O-Shot ®

The O-Shot procedure is performed in our Plymouth office by Julianne Arena, MD, a trained OB/GYN and surgeon.  

Do you wish there was a non-surgical way to treat urinary leaks?

Do you wish there was a way to rejuvenate your sex life?

Do you suffer with…

-Accidents when you jump, laugh, or cough?

-Leaks when you wait too long?

-Low sexual desire?

-Difficulty being aroused?

-Trouble reaching orgasm?

-Painful sex?

-Vaginal dryness?

-Lichen sclerosus?

What are the benefits?

-Non-surgical

-Drug Free

-95% experience resolution of urinary incontinence

-Mesh pain can improve

-Enjoy sexual relations on the day of the procedure

-Increased sensitivity and desire

-Tighter vaginal skin

-Almost instantaneous results

-Fast and relatively painless

-Better, healthier sex

How does it work?

The O-Shot® procedure is a quick, usually painless, 20 minute, non-surgical procedure. The O-Shot® procedure begins with a simple blood draw. Then, using a proprietary technique, platelet rich plasma is extracted from the blood and injected into the numbed area near the clitoris and upper vagina. There is no recovery time and results are almost immediate in some women.*

Who can get it?

Almost anyone can get an O-Shot®. Your provider will help you determine if this is the best procedure for you. Women both on and off hormone replacement therapy can usually benefit from the O-Shot® procedure.

Suffer with Lichen Sclerosus?

In a recent study, researchers determined that most women suffering with Lichen Sclerosus showed improvement when treated with the O-Shot® procedure. Women reported statistically significant improvement in symptoms and pathologists observed a decrease in inflammation.

What conditions is the O-Shot good for?

The O-Shot helps with a wide range of conditions, from incontinence, to chronic pain from mesh or childbirth, chronic interstitial cystitis, Lichen planus and Lichen sclerosus, and all manner of female sexual dysfunction. It can help alleviate symptoms such as vaginal dryness, low sexual arousal or difficulty with orgasm, as well as many conditions that make intercourse painful. 

Biopsy studies show that when platelet-rich plasma (PRP) is injected, stem cells multiply and grow new younger tissue. The O-Shot ® procedure works by using PRP to stimulate stem cells to grow healthier vaginal tissue. It also has been shown to downregulate autoimmunity as well as decrease inflammation with healing.

How long does the procedure take?

The whole procedure for processing the blood and injecting the growth factors takes less than 20 minutes in the doctor's office.

How many visits will I need?

For the majority of patients, 1 visit is all that’s required. For Lichen sclerosus, repeat injections are necessary for best results. An additional injection may also be needed for urinary incontinence, depending on how severe the condition is.

How long do the effects last?

It’s a little different for everyone, but the average is right around a year with the range of 9-18 months.

What can I expect during the procedure?

First the doctor or nurse applies a numbing cream to the vagina and the arm.  Then blood is drawn from the arm and using a centrifuge and a special method, platelet rich plasma is isolated from the blood. Using a very thin needle, the PRP growth factors are injected into the clitoris and the upper vagina into an area most important for the sexual response.  Because these areas have been numbed with the anesthetic cream, the woman feels little or no pain.

What can I expect following the procedure?

In the beginning, what's usually observed by almost all women is nothing. It is also not uncommon for people to have decreased sensation, which can last from a few days to a few weeks. Increased sensation and libido with hypersexuality is rarer, but does happen. Some may experience some mild burning or itching. Most women have a little spotting from the injection and may want to wear a pantyliner for the day. That's about it. Most women, therefore, experience almost nothing for the first three weeks.

Then, things start to kick in. If they had pain, it starts to decrease. Most of the beneficial effects start to happen at three weeks and the symptoms that might be more a nuisance, like decreased sensation or hypersexuality, start to go away by that time.

Does it hurt?

Most women do not experience any pain with the procedure, and many report it being over before they even knew it had started. Any sensation that is experienced is very mild.

Can it still help someone without a “problem?”

Almost all women receiving the O-Shot™ procedure enjoy an increase in their sexual response, and for many the increase is dramatic. The following results have been reported by patients who have received the O-Shot: greater arousal from clitoral stimulation; younger, smoother skin of the vulva; tighter vaginal opening; increased natural lubrication; increased ability to achieve orgasm and stronger, more frequent orgasms. Even in the absence of dysfunction or disease, the O-Shot can have a positive impact on sexual health.

Does it work for everyone?

Nothing works for everyone. While the O-Shot has a very high success rate, certain things such as libido and the ability to orgasm are so multifactorial, that they might not be resolved with O-Shot alone. They may be impacted by hormone levels, prescription medications, relationship issues, emotional factors, and general health. 

*Results may vary

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