Doing this together changes the outcome.
When both partners complete a course on the same timeline, completion rates go up, the return is symmetric, and the experience becomes something you did together — not something one of you endured.
One travel fee. Two people. Symmetric return.
Most people who complete a 35-session course do so because someone in their life is invested in the outcome. When that person is also doing the sessions, the dynamic shifts entirely.
You're not managing your health separately anymore. You're doing something together. The accountability is built in. The conversations change. The results tend to be better — for both of you.
Practically: we bring the equipment to your home, set up two treatment spaces, and run back-to-back sessions. You share one travel fee. The logistics are simpler than doing it separately.

The practical reality of doing this together.
One machine, two people
We run sessions back-to-back on the same machine. While one partner is on the table, the other is resting, reading, or doing whatever they'd normally do. Sessions are 60 minutes each.
One travel fee
When both partners are at the same address, we charge one travel fee per visit — not two. For in-home sessions, this is the single biggest cost savings of the couples format.
Flexible scheduling
You can do one session each per day (two sessions total), or two sessions each per day (four total) with the two-a-day protocol. The full 35-session course takes three to seven weeks depending on pace.
Each person's own protocol
Both partners have their own health histories, their own reasons for doing this, and their own goals. We build around both — not a one-size-fits-both approach.
How EECP restores blood flow where couples need it most
When researchers measured blood flow changes during EECP using duplex ultrasound, they found something remarkable: blood flow to the pelvic region increased by 144% — more than doubling — far surpassing the flow increases seen anywhere else in the body.
Here is how pelvic blood flow compared to other regions during the same study:
The pelvic arteries received roughly 7 times more flow enhancement than the brain — and 6 times more than the kidneys or liver. No other vascular territory in the body responds to EECP as dramatically as the pelvis.
Why this matters for intimacy and sexual health
The internal iliac artery is the main blood supply to the pelvic organs — including the structures responsible for sexual arousal and function in both men and women. Healthy, robust blood flow through this vessel is essential for erectile function in men, arousal and sensation in women, pelvic tissue health and responsiveness, and recovery from age-related vascular decline.
The numbers are likely conservative
The 144% figure comes from a study that used only partial pressure and only two of the three cuff sets that a full clinical EECP session delivers. Standard treatment at Asheville EECP uses higher pressure and adds hip cuffs that compress directly over the pelvic region — meaning the actual flow enhancement couples receive during a real session is likely substantially greater than what the published study measured.
A drug-free, surgery-free path
For couples navigating the natural changes that come with age, cardiovascular conditions, diabetes, or the side effects of common medications, EECP offers something rare: a non-invasive, FDA-cleared therapy that improves circulation systemically — with the pelvic region as one of its greatest beneficiaries.
Based on published duplex ultrasound research measuring arterial flow changes during enhanced external counterpulsation in healthy subjects. EECP is FDA-cleared for cardiovascular indications. Individuals with specific health concerns should discuss EECP with their physician before beginning treatment.
Questions couples ask.
Do we have to start at the same time? +
What if one of us has a cardiac diagnosis and the other doesn't? +
Can we do two-a-day together? +
What does the consult call look like for couples? +
The couples consult call runs 30 minutes.
We talk through both of your situations, answer questions about the couples format, and figure out the right structure for your household. No commitment, no pressure.
Book Free 30-Min ConsultOr call us at (321) 423-2829