What is ‘O’ shot?

‘O’ Shot is injection of platelet rich plasma (PRP) around the clitoris and the vaginal area to treat Sexual dysfunction. ‘O’ shot is a patented name by Dr. Charles Runnels who invented the technique. It was actually suggested to him by his patient.


What is PRP?

PRP is an abbreviation for Platelet Rich Plasma. Our blood is composed of various components, red blood cells, white blood cells and platelets. Platelets are unique in a way that they contain growth factors that help repair and regenerate the area they are injected in. For example, if you have a cut and are bleeding the platelets form a plug that stops the bleeding, then they release growth factors that help in regeneration and repair of the cut.

How Does it work?

Sexual function has 5 components: desire, arousal, lubrication, pain and orgasm. Current traditional treatments include psychosexual counselling and/or testosterone (unlicensed use) which does not address all the components of sexual function. Platelet rich plasma (PRP) injection to the clitoris and to the vagina has proven to be beneficial in studies to improve all 5 components of sexual function. Platelet rich plasma works in many different ways, studies have shown an increase in the pluripotent stem cells resulting in rejuvenation and increase in growth factors liberated from PRP that enhance blood supply and nerve growth. It is also said to relieve coital discomfort due to collagen remodelling and nerve growth.

Is it painful?

There are only two injections involved with a very fine needle. We use numbing cream 20 mins before the procedure. It is similar to doing PRP for the face.

Are there any risks?

There are no risks to the PRP as it is from your own blood. Occasionally one can get flu like symptoms after the PRP injection, however, this is very rare.

Is it painful?

It is an entirely painless procedure as the injection is given in the vagina, an area that is relatively pain insensitive.

Are there any risks?

There are no risks to the PRP as it is from your own blood. Some patient occasionally can get flu like symptoms after PRP injection. However, this is very rare.

How Many do I need and how long will the effects last?

The recommended dose is 3 injections 6-8 weeks apart and studies show that it might last for up to a year. Most women will need maintenance on a yearly basis. However, the results are variable.

Is there any down time after the treatment?

Immediately after the procedure it might be slightly uncomfortable. One would be able to carry on with their day to day activities. We advise avoiding baths or having sex for 48 hours mainly to prevent infection.

What equipment do we use?

We use the Reagen PRP tubes that provide 1.6 times concentration of platelets suspended in plasma. Each 10 ml of blood give 5-6 mls of PRP. We often concentrate the platelets to 3 mls for each tube to achieve better concentration of platelets.

Is this a cosmetic procedure?

Though the procedure is provided in many aesthetic clinics, the procedure itself is for treatment of sexual dysfunction. Hence not purely considered as a cosmetic procedure.

How do I know if it has worked?

We request you to fill up the female sexual function (FSF) questionnaire which is a validated questionnaire to evaluate sexual function. We then monitor sexual function through follow up questionnaires. We expect you to notice improvement in desire, arousal, lubrication and orgasms. You would also notice an increase in wetness making sex less painful.

How soon will I see the results?

We often expect improvement in symptoms even after the first injection. Maximum effect is seen after 3 injections 4-6 weeks apart.

Is this treatment suitable for all?

Yes, this treatment is suitable for all as it uses one’s own blood. Recent flu or infection makes the treatments less effective and we would advise patients to refrain from having these treatments for few weeks after infections.

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