What is O-Shot?
The O-Shot (Orgasm Shot) is a non-surgical regenerative treatment that involves injecting platelet-rich plasma (PRP) derived from your own blood into specific areas of the vaginal tissue and clitoris. It aims to improve sexual function, sensitivity, and urinary control by stimulating tissue regeneration and increasing blood flow to the treated areas. The procedure is typically performed in a clinic setting under local anaesthetic and takes approximately 30–45 minutes.
Show Detailed Answer
The O-Shot is part of a broader category of regenerative aesthetic and functional gynaecology treatments. It uses your body’s own healing mechanisms to address concerns such as decreased sexual sensation, difficulty achieving orgasm, vaginal dryness, and mild stress urinary incontinence. Many women seek this treatment during perimenopause or menopause, after childbirth, or when they notice changes in intimate wellness that affect their quality of life.
The procedure begins with a simple blood draw, similar to a routine blood test. The blood is then processed in a centrifuge to separate and concentrate the platelets, which contain growth factors. This platelet-rich plasma is then carefully injected into the clitoral area and the upper vaginal wall (specifically the anterior wall near the G-spot). Local anaesthetic cream is applied beforehand to minimise discomfort.
How Does It Work? The Science Behind PRP
Platelets are naturally rich in growth factors—proteins that signal tissue repair and regeneration. When concentrated PRP is injected into vaginal and clitoral tissue, these growth factors are thought to:
- Stimulate collagen production: Collagen supports tissue structure and elasticity, which can decline with age or hormonal changes.
- Promote angiogenesis: The formation of new blood vessels improves circulation, enhancing sensitivity and natural lubrication.
- Encourage nerve regeneration: This may restore sensation that has been lost due to trauma, surgery, or hormonal shifts.
- Support tissue thickness: Helps reverse vaginal atrophy, a common consequence of low oestrogen levels.
What Conditions Might It Help?
The O-Shot is most commonly used to address:
- Reduced sexual arousal or difficulty reaching orgasm
- Decreased clitoral or vaginal sensitivity
- Vaginal dryness or discomfort during intercourse (dyspareunia)
- Mild stress urinary incontinence (leaking with coughing, sneezing, or exercise)
- Lichen sclerosus symptoms (in combination with other therapies)
- Post-partum changes affecting sexual function
- Genitourinary Syndrome of Menopause (GSM)
What to Expect: The Procedure Step-by-Step
- Consultation: Your clinician will review your medical history, discuss your concerns, and assess whether you are a suitable candidate.
- Blood Draw: A small amount of blood (similar to routine tests) is taken from your arm.
- PRP Preparation: The blood is centrifuged to isolate the platelet-rich plasma.
- Local Anaesthetic: Numbing cream is applied to the treatment areas for comfort.
- Injection: PRP is injected using a fine needle into the clitoris and upper vaginal wall.
- Recovery: Most women return to normal activities immediately, though you may be advised to avoid intercourse for 24–48 hours.
Results and Timeframe
Results are not immediate. Most women begin to notice improvements within 4–6 weeks as the tissue regenerates. Optimal results typically appear around 3 months post-treatment. Some practitioners recommend a second session after 3–6 months, followed by annual maintenance treatments, depending on individual response and goals.
Common Concerns & Myths
“Will it hurt?”
Most women report minimal discomfort due to the topical anaesthetic. You may feel brief pressure or a mild sting during injection, but the procedure is generally well-tolerated.
“Is it just a cosmetic fad?”
While the O-Shot has gained popularity in aesthetic circles, it is grounded in regenerative medicine principles. PRP has been used in orthopaedics, dentistry, and wound healing for years. However, evidence specific to sexual function is still emerging, and results can vary.
“Will it guarantee orgasms?”
No treatment can guarantee specific sexual outcomes. The O-Shot may improve physiological factors like sensitivity and blood flow, but sexual response is multifactorial, involving psychological, relational, and hormonal elements.
“Is it safe to have during menopause?”
Yes. In fact, many patients seeking the O-Shot are perimenopausal or postmenopausal women experiencing GSM. It can be used alongside other treatments like topical oestrogen for a comprehensive approach.
Clinical Context
The O-Shot falls within the field of regenerative gynaecology, which uses autologous (your own) biological materials to restore function. It is not currently a routine NHS treatment and is primarily offered privately. While there is growing clinical interest and patient-reported success, large-scale randomised controlled trials are still limited. The treatment should be delivered by a trained clinician with expertise in intimate anatomy and PRP techniques. Educational only. Results vary. Not a cure.
Evidence-Based Approaches
Self-Care & Lifestyle
Before or alongside the O-Shot, foundational self-care supports intimate health and optimises outcomes:
- Pelvic Floor Health: Regular pelvic floor exercises (Kegels) can improve muscle tone, support continence, and enhance sexual sensation.
- Hydration: Adequate water intake supports overall tissue health and natural lubrication.
- Nutrition: A balanced diet rich in antioxidants, omega-3 fatty acids, and protein supports tissue repair and collagen production.
- Avoid Irritants: Use gentle, fragrance-free cleansers and avoid douching, which disrupts the vaginal microbiome.
- Sexual Wellness: Regular, comfortable sexual activity (solo or partnered) promotes blood flow and tissue elasticity.
Medical & Specialist Options
The O-Shot is often part of a broader treatment plan tailored to your specific symptoms:
- Topical Vaginal Oestrogen: Gold standard for treating vaginal atrophy and dryness in menopause; can be combined with O-Shot for synergistic effects.
- Pelvic Floor Physiotherapy: Addresses muscle dysfunction, tension, or weakness that contributes to pain or incontinence.
- CO₂ Laser or Radiofrequency Therapy: Alternative regenerative options that use energy to stimulate collagen and improve vaginal tissue health.
- Psychosexual Counselling: Helpful when changes in sexual function are intertwined with anxiety, trauma, or relationship dynamics.
- Hormone Replacement Therapy (HRT): Systemic HRT may address broader menopausal symptoms that impact libido and overall wellbeing.
If you are considering the O-Shot, you can explore treatment benefits and see transparent pricing for a clear understanding of what to expect.
Red Flags (When to See a GP)
Seek medical review before pursuing any regenerative treatment if you experience:
- Unexplained vaginal bleeding or post-menopausal bleeding
- Persistent pelvic pain not linked to intimacy
- Signs of infection (unusual discharge, fever, odour)
- New lumps, ulcers, or skin changes in the genital area
- Severe urinary incontinence affecting daily life
External Resources:
Educational only. Results vary. Not a cure.