Sexual Wellness
The O-Shot: Mechanism and Patient Selection
O-Shot mechanism candidates — what it is, who is a candidate, and how we approach it clinically. A patient guide from Travis Woodley, NP.
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Changes in sexual sensation, arousal, lubrication, and orgasm confidence are common as women age — and they are almost never discussed in a clinical setting. Hormonal shifts, reduced blood flow, and tissue changes in the vaginal area can significantly affect sexual function and intimate comfort. Many women have never had these concerns addressed by a provider who takes them seriously.
What is this treatment?
The O-Shot uses platelet-rich plasma (PRP) derived from a small sample of your own blood, which is processed to concentrate the growth factors and then injected into specific areas of the clitoral complex and upper vaginal region using topical anesthetic. The growth factors in the PRP support tissue regeneration, circulation, and nerve sensitivity in the treated areas. It is an autologous procedure — no synthetic materials, no foreign substances.
How we approach it at Revitalize
The procedure begins with a private consultation to discuss your concerns, health history, and goals. On the day of treatment, a small blood sample is drawn and processed. Topical anesthetic is applied to the treatment area and given time to work. The PRP is then delivered via fine-needle injection. Most women describe the procedure as tolerable and return to normal activities the same day.
Who is a good candidate
- ✓Women experiencing reduced sensitivity or difficulty with arousal or orgasm
- ✓Those with decreased natural lubrication causing discomfort during intimacy
- ✓Women who prefer non-surgical, non-hormonal options for sexual wellness
- ✓Those experiencing mild stress urinary incontinence (leakage with coughing, laughing, or exercise)
- ✓Patients whose concerns have not been adequately addressed through hormonal approaches alone
Not appropriate for
- ×Active vaginal infections — treatment should be deferred until resolved
- ×Bleeding disorders or anticoagulation therapy that cannot be safely paused
- ×Pregnancy
- ×Certain medical conditions that affect platelet function or healing
- ×Those with expectations of guaranteed outcomes — PRP results are variable
What to expect at your appointment
1
Private consultation: We review your concerns, your health history, and your goals in a private, confidential setting. You will have the opportunity to ask every question you have before any decision is made.
2
Blood draw: A small sample of blood is drawn and processed in the centrifuge to concentrate the platelets.
3
Topical anesthetic: Applied to the treatment area approximately thirty minutes before the procedure.
4
Procedure: Fine-needle injection of the prepared PRP into the target areas. The procedure takes approximately fifteen to twenty minutes.
5
Recovery: Most women resume normal activities the same day. Mild soreness is possible for a day or two. Sexual activity is typically deferred for twenty-four to forty-eight hours post-procedure.
6
Timeline for results: Some women notice improvements within days. More significant changes in sensation and arousal typically develop over four to twelve weeks as the PRP's growth factors stimulate tissue regeneration.
Beyond the Clinic
Go deeper with the Rebuild Institute
If clinic visits are not the full picture for you, the Rebuild Metabolic Health Institute is the structured coaching layer Travis built for patients who want more depth than a single appointment can give.
Learn About the Institute →From the Learning Library
Related reading on O-Shot
Frequently asked questions
PRP for sexual wellness (O-Shot) is not FDA-approved for this indication and is considered investigational. Individual results vary significantly. This is not a treatment for medical conditions. Information on this page is educational and does not constitute medical advice. Consultation required.
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