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Are we trusting science, or marketing? At the ISCG 2026 congress, I presented a critical analysis of one of the most promoted technologies in pelvic health today: magnetic field chairs. These devices claim to induce supramaximal pelvic floor muscle contractions and to be more effective than physiotherapy. Strong claims. Widely marketed. Repeated across scientific publications. So I asked a simple question:Where is the objective evidence? After reviewing more than 100 scientific articles, one fact became clear:none of them directly measured pelvic floor muscle contraction during the use of these devices. No objective quantification.No direct validation.Only assumptions. To go further, I conducted my own test. The result was clear: the contraction generated was approximately 10% of my maximum voluntary contraction. This is not a minor detail. It fundamentally challenges the core claim behind these technologies. This issue goes beyond one device or one field. We have seen similar patterns before, in cases such as Theranos, the opioid crisis, and surgical meshes in gynecology. Different contexts, same problem: claims ahead of evidence. Science without methodological rigor is not science.And publications without transparency do not produce reliable results. This presentation is not about rejecting innovation. It is about demanding evidence. Because patient safety cannot be based on assumptions. Dr. Laira Ramos Physiotherapist PhD in urogynecology Sexologist www.rpaeserie.com [http://www.rpaeserie.com/] www.perineo.info Powerpoint Slides Thank you Laira Ramos for this excellent an unbiased review on the science of High Intensity Focused Electromagnetic Waves. FOR THE SURGEON I built an online community of expert Cosmetic Gynecologists from around the world who you will be able to communicate with and pick their brains. Click on the logo picture for the link: GYNFLIX Cosmetic Gynecology e-Learning [http://www.gynflix.com/] For Detailed Videos Click on the Index Photo Below: For more Cosmetic Gynecology Training join Gynflix.com [http://www.gynflix.com/] Gynflix [http://www.gynflix.com/]is an online e-Learning platform dedicated to Feminine Wellness. Videos of topics such as labiaplasty, vaginoplasty, cliteroplasty, clitoral hood reduction, anal skin tag excision. Click here for Silver Bullet Subscription at $98 a month: Gynflix Subscription [https://www.gynflix.com/checkout/subscribe/purchase/?campaign=gynflixinfo] Contact Suzette Peterson at (909) 374-1000 or email her at sette.peterson@gmail.com if you are interested in Fellows Gold Subscription [https://gynflix.info/gold-level-fellows/] at $198 a month. GOLD FELLOWS MEMBERSHIP [https://gynflix.com/gold-fellows-registration/]: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. [http://www.gynflix.com/]There will be 1-2 complete and unique videos per month. Dr. Alinsod will be available to discuss the intricacies and details of topics covered in the videos and answer specific questions that may arise . This is the first and only true Master’s Course for continuing education focused on cosmetic gynecology. I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world! NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL! [https://gynflix.com/gynflix-en-espanol/] For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. [https://gynflix.com/video-shorts/] This is made for the Lay Public. Dozens of high def, high quality videos. Let’s Stay Connected I’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at: * alinsodinstitute.com [https://alinsodinstitute.com/] * About Dr. Red Alinsod [https://alinsodinstitute.com/about-dr-red-alinsod/] * About Alinsod Institute [https://alinsodinstitute.com/about-alinsod-institute/] I’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere. Social Media: Follow [https://www.instagram.com/vageniusmd/]my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. [https://www.instagram.com/vageniusmd/] I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram [https://www.instagram.com/vageniusmd/] for fun and knowledge. Instagram: VageniusMD [https://www.instagram.com/vageniusmd/] FB: Vagenius - Red Alinsod, MD [https://www.facebook.com/redalinsodMD/] TicTok: VageniusMD [https://www.tiktok.com/@vageniusmd] Websites: Alinsod Institute [https://alinsodinstitute.com/] Gynflix [https://www.gynflix.com/] My Three Newsletters: For the Lay Public and Medical Professionals: Feminine Wellness Newsletter For Medical Professionals: Cosmetic Gynecology Newsletter For Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter: MY LOCATION Alinsod Institute — Red M. Alinsod, MD 📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com [http://www.alinsodinstitute.com/]🌐 www.gynflix.com [http://www.gynflix.com/] Cosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work become a paid subscriber. This is a public episode. 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