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Dr Farzana Khan

Dr Farzana Khan

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Dr Farzana Khan qualified as an MD from the University of Copenhagen in 2003. She has worked in dermatology and obstetrics & gynaecology across the North of England and completed her MRCGP (CCT, 2013) and the Diploma of the Faculty of Sexual & Reproductive Health (2013). Her clinical focus is vaginal health—including dryness/GSM, sexual function concerns, lichen sclerosus, and comfort or volume changes. She offers careful assessment, discusses medical and conservative options first, and considers selected regenerative or aesthetic treatments where appropriate. Dr Farzana also trains clinicians as a KOL/Trainer with Neauvia, Asclepion Laser, and RegenLab (since 2023). Ongoing CPD includes IMCAS, CCR, ACE and expert training in women’s intimate fillers, PRP, and polynucleotide injectables. Her approach is simple: clear explanations, realistic expectations, and shared decision-making. Authored and medically reviewed by Dr Farzana Khan.

MD MRCGP DFFP
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Symptom Relief
Functional Restoration
Clinical Indications

Women’s Health Clinic FAQ

What symptoms can the O-Shot help with?

The O-Shot® is more than just an aesthetic procedure; it is a clinical intervention designed to address specific, often life-altering symptoms related to female sexual and urinary health. By using your own regenerative growth factors, the treatment aims to restore the natural function of intimate tissues.

Direct answer

The O-Shot is clinically indicated for several key symptom clusters. Primarily, it addresses **sexual arousal and orgasmic disorders**, helping women who have difficulty reaching climax or experience reduced sensation. It is also highly effective for **Stress Urinary Incontinence (SUI)**, providing structural support to the urethra to prevent accidental leaks during exercise or coughing. Furthermore, it treats the **Genitourinary Syndrome of Menopause (GSM)**—specifically vaginal dryness, irritation, and atrophy—and provides significant relief for chronic skin conditions like **Lichen Sclerosus**. By stimulating new collagen and blood flow (neocollagenogenesis and neoangiogenesis), the O-Shot helps resolve the underlying tissue fragility that causes these diverse symptoms.

Whether your symptoms are a result of menopause, childbirth, or a chronic dermatological condition, the O-Shot protocol is tailored to your specific needs. The goal is to move beyond temporary 'fixes' like lubricants or pads and achieve a durable biological improvement in your quality of life.

Educational only. Clinical review of the primary symptoms and conditions addressed by the O-Shot regenerative protocol. Results vary. Not a cure.

Illustration mapping the symptoms addressed by the O-Shot
SYMPTOMS TREATED

At a glance

The O-Shot addresses symptoms by repairing tissue at a cellular level, focusing on these four primary clinical goals.

Primary Symptom Map

Clinical Indications

Sexual Health

Anorgasmia & Low Arousal

Bladder Support

Stress Incontinence (Leaks)

Tissue Comfort

Dryness & Dyspareunia

Skin Integrity

Lichen Sclerosus Relief

Assessment-Led Care

Successful symptom relief begins with an accurate diagnosis. We use objective tests, like the Cough Stress Test for bladder issues and the FSFI index for sexual health, to ensure the O-Shot is the right solution for your specific symptoms.

Urinary Leaks
Vaginal Atrophy
Painful Sex
Difficulty Reaching Orgasm
Lichen Sclerosus




Detailed answer

Solving the 'Triple Challenge'

Most women seek the O-Shot to solve one of three major functional challenges that impact their daily lives.

Restoring the 'G-Spot' Area

By injecting PRP into the anterior vaginal wall, the O-Shot thickens the tissue in the G-Spot area, which simultaneously improves sexual sensitivity and provides better structural support for the urethra.

Urethral Support
Collagen Synthesis
Vascular Growth
Nerve Regeneration

Sexual Arousal Disorders

PRP improves blood flow to the clitoris and vaginal wall. For many women, this translates to faster arousal, increased natural lubrication, and more intense orgasms.

Stress Urinary Incontinence

The O-Shot strengthens the 'pelvic fascia' around the mid-urethra. Research suggests an 80% success rate in reducing accidental leaks during physical activity.

Vaginal Atrophy (GSM)

Menopause causes tissue to thin and tear easily. The O-Shot promotes 'neocollagenogenesis,' creating thicker, more resilient tissue that resists irritation and pain.

Lichen Sclerosus (LS)

LS causes painful scarring and 'fusing' of skin. PRP growth factors help to break down scar tissue and promote healthy, elastic skin in the vulvar area.

The Evidence for Relief

Clinical data, such as the Blaganje et al. (2018) study, has shown that women treated with vaginal PRP experience statistically significant improvements in their sexual function scores and overall quality of life.

For SUI, while research is ongoing, pilot studies indicate that the majority of patients achieve a 'Much Better' or 'Very Much Better' rating on the Patient Global Impression of Improvement scale.





Patient safety

Secondary Symptoms Addressed

The 'domino effect' of O-Shot therapy often resolves related symptoms you might not expect.

Reduced Inflammation

Chronic 'burning' or 'stinging' sensations, often misdiagnosed as recurring thrush, can be resolved as the tissue health improves.

Improved Elasticity

Restoring the 'stretch' to vaginal tissues helps resolve dyspareunia (painful sex) that is caused by physical tightness or lack of natural lubrication.

Bladder Urgency

While primarily for 'stress' incontinence, some patients report an improvement in 'urge' symptoms as the local bladder environment stabilizes.

Skin Resilience

For LS patients, the 'marked improvement' in skin integrity means fewer chronic tears and lacerations, reducing the overall symptom burden.

Durability of Results

Because these symptoms are resolved through biological growth rather than temporary masking, the results often last for 12-18 months before a maintenance session is considered.

Our follow-up reviews at 3 and 6 months ensure that your symptom trajectory is on the right path and that the regenerative process is fully established.





Considerations

Targeting Your Specific Symptoms

The O-Shot is a precision procedure. Your specific symptoms dictate our injection map.

The 5ml Precision Protocol

We precisely distribute 5ml of concentrated PRP across specific target sites to address your primary concerns.

Clitoral Glide
Mid-Urethra Support
Anterior Mucosa
Lichen Sclerosus Sites

For Bladder Support

Injections are concentrated around the mid-urethra to provide the 'cushioning' effect needed to prevent leaks during exertion.

For Sexual Response

The focus is on the clitoral glans and the submucosal layer of the G-Spot, where nerve density and blood flow are most critical.

For Dryness & Pain

The PRP is spread across the vaginal rugae to stimulate the goblet cells responsible for natural lubrication and tissue thickness.

For LS Scarring

Injections are targeted directly into areas of thinning skin or 'whitening' to break down fibrosis and promote healthy skin layers.

Personalized Mapping

We don't use a 'one size fits all' approach. If your main 'why' is bladder leaks, your injection map will look different than someone seeking help for clitoral sensitivity.

This precision is why the O-Shot remains the industry standard for regenerative gynaecology.





Common concerns and myths

Symptom Myths vs. Reality

Addressing misconceptions about what the O-Shot can and cannot do.

Myth: It fixes all libido issues

Reality: It fixes *physical* arousal and sensation. Psychological libido (desire) may require additional hormonal or therapeutic support.

Myth: It's just for 'old' women

Reality: Women of all ages use it to recover from childbirth-related incontinence or to improve their natural sexual response.

Myth: It works instantly

Reality: While some feel immediate 'fullness,' true tissue regeneration takes 4-12 weeks to manifest as a real reduction in symptoms.

Myth: It can treat active infections

Reality: No. Active infections must be resolved before the O-Shot. PRP is for repair, not for killing bacteria or yeast.

Myth: One shot is enough for life

Reality: Biology is dynamic. Most women benefit from a maintenance session every 1-2 years to keep the symptoms at bay.





Safety checklist

The Symptom Assessment

Use this checklist to identify the symptoms you'd like to address during your consultation.

Urinary Incontinence

Do you leak when you cough, sneeze, jump, or exercise? (SUI)

Sensory Decline

Have you noticed a significant decrease in clitoral sensation or ease of reaching orgasm?

Intimate Comfort

Do you experience vaginal dryness, burning, or pain during sexual activity? (GSM/Dyspareunia)

Chronic Irritation

Do you have diagnosed Lichen Sclerosus with visible skin changes or chronic tearing?

The 3-Month Milestone

Most patients report their 'best' symptom relief at the 3-month mark, once the collagen remodeling is complete.

Sustained Relief
Tissue Remodeling
Biological Growth

When to Seek Other Care

If you have unexplained pelvic pain or abnormal bleeding, these must be investigated via ultrasound or smear before considering an O-Shot.

Abnormal Bleeding
Pelvic Masses
Unexplained Pain




When to escalate

Your Clinical Pathway

We follow the highest standards of urogynaecological care to ensure your symptoms are correctly managed. Check Your Symptoms

CST Testing

We perform the Cough Stress Test in both supine and standing positions to verify the severity of your incontinence.

PVR Check

We check your Post-Void Residual to ensure your bladder is emptying correctly before performing any injections.

Shared Decisions

We follow the 'SHARE' approach, ensuring you are a partner in deciding if the O-Shot is the best path for your symptoms.

Safety Grading

We use the Clavien-Dindo classification to monitor your recovery and ensure the highest possible safety standards.

Symptom improvement is based on clinical observation and individual biological response. It is not a guaranteed cure.

The NICE & AUGS Guidelines

Regulatory Framework for SUI

The National Institute for Health and Care Excellence (NICE) in the UK (under IPG696) and the AUGS/SUFU guidelines in the US provide the framework for how we treat Stress Urinary Incontinence. While these bodies currently categorize regenerative therapies like the O-Shot as 'Active Research,' the pilot data from the University of Iowa and international centers shows that up to 80% of women find meaningful relief. This is why we prioritize shared decision-making: we provide the latest evidence, and you decide if this natural biological approach is right for your symptoms.

The Role of Neocollagenogenesis

Why does the O-Shot help so many different symptoms? Because the core problem in all of them is 'tissue degradation.' Whether it's the urethral fascia weakening or the vaginal mucosa thinning, the 'fix' is the same: the creation of new, healthy collagen and blood vessels. By stimulating neocollagenogenesis, the O-Shot addresses the physical foundation of your sexual and urinary health.

Next step

Take Control of Your Health

Don't settle for 'managing' your symptoms. Start your journey toward biological restoration and reclaim your quality of life today.

Research Evidence: NICE IPG696; AUA/AUGS GSM Guideline 2025; Blaganje et al. (2018).

Educational only. The O-Shot is a clinical procedure. Symptom relief is dependent on accurate diagnosis and individual physiological response to Platelet-Rich Plasma. Results vary. Not a cure.

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