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Two Gynethotics pessaries

Personalized pelvic devices for unique bodies and needs

Cosm is developing Gynethotics™, the world's first patient-matched gynecological prosthetic for female pelvic floor disorders.

Cosm is Modernizing Pelvic Health

Pelvic floor disorders, or PFDs, are a common, growing, and underserved women's health issue. One in every four adult women and half of women by age 80 are affected. 

PFDs occur when the muscles and connective tissues are weakened or injured. The disorders include pelvic organ prolapse and urinary and/or fecal incontinence which have a significant impact on a person's quality of life.

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Today's Solutions are Limited

Current gynecological prosthetics used to support pelvic organs, commonly known as pessaries, date back to 1,800 B.C. They come in different shapes and sizes all fit by trial and error and have not changed in 50+ years. Currently pessary fittings are done by finger measurements and are not customized to a patient's exact needs for their body.

Subjective trial and
error leads to:

fitting failure rate


drop rate within 1 yr


develop complications


Cosm provides the personalized approach to pelvic care that is missing today, with Gynethotics

Our solution is designed to reduce symptoms of PFDs in patients by providing a personalized approach to pelvic care. Since every patient's needs are unique to their bodies, Cosm is leveraging the latest advancements in ultrasound, cloud software, artificial intelligence, and 3D printing to create a data-driven, streamlined experience for patients and clinicians.

Gynethotics is the world's first custom-made gynecological prosthetic for unique bodies and needs.

Representative design model of a ring pessary with support and knob


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Centre for Aging + Brain Health Innovation logo
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Ontario Bioscience Innovation Organization logo
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Cosm in the News

Guidea Femovate '22 Innovator

Dec 2022

Guidea Selects Cosm for UX Design Sponsorship Program, Femovate

Derek Sham is an engineer turned general manager who was inspired to launch Cosm by a health episode with his grandmother

Sep 2022

FemTech Focus | Cosm is revolutionizing the vaginal pessary: Derek Sham, CEO

Derek Sham talks with Tamara Taggart

Aug 2022

TELUS Talks | Tackling a health issue no one talks about: Derek Sham, CEO of Cosm

8 women standing and smiling

PFDs are a common, stigmatized and underserved global women's health issue

While PFDs are common, they are not normal. PFD awareness, education and destigmatization are critical to women's health and wellness. Learn more from these helpful organizations.

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