O-Shot® & Women's Wellness

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O-SHOT® · WOMEN'S SEXUAL WELLNESS · CMA LICENSED PROVIDER

Your Body Has Changed. Intimacy Can Feel Different Again.

The O-Shot® (Orgasm Shot®) delivers platelet-rich plasma to the clitoris and anterior vaginal wall, stimulating tissue regeneration, increased blood flow, heightened sensitivity, and improved orgasmic function. At Arbour Longevity, it's assessed within the hormonal context that determines how powerfully the tissue responds: estrogen optimization before the O-Shot produces outcomes that no medspa offering PRP alone can achieve.

O-Shot® · CMA Licensed Provider

Orgasm Shot®: Complete Overview

"After my second child, then menopause, intimacy just felt different. Less. I’d accepted it as something I had to live with. I didn’t know there was a clinical option until I came to Arbour Longevity."

The O-Shot® delivers PRP to two specific anatomical locations: the clitoris and the anterior vaginal wall (near the Skene's gland and urethral opening). The growth factors, VEGF, PDGF, TGF-β, stimulate angiogenesis (new capillary formation), collagen production, and nerve regeneration in the tissue responsible for arousal, lubrication, and orgasm.

The clinical mechanisms: increased clitoral blood flow · improved engorgement and sensitivity. Anterior vaginal wall regeneration · improved lubrication, reduced dyspareunia, and structural support for stress urinary incontinence. The results develop over 6–12 weeks. Series of up to 3 sessions recommended, spaced 4–8 weeks apart, consistent with CMA protocol. Annual or biannual maintenance based on individual response and hormonal status.

The Arbour Longevity difference: estrogen directly governs the tissue receptor sensitivity that determines how dramatically PRP can stimulate regeneration. Low-estrogen tissue responds modestly. Hormonally optimized tissue responds profoundly. Every O-Shot patient at Arbour Longevity has their hormonal status assessed before treatment, not as an upsell, but as a clinical determinant of outcome.

Series of up to 3 sessions · Annual or biannual maintenance based on response

Published Evidence: O-Shot® / PRP Female Sexual Wellness

Brazil Pilot Study (n=68 women, 2016–2017): 94% of patients satisfied, improvements in lubrication, arousal, libido, dyspareunia, and anorgasmia. Mahmoud et al. (2021): orgasm scores more than doubled after O-Shot treatment. Studies on PRP for stress urinary incontinence: 90%+ symptom relief in some cohorts. 2023 Systematic Review (PMC): acknowledges promising results but calls for more RCTs. Honest clinical context: this evidence base is emerging, not established. Arbour Longevity presents it accurately, not as a guarantee, but as a well-tolerated procedure with meaningful patient-reported outcomes in the existing literature.

Supporting Clinical Research

What to Expect: O-Shot® Protocol

Preparation

Topical numbing cream. Blood drawn from arm. 30–45 minutes numbing.

Processing

Blood centrifuged. PRP separated and activated. FDA-approved system.

Injection

PRP injected into clitoris and anterior vaginal wall. Minimal discomfort with numbing.

Recovery

Return to normal activity immediately. Results develop over 6–12 weeks. Series of up to 3 sessions, spaced 4–8 weeks apart, for full program benefit. Annual or biannual maintenance based on response. Resume Sexual Activity after 5 Days.

Stress Urinary Incontinence · O-Shot® Application

Stress Urinary Incontinence

"The leaking when you laugh, sneeze, or exercise. It's not something you talk about. It's also not something you should simply accept."

Stress urinary incontinence, involuntary urine leakage during physical activity, sneezing, coughing, or exercise, affects approximately 35% of women and is dramatically underreported. The O-Shot® addresses this through PRP-stimulated collagen production and structural tissue support at the urethral sphincter and anterior vaginal wall.

Published evidence: a 2021 prospective study (Athanasiou et al., Female Pelvic Med Reconstr Surg) showed significant SUI improvement. Multiple cohort studies report 90%+ patient satisfaction for SUI improvement at 1–6 months post-treatment. Arbour Longevity assesses SUI as part of the complete women's sexual wellness consultation, not as a separate billing category.

Why Hormonal Optimization Changes Everything for the O-Shot®

The Estrogen + O-Shot Connection

Estrogen governs the density of estrogen receptors in vaginal and clitoral tissue, which directly determines how powerfully growth factors can stimulate regeneration when PRP is applied. In an estrogen-deficient state (perimenopause, menopause, postpartum, or OCP-induced), tissue is atrophied, receptor density is reduced, and PRP produces a muted response.

In an estrogen-optimized state, tissue is well-vascularized, receptor-dense, and primed for the regenerative stimulus that PRP provides. The outcome differential is not marginal, it is the difference between modest improvement and meaningful transformation.

At Arbour Longevity, every O-Shot patient receives a hormonal assessment before treatment. If estrogen optimization is indicated, Arbour Longevity can provide that through its hormone program simultaneously with the O-Shot preparation, producing a coordinated approach that no medspa offering O-Shot as a standalone procedure can match.

What changes with hormonal optimization

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Vaginal tissue thickness increases, creating more robust tissue for PRP to stimulate and regenerate

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Estrogen receptor density improves, making the tissue more responsive to growth factor signaling

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Baseline lubrication improves, reducing dyspareunia before PRP treatment even begins

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Clitoral blood flow improves, the vascular foundation that O-Shot further augments

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Testosterone (even in small amounts for women) amplifies libido and clitoral sensitivity independently of PRP

"The O-Shot is a powerful procedure. Optimized hormones make it a transformative one."

"I thought the changes were just aging. Normal. Gandhi explained that what I was experiencing was hormonal and vascular, not inevitable, and that it was entirely addressable. With the O-Shot and hormone optimization working together, I felt a difference I hadn’t felt in years."
‍O-Shot® + Hormone Optimization Patient · Arbour Longevity Women's Wellness Program · Ann Arbor

Questions Patients Ask: Answered Honestly

Nothing Here is Embarrassing.

how long will the process take?

Estimated 40minutes to 1 hour

O-Shot® · Women's Sexual Wellness · Ann Arbor

You Shouldn't Have to AcceptThis as the New Normal.

Reduced sensation, difficulty with arousal or orgasm, vaginal dryness, painful intercourse, stress urinary incontinence: these are addressable clinical concerns, not inevitable consequences of aging or childbirth. The consultation is private, clinical, and unhurried. Your clinician has heard every concern before, without judgment, with genuine intent to help.

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