Custom Pelvic Floor Support? COSM Gynethotics Explained
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 are custom-designed intravaginal devices created using 3D printing technology to match an individual’s anatomy and symptom presentation.
We Talk About:
• 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 activity
Time Stamps
1:00 introduction
3:41 how COSM started
7:43 how COSM works
12:06 who it’s for
15:59 dealing with avulsions
17:20 real world use
24:09 common misconceptions
27:19 rapid fire questions
These 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
Important Disclaimer: This podcast is for educational and informational purposes only and is not intended as medical advice.
Listening to this podcast does not create a provider–patient relationship, and the information shared is not a substitute for individualized care. Pelvic floor symptoms, exercise tolerance, and recovery vary widely—what works for one person may not be appropriate for another.
As you listen, it’s important to remember: these are device companies.
Which means the language you’ll hear is often marketing language—not always updated medical or clinical language.
Many of the people behind these products are not medical providers—and they are definitely not your medical provider.
That doesn’t mean the devices aren’t helpful.
But it does mean context matters.
So as you listen, consider:
• How this applies to your body
• Whether this sounds like symptom management or capacity building
• Where individualized support might still be needed
Always consult with your own healthcare provider before making changes to your care, exercise routine, or use of any device discussed in this episode.
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