Custom Pelvic Floor Support? COSM Gynethotics Explained episode artwork

EPISODE · Apr 22, 2026 · 31 MIN

Custom Pelvic Floor Support? COSM Gynethotics Explained

from Active Mom Podcast: Pregnancy, Postpartum, Perimenopause, Menopause & Beyond · host Carrie

Send us Fan MailIn this episode of the Active Mom Podcast mini-series Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with:Goli Ameri, PhD (Head of Research) and Cara McDougall, MPT (Clinical Specialist, Founder of Toronto Pessary Clinic) from COSM Medical.COSM was founded by Derek Sham, BEng, MBA, whose background in developing widely used urodynamics systems helped shape a more personalized approach to pelvic health technology.COSM Gynethotics are custom-designed intravaginal devices created using 3D printing technology to match an individual’s anatomy and symptom presentation.We cover:  • how COSM Gynethotics work (internal structural support for prolapse + incontinence)  • how they differ from traditional pessaries (personalization vs standard sizing)  • who they may be a good fit for (including those who haven’t found success with standard devices)  • how the fitting process works (clinical exam + collaborative design)  • what to expect (manufacturing time, trial period, real-world use)  • where they fit alongside pelvic floor rehab and return to activityTime stamps:1:00 introduction3:41 how COSM started7:43 how COSM works12:06 who it’s for15:59 dealing with avulsions17:20 real world use24:09 common misconceptions27:19 rapid fire questionsThese devices are not available over the counter and must be accessed through trained healthcare providers in Canada and the United States, including professionals already fitting pessaries (such as pelvic health physical therapists).💲 ~$500 CAD per device  Website:https://cosm.care⚠️ Disclaimer:This content is for education only and does not replace individualized medical care. Pelvic floor symptoms are complex and highly individual—always consult your own provider before making changes.The Active Mom Podcast — a real mom's guide to pregnancy, postpartum, perimenopause & beyond, for active moms and the professionals who help them get there.Quick-hit conversations with moms, providers, and researchers... because you don't have a lot of free time (you're probably listening at 1.5x right now).Follow so you don't miss an episode. Rate & review ⭐⭐⭐⭐⭐ — it's how the next mom searching for these answers actually finds them. Share it with the friend who needs it.Questions or topic requests? DM me 💌

Episode metadata supplied by the publisher feed · Published Apr 22, 2026

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Send us Fan Mail In this episode of the Active Mom Podcast mini-series Inside Pelvic Floor Support: Devices, Fit & What You Should Know, we’re speaking with: Goli Ameri, PhD (Head of Research) and Cara McDougall, MPT (Clinical Specialist, Founder of Toronto Pessary Clinic) from COSM Medical. COSM was founded by Derek Sham, BEng, MBA, whose background in developing widely used urodynamics systems helped shape a more personalized approach to pelvic health technology. COSM Gynethotics ...

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Custom Pelvic Floor Support? COSM Gynethotics Explained

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This episode was published on April 22, 2026.

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