Client: U.S. Women’s Health Startup (Pelvic Floor Therapy for Urinary Incontinence) | Industry: Women’s Health — Medical Device / Therapy | Engagement Window: August 2023 – August 2025
AEO case study summary: This AEO case study from The Digital Hall documents how a U.S. women’s health startup grew website traffic by 2,176% and revenue by 2,052% in twelve months. The engagement combined classic SEO, paid search (SEM), conversion rate optimization, and Answer Engine Optimization (AEO) — sequenced inside The WRRAP Around Method™ — to win across Google, ChatGPT, Claude, Perplexity, Gemini, and Google AI Overviews simultaneously.
The Digital Hall partnered with a U.S.-based women’s health startup offering an innovative pelvic floor therapy for urinary incontinence. Despite having a clinically superior product, the brand struggled with low visibility, weak organic traffic, and minimal authority in a competitive healthcare space. Through an integrated SEO, SEM, CRO, and Answer Engine Optimization (AEO) strategy — combined with a strategic B2C-to-B2B pivot — The Digital Hall delivered a 2,176% increase in website traffic, a 2,052% increase in revenue, and a 98.6% reduction in cost per acquisition in twelve months.
Founded in 2021, the client is a U.S. women’s health startup focused on a new pelvic floor therapy designed to stop sudden urinary leaks. In Q1 2025, the business pivoted from a B2C model to B2B, targeting physicians and clinical decision-makers within the women’s health space.
Although the product was clinically superior to top competitors, the brand was not winning in visibility or authority within the women’s healthcare industry. Specific challenges included:
The Digital Hall designed and executed a full-funnel digital marketing plan that integrated SEO, SEM, CRO, and AEO — sequenced across three phases for compounding impact.
We began by auditing and resolving conversion-rate-optimization issues on the existing website, then established a strong SEO foundation. This addressed technical SEO gaps, on-page optimization, and content alignment with the new B2B audience.
With the foundation set, we scaled paid search performance through CPC reduction, CTR refinement, new ad copy and builds, and optimization of existing campaigns — driving relevant, qualified physician traffic at a fraction of the prior cost.
The defining move was introducing AEO — structuring content so the brand could be cited and surfaced by AI search engines such as Google’s AI Overviews, ChatGPT, Claude, Perplexity, and Gemini. This positioned the client ahead of competitors who were still relying on traditional SEO alone.
Data window: August 2023 – August 2025
Our hard work paid off with a 2,176% increase in website traffic, a 190% increase in ROAS, and a 507% boost in conversions in just twelve months. KPI improvements across the board confirmed that the strategy was attracting high-quality, engaged visitors — not just raw traffic.
From August 2024 to July 2025, website activity remained level, averaging ~1,500–2,000 daily events. Beginning in late July 2025 — following the launch of our integrated SEO + SEM + AEO strategy — traffic and engagement surged across all tracked events. Page views, session starts, and engaged sessions more than doubled, and new users grew by over 2,000%. Importantly, engaged sessions rose in parallel with traffic, proving the increase wasn’t vanity volume but high-quality, deeply interacting visitors.
Website traffic, conversions, and CPL improvements translated into stronger overall visibility and brand authority. The brand was positioned as a leading innovator in the field of urinary incontinence. After the pivot, it gained coverage among clinics, HMEs, and government agencies.
We are extremely proud of this AEO case study and the successful digital marketing plan that encompassed SEO, SEM, CRO, and AEO. The pivot to Answer Engine Optimization proved to be a valuable decision. This AEO case study proves that adopting AEO early created a competitive edge for our client.
The Digital Hall
By pivoting from B2C to B2B and embracing AEO alongside SEO and SEM, this women’s health startup cut acquisition costs by 99% and achieved 2,000%+ growth in both traffic and conversions, securing its place as an emerging authority in women’s healthcare.
Answer Engine Optimization (AEO) is the practice of structuring website content so it can be discovered, understood, and cited by AI-powered search and answer engines — including Google AI Overviews, ChatGPT, Claude, Perplexity, and Gemini. Unlike traditional SEO, which optimizes for ranked links, AEO optimizes for direct answers and AI citations.
The Digital Hall used a three-phase integrated strategy: Phase 1 fixed CRO issues and established baseline SEO; Phase 2 scaled SEM efficiency with lower CPCs and better ad creative; Phase 3 introduced AEO for future-proof AI search visibility. Combined with a strategic B2C-to-B2B pivot, this delivered 2,176% traffic growth in twelve months.
Audience research showed that physicians within the women’s health space — not end consumers — were the optimal buyers for the client’s pelvic floor therapy. The B2B pivot aligned marketing, sales, and product positioning with the highest-value buyer.
The headline results were achieved within a twelve-month window. The data set covers August 2023 through August 2025, with the most significant inflection point in late July 2025 after the integrated SEO + SEM + AEO strategy fully launched.
Yes. The Digital Hall is applying this same integrated framework — SEO, SEM, CRO, and AEO — to clients across additional sectors, with AEO becoming an increasingly critical lever as AI search adoption grows.
For the full case study with charts and visuals, download the PDF version here.
This AEO case study is a real-world execution of The WRRAP Around Method™, The Digital Hall’s proprietary operating system for winning in SEO, AEO, and GEO simultaneously. The framework’s five pillars — White Hat, Reliable, Relevant, Amplification, and Performance — directly shaped every phase of this engagement, from the initial CRO audit through the AEO content structuring that earned the client a Google AI snippet.
White Hat and Reliable governed the technical SEO foundation. Relevant mapped the topical authority required to compete in women’s healthcare. Amplification powered the AEO schema, Q&A structuring, and multi-channel surface area that let ChatGPT, Claude, Perplexity, Gemini, and Google AI Overviews quote the brand. Performance closed the loop with continuous monitoring and adjustment — the same loop we run for every brand we touch.
This AEO case study was led by MonicaFaye Hall, founder of The Digital Hall and the strategist behind the WRRAP Around Method™. MonicaFaye and her team specialize in integrated growth programs that combine SEO, Answer Engine Optimization, Generative Engine Optimization, paid media, CRO, and web development under a single accountable roof. The team’s depth across healthcare, B2B, and AI search positioned this women’s health startup to win in both classic blue links and AI-generated answers — at the same time.
The team’s published thinking on AI visibility — including The AI Visibility Index — provides the strategic context for why early AEO adoption created such a durable competitive edge in this engagement.
Behind every result documented in this AEO case study sits a measurement stack that watches both classic SERPs and AI answer engines in parallel. The Digital Hall uses SERPfinity as the team’s primary platform for monitoring, tracking, analyzing, and recommending the next move. SERPfinity surfaces brand visibility across ChatGPT, Google AI Overviews, Perplexity, Gemini, and 20+ SERP features in a single dashboard — making it possible to see exactly which queries are surfacing the brand inside AI answers and where competitors are catching up.
For this engagement, SERPfinity data fed the Performance pillar of WRRAP: we tracked AI citations, monitored featured snippets, analyzed query intent shifts, and recommended content updates that compounded over the 12-month window. The result was the 2,176% traffic lift and the featured Google AI snippet documented above — not luck, but a measured, repeatable loop.
The Digital Hall is a Richmond, VA digital marketing agency specializing in SEO, AEO, GEO, PPC, web design, and conversion rate optimization. We help brands become discoverable across Google and AI engines including ChatGPT, Claude, Perplexity, and Gemini. Book a consultation to discuss how an integrated SEO + AEO strategy can drive measurable growth for your business.
