Yes, it’s really called the O-Shot. And yes, the “O” stands for what you think it stands for.
The O-Shot® uses platelet-rich plasma (PRP) from your own blood to support the tissues involved in arousal, sensation, and orgasm, and it’s also used for bladder leaks and some vulvar skin conditions. Below The Belt is a licensed O-Shot® provider.
We draw a small amount of your blood, spin it in a centrifuge to concentrate the platelets, and inject that platelet-rich plasma into two areas: the clitoris, and the upper wall of the vagina near the urethra. Platelets carry growth factors that signal tissue to repair itself, grow new blood vessels, and renew nerve and connective tissue.
It’s made from your own blood, with just a small amount of anticoagulant used during processing to keep it from clotting. There’s no filler. It doesn’t add volume or change how anything looks. It works on the health of the tissue. It also doesn’t touch your hormones, despite what the internet sometimes claims.
One thing it isn’t: a pill for low desire. Desire lives mostly in the brain and hormones, and the O-Shot works on the tissue. If low desire is the main issue, start with our low libido page. Many women do best treating both.
We start with your symptoms, history, and an exam, and we look at the whole picture, including hormones, pelvic floor, and medications. Then we talk honestly about whether the O-Shot fits, what the evidence shows, and the risks and benefits compared to your other options.
Some anti-inflammatory medications and supplements affect how platelets work, so we may ask you to pause them for a few days beforehand. Drink plenty of water. It makes the blood draw easier.
The O-Shot often works best alongside other treatments, like vaginal estrogen, testosterone, laser therapy, or pelvic floor PT. We’ll build the combination that fits you.
First, numbing cream goes on and gets time to work. While it does, we draw your blood and prepare the PRP. The injections themselves take just a few minutes, using a very fine needle in numbed tissue. Most women feel pressure more than pain.
Plan on about an hour total, most of it waiting for the numbing cream. You can go back to your normal day afterward.
Some swelling, tenderness, or a feeling of fullness is common for a day or two. Some women also notice they’re a bit more sensitive or aroused in the first few days. That’s mostly swelling, not the final result, but nobody complains.
Mild bruising, soreness, and spotting at the injection sites are the most common. Because it’s made from your own blood, allergic reactions are very unlikely. Infection is rare, but possible with any injection.
Most women go right back to work and daily life. We’ll give you specific instructions about sex and exercise for the first day or so.
Call us if you have pain that’s getting worse instead of better, fever, or swelling or redness that keeps spreading.
Any early boost in the first few days is mostly swelling. Real changes come from tissue responding to the growth factors, which builds gradually over the following weeks to about three months. Results vary, and many women repeat the O-Shot about once a year to maintain them.
Results vary. Your plan and expectations will be based on your own evaluation.
PRP has a solid track record in other areas of medicine, like orthopedics, wound healing, and dermatology. For sexual function, bladder leaks, and lichen sclerosus, the research is promising and understudied: early studies and plenty of real-world experience, but not yet the large trials we’d all like to see.
We’re genuinely excited about it, and we’ll be straight with you about where the evidence stands, what results to realistically expect, and whether the O-Shot makes sense for you.
We’re a cash-pay clinic, so there are no surprise insurance bills. The O-Shot is $1,500. It can also be bundled with other treatments, like laser therapy, at a bundled price. You’ll get a clear quote after your consultation, before anything starts.
Your care is led by Dr. Jake Shank, a board-certified physician, Menopause Society Certified Practitioner, and licensed O-Shot® provider. That means the O-Shot is done by the protocol it was designed with, as part of a full sexual health practice, not as a one-off injection.
Pretty much. “Libido shot” is a common nickname, but it’s a little misleading. The O-Shot works on arousal, sensation, and orgasm in the tissue, not desire itself. If low desire is your main concern, we’ll look at that too.
No. It’s platelet-rich plasma from your own blood. It doesn’t add volume or change how anything looks.
With numbing cream, most women feel pressure more than pain. The injections take just a few minutes.
It varies. Many women repeat it about once a year to maintain their results.
Yes, and many women do. It pairs well with laser therapy, vaginal estrogen, testosterone, and pelvic floor care, and we offer bundled pricing.
Book a consultation and bring your questions, even the awkward ones. Especially the awkward ones.
