affordable vaginal insert that prevents or reduces bladder leakage without the need for surgery.

What is the Efemia Bladder Support?

Efemia Bladder Support is a reusable and cost-effective device which is inserted in the vagina to reduce or prevent bladder leakage caused by Stress Urinary Incontinence, without the need for surgery. Efemia Bladder Support was co-created by a urogynaecology expert, so its shape and function provides an optimum solution which has been clinically proven to reduce urine leakage by 77%. Its design is based on the principles of the integral theory of urinary incontinence in women, the same scientific principle the TVT method is based on. 

83% of women found Efemia Bladder Support improved their everyday lives. Its soft and flexible design makes it comfortable and easy for users to insert and remove. There are 3 sizes available (30mm, 35mm and 40mm), and a starter pack with every size so women can find their best fit. 

NHS Prescription

Efemia Bladder Support is one of few vaginal inserts that has become available for prescription in England, for the following reasons

  • Unlike other vaginal inserts, the Efemia device is comfortable to insert, wear and remove as it is made of medical grade silicone. 
  • It is easy to fit by the patient at home with the use of the trial pack and simple to clean.  
  • It is also the most cost-effective option, with a daily cost significantly less than other vaginal inserts. 

Click here to see the product codes for NHS Prescription services.

A non-surgical solution

Efemia Bladder Support was designed and developed by one of Europe’s leading urogynaecologists;  Lars-Olof Henriksson and Jan Claren, co-inventor of Efemia. Jan Claren is the patent holder of the surgical method, TVT; treatment for urinary incontinence. The Efemia device was developed as a non-surgical alternative for those women that experience SUI.

What makes Efemia Bladder Support  different to alternative products?

Unlike pads for SUI management, Efemia Bladder Support helps prevent urine leakage by applying pressure to mid-urethra. As a reusable solution it is more cost effective than many pads and other vaginal inserts and offers a more hygienic solution. In comparison to alternative vaginal inserts, Efemia Bladder Support is made of soft silicone which is comfortable to insert, wear and remove.​ It also sits lower in the vagina, supporting the mid-urethra, where other vaginal inserts sit higher and typically support the bladder neck.  Efemia Bladder Support has proven efficacy in clinical trials.


Average reduction in leakage

In a randomised control trial where the participants provoked leakage by jumping and coughing, the Efemia Bladder Support reduced urine leakage by an average of 77%. (Ref TVS1000)


Found Efemia eases their everyday life

A post market study done in collaboration with Aller Media showed significant improvement in the quality of life of women with self-diagnosed stress urinary incontinence. (Ref TVS3000)


Would recommend Efemia to a friend

In a follow-up study with women who participated in the the clinical study, 82% of the participants said they would recommend the Efemia Bladder Support to a friend or colleague. (Ref TVS2000)

Stops or reduces leaks

Do more, worry less

Reusable and eco-friendly

Cost effective


What is a vaginal insert?

A vaginal insert is a prosthetic device that is inserted into the vagina which supports its internal structure. They’re often used for women that have urinary incontinence or a vaginal or pelvic organ prolapse. Some vaginal inserts are inserted by a medical professional, but Efemia Bladder Support is designed so the patient can easily insert and remove it in private, in the comfort of their own home.

How does it work?

Efemia Bladder Support mimics common surgical solutions, without the surgery. It is worn in the vagina similar to a tampon. When pressure is placed on the bladder, the mid-urethra will be lightly pushed against the devices support rings. This gently bends the urethra which prevents or reduces accidental leaks. Patients can go to the toilet as normal.

Finding the right size

Three different sizes are available: 30 mm, 35 mm and 40 mm. We offer a starter pack with all three, so that women can try them out in the comfort of their home. To find the right size, we recommend the patient starts with the smallest size and continue from there. If the smallest size isn’t the optimum fit, they can try going up a size. If the smallest size does work, it can be a good idea to try a larger size to compare. Smaller doesn’t always mean more comfortable. ​​

How do women use it?

Efemia Bladder Support is inserted into the vagina until the support rings are completely through the vaginal opening and the handle sits tight against the body. The labia should then cover the handle with the longer part facing backwards. The device’s shape ensures correct positioning in the vagina. ​

Efemia Bladder Support can be reused for up to 16 hours per day, every day. We recommend that it is replaced with a new one every three months to ensure it continues to be effective. Or, it can be used for shorter periods, on occasions where a women expects to leak due to stress urinary incontinence (e.g, exercising, if she has a cold etc.). Efemia Bladder Support must not be used when pregnant. ​

Interested in learning more?

See our education page for videos, blogs, external links and studies for your patients.