O-Shot (Orgasm Shot) in San Antonio: A Non-Surgical Option for Sexual Wellness & Urinary Concerns

While research on PRP for women’s sexual health is still emerging, many patients report positive outcomes. Dr. Hailparn provides a thorough consultation to help you understand what the O-Shot can and cannot do, ensuring realistic expectations before treatment.

What Is the O-Shot?

The O-Shot was developed by Dr. Charles Runels (creator of the Vampire Facelift®) and involves injecting platelet-rich plasma into vaginal and clitoral tissue. PRP contains concentrated growth factors derived from your own blood that may stimulate tissue regeneration, increase blood flow, and enhance nerve sensitivity.

The procedure takes approximately 20-30 minutes and is performed in-office with topical numbing to minimize discomfort. Most women can return to normal activities the same day.

How the O-Shot Works: The Science Behind PRP

Platelet-rich plasma therapy has been used in medicine for decades, including in orthopedics, wound healing, and facial rejuvenation. The theory behind the O-Shot is that when PRP is injected into vaginal and clitoral tissue, the growth factors stimulate the production of new collagen, blood vessels, and nerve tissue—potentially leading to improved sensitivity and function.

A 2019 study in the Turkish Journal of Obstetrics and Gynecology found that PRP injections to the anterior vaginal wall showed statistically significant improvements in Female Sexual Function Index (FSFI) scores, including the orgasm subdomain, in 52 women with sexual dysfunction. ^[1]

What Does the Research Show About the O-Shot?

It’s important to understand the current state of research on PRP for women’s sexual health:

Encouraging early results: A 2023 systematic review in Biomedicines found that while available studies show “promising initial results,” the level of evidence remains limited due to small study sizes and methodological variations. ^[2]

Patient-reported improvements: Many women who receive the O-Shot report improvements in arousal, orgasm quality, and lubrication. On RealSelf, the O-Shot has an 86% “Worth It” rating based on patient reviews. ^[3]

Need for larger studies: Medical experts agree that larger, well-designed randomized controlled trials are needed to definitively establish efficacy. The current evidence is based primarily on pilot studies, case series, and patient-reported outcomes.

Individual results vary: Not all women respond to the O-Shot, and results can depend on individual factors, underlying conditions, and psychological components of sexual function.

Potential Benefits of the O-Shot

Based on clinical observations and patient reports, women who respond to the O-Shot may experience:

• Increased sensitivity and arousal
• Improved orgasm quality and frequency
• Better natural lubrication
• Decreased discomfort during intercourse
• Improvement in mild stress urinary incontinence symptoms

Important: Results vary significantly between individuals. Some women experience dramatic improvements while others notice more modest changes or no change at all. Dr. Hailparn will discuss realistic expectations based on your specific situation during your consultation.

O-Shot for Stress Urinary Incontinence

Some of the more promising research on vaginal PRP involves stress urinary incontinence (SUI)—the involuntary leaking of urine when coughing, sneezing, laughing, or exercising.

A 2021 prospective pilot study published in Female Pelvic Medicine & Reconstructive Surgery found that women receiving PRP injections showed significant improvement in SUI symptoms at 3 and 6 months, with 80% of women reporting improvement at the 6-month follow-up. ^[4]

A 2023 randomized controlled trial confirmed that PRP injections were superior to sham (placebo) injections in improving SUI symptoms, with improvements in validated questionnaire scores. ^[5]

While these results are encouraging, the O-Shot is not a first-line treatment for urinary incontinence. If SUI is your primary concern, Dr. Hailparn will discuss all treatment options, including pelvic floor therapy, ThermiVa, and surgical interventions.

O-Shot for Lichen Sclerosus

Lichen Sclerosus is a chronic inflammatory skin condition affecting the vulva that causes white, patchy skin, intense itching, burning, and pain. Standard treatment involves long-term topical corticosteroids, but 30-40% of patients don’t achieve adequate relief with steroids alone.

Emerging research suggests PRP may offer an additional treatment option:

• A 2022 study of 94 patients with genital Lichen Sclerosus found that PRP treatment (3 sessions) resulted in significant symptom reduction at 6 months, with improvements in pain, burning, and itching. ^[6]
• A 2023 study of 28 women with vulvar Lichen Sclerosus unresponsive to steroids showed statistically significant symptom improvement that was sustained throughout a year of monitoring. ^[7]
• A 2023 comprehensive review noted that PRP therapy shows “promising results” for Lichen Sclerosus, with many patients able to reduce reliance on topical steroids. ^[8]

Note on Lichen Sclerosus: While PRP shows promise as an adjunctive treatment, it is not a cure for Lichen Sclerosus. The condition requires ongoing management. If you have Lichen Sclerosus, Dr. Hailparn can discuss whether the O-Shot might be appropriate as part of your comprehensive treatment plan.

Who May Be a Good Candidate for the O-Shot?

The O-Shot may be worth considering if you:

• Experience decreased sexual satisfaction or difficulty with arousal
• Have difficulty achieving orgasm
• Experience vaginal dryness
• Have mild to moderate stress urinary incontinence
• Have been diagnosed with Lichen Sclerosus
• Are looking for non-surgical options
• Have realistic expectations about potential outcomes

The O-Shot may not be appropriate if you:

• Are currently pregnant or breastfeeding
• Have an active vaginal infection
• Have a blood clotting disorder or platelet dysfunction
• Take anticoagulant medications
• Have a history of certain cancers
• Have sexual concerns primarily related to relationship issues, stress, or psychological factors (the O-Shot cannot address these)

What to Expect: The O-Shot Procedure

The O-Shot is a straightforward in-office procedure:

1. Consultation: Dr. Hailparn discusses your concerns, medical history, and goals to determine if the O-Shot is appropriate for you
2. Blood draw: A small amount of blood is taken from your arm (similar to a routine lab draw)
3. PRP preparation: Your blood is processed in a centrifuge to isolate the platelet-rich plasma
4. Numbing: A topical anesthetic cream is applied to ensure comfort
5. Injection: The PRP is injected into specific areas of the clitoral and vaginal tissue
6. Recovery: Most women can return to normal activities immediately

The entire procedure typically takes 20-30 minutes. Most women report minimal discomfort thanks to the numbing cream.

What Our O-Shot Patients Say

These women came to the Cosmetic Gynecology Center of San Antonio looking for answers. Here’s what they found.

“I’ve never met a doctor so warm, caring, and passionate about women’s healthcare. With other doctors, it’s ‘what’s wrong’ and out they go. Dr. Hailparn listened to my concerns and asked questions relevant to my issues — my consultation was about ninety minutes. I had ThermiVA and the O-Shot. It’s been about 3 months and I’m very pleased with the results. I look and feel so much better, and sex is better too. I don’t want just anyone messing with my you know what — I highly recommend Dr. Hailparn.” — Verified O-Shot Patient, Healthgrades
★★★★★

“I was dealing with mild stress incontinence and a big drop in sexual sensation after menopause. The O‑Shot made a noticeable difference — I feel more responsive, and the bladder leaks have improved so much. I honestly didn’t expect results this good from such a quick, non‑surgical treatment.” — Ellen V., O-Shot Patient
★★★★★

“I decided to try the O‑Shot because dryness and low sensitivity were really affecting my confidence. Within a few weeks, I noticed better lubrication and a real improvement in how everything felt. It’s such a relief to enjoy intimacy again without discomfort.” — Isabella, O-Shot Patient
★★★★★

O-Shot Results Timeline

If you respond to the O-Shot, results develop gradually:

Important: Not all women respond to the O-Shot. In clinical studies, approximately 60-85% of women report improvement, meaning 15-40% may not see significant changes. A second treatment may be recommended if initial results are modest.

Safety and Side Effects of the O-Shot

The O-Shot has a favorable safety profile because it uses your own blood—eliminating the risk of allergic reaction or rejection. PRP therapy has been used safely in various medical applications for decades.

Possible temporary side effects include:

• Minor bruising at the blood draw site
• Temporary swelling or tenderness in the treatment area
• Light spotting
• Temporary numbness from the anesthetic
• A feeling of fullness for a few days

Serious complications are extremely rare when the procedure is performed by a trained provider in a sterile environment.

Combining the O-Shot with Other Treatments

For comprehensive results, the O-Shot can be combined with other treatments:

• O-Shot + ThermiVa: ThermiVa uses radiofrequency energy to address vaginal laxity and dryness. Combining ThermiVa with the O-Shot may provide both structural tightening and enhanced sensitivity.
• O-Shot + Hormone Therapy: For menopausal women, addressing hormonal factors with HRT alongside PRP treatment may provide more comprehensive results.
• O-Shot + Pelvic Floor Therapy: Research shows PRP combined with pelvic floor muscle training may be more effective for urinary incontinence than either treatment alone. ^[9]

O-Shot Cost

The cost of the O-Shot varies based on individual treatment plans. During your consultation, Dr. Hailparn will provide a specific quote. The Cosmetic Gynecology Center of San Antonio offers financing options.

The O-Shot is considered an elective procedure and is not covered by insurance.

Why Choose Dr. Hailparn for Your O-Shot in San Antonio

• Board-Certified OB-GYN: Specialized training in female anatomy and reproductive health—not available at most med spas
• Over 30 years of experience: Extensive expertise in women’s health and cosmetic gynecology
• Honest consultation: Dr. Hailparn will tell you if she believes the O-Shot is appropriate for your situation—and will discuss alternative options if it’s not
• Comprehensive care: Access to multiple treatment options (ThermiVa, EmpowerRF, surgical cosmetic gynecology procedures) if the O-Shot isn’t the best fit

Private, compassionate environment: Your comfort and dignity are prioritized. See what patients say about their experience.

Schedule Your Consultation

If you’re interested in learning whether the O-Shot might help with your concerns, Dr. Hailparn offers private consultations to discuss your symptoms, goals, and treatment options. She believes in providing honest, complete information so you can make an informed decision.

Contact the Cosmetic Gynecology Center of San Antonio at 210-615-6646 or use our online form to schedule your appointment.

References

1. Şükür YE, et al. Platelet-rich plasma administration to the lower anterior vaginal wall to improve female sexuality satisfaction. Turkish Journal of Obstetrics and Gynecology. 2019;16(4):228-234.
2. Dankova I, et al. Efficacy and Safety of Platelet-Rich Plasma Injections for the Treatment of Female Sexual Dysfunction and Stress Urinary Incontinence: A Systematic Review. Biomedicines. 2023;11(11):2919.
3. RealSelf O-Shot Reviews. https://www.realself.com/nonsurgical/o-shot (Accessed December 2024)
4. Athanasiou S, et al. The Use of Platelet-Rich Plasma as a Novel Nonsurgical Treatment of the Female Stress Urinary Incontinence: A Prospective Pilot Study. Female Pelvic Medicine & Reconstructive Surgery. 2021;27(11):e668-e672.
5. Athanasiou S, et al. Platelet-Rich Plasma for the Treatment of Stress Urinary Incontinence—A Randomized Trial. Female Pelvic Medicine & Reconstructive Surgery. 2023. (NCT05112718)
6. Tedesco M, et al. Platelet-rich plasma for genital lichen sclerosus: analysis and results of 94 patients. Journal of Dermatological Treatment. 2022;33(3):1558-1562.
7. Medina Garrido C, et al. Mid-term symptomatic relief after platelet-rich plasma infiltration in vulvar lichen sclerosus. Archives of Dermatological Research. 2023;315(6):1527-1532.
8. Paganelli A, et al. Platelet-Rich Plasma (PRP) and Adipose-Derived Stem Cell (ADSC) Therapy in the Treatment of Genital Lichen Sclerosus: A Comprehensive Review. International Journal of Molecular Sciences. 2023;24(22):16107.
9. Saraluck A, et al. Autologous platelet rich plasma (A-PRP) combined with pelvic floor muscle training for the treatment of female stress urinary incontinence (SUI): A randomized control clinical trial. Neurourology and Urodynamics. 2024;43(2):342-353.