There is no universally proven “best” polarity in PEMF. Like many PEMF specifications, it depends on the device, the waveform, the coil design and how the signal is being used. There is not one clear scientific answer that unipolar or bipolar is always better for every purpose.
That said, many leading PEMF experts tend to lean more towards bipolar or alternating polarity, especially for general use.
One reason is the idea of ion movement. With a unipolar pulse, the signal may encourage movement more in one direction. With a bipolar or alternating pulse, the field changes direction, which may encourage ions to move back and forth rather than being pushed one way.
This back-and-forth movement may be closer to the kind of repetitive signals the body naturally experiences through movement, pressure and electrical activity.
For most people, bipolar or alternating polarity is a sensible option to look for, but it should still be considered alongside intensity, frequency, waveform, slew rate, coil design and application.