O-Shot Vancouver
We specialize in PRP O-Shot (Orchid Shot™)

PRP O-Shot (Orchid shot with Platelet Rich Plasma for Urinary Incontinence and Sexual Health) Vancouver BC

New: The O-Shot can help with Lichen Sclerosus (link)

How does the O-Shot (Orchid Shot™) work?

  • This new regenerative treatment uses natural growth factors for healing and rejuvenation of the female urogenital system.
  • The O-Shot is very effective for treating stress urinary incontinence.
  • It’s a relatively painless procedure using PRP prepared from a sample of the patient’s own blood using a centrifuge.
  • The PRP is then activated and injected into the vagina and clitoris (g-spot).
  • The O-Shot can improve sexual function, desire, and urinary leaking and frequency.
  • Click here to learn about what is PRP?

Does the O-Shot® Really Work?

Overall it is quite effective, but it’s better at treating some conditions than others. For example, it tends to work very well as a non-surgical treatment for urinary incontinence, with a success rate of over 90% after a single treatment, according to most surveys. This includes frequency, urge, and leaking with coughing, sneezing, jumping, running or other activity. There are even reports that it can help with interstitial cystitis, although this is anecdotal.

Many women report an increase in arousal, desire and pleasure. However, it is important to remember that this is an off-label, experimental treatment, so results will vary. It seems to work well for conditions such as bladder leaking with sneezing, coughing, running, jumping, and even troublesome conditions such as lichen sclerosus. With sexual dysfunction the improvement rate is lower, but still very high at approximately 85% after two treatments.  

Other important factors include medical history, medication, diet, and lifestyle. Training and experience of the physician is also important.

History and Research of the O-Shot®

The O-Shot® (also known as the Orchid Shot™ or orgasm-shot or g shot) was invented by Dr. Charles Runels in 2010 and describes a method of injecting PRP to stimulate and rejuvenate the vaginal tissue​1​ and help women with urinary leaking and sex problems. He reported positive results in a small series of patients in a pilot study. More information may be found on the offical website here

New Research on the O-Shot: A Pilot Study in 2021

Very recently, in 2021, a pilot study was published. A group of 20 women with Stress Urinary Incontinence (SUI) were treated with a single session of PRP. Results were assessed 1 and 6 months later. Overall, there was a 60% rate of improvement after a single treatment.​2​

Does the O-Shot® treatment work for other conditions?

The improvement in various gynecologic disorders besides sexual desire and pleasure has been described by other authors, and includes improved wound healing after caesarean section, dyspareunia, lichen sclerosus, cervical ectropion and more.​3,4​

A recent review from 2022 highlights the beneficial effect of PRP not only in reproductive medicine including premature ovarian failure (POF), but also lower urinary tract symptoms (LUTS) and other gynecological conditions.​5​

Dr. Yam was recently invited to be a featured speaker for IMCAS Academy in February 2021 to teach about Practical aspects and quality control of PRP for female urogenital concerns.

What’s the best type of PRP for the O-Shot?

Ideally, the best type of PRP for the O-Shot should have the following characteristics:

  • Platelet concentration between 1-2 million per microliter
  • Platelet composition (purity) higher than 95%
  • Low red blood cell composition, less than 5%
  • Volume: approximately 6 mL

The only way to be sure of all of the above characteristics is to use a hematology analyzer to check the PRP just before use:

hematology analyzer used for PRP knee injection vancouver
Hematology Analyzer used for every treatment at PRP Medical Aesthetics

Why choose PRP Medical Aesthetics for your O-Shot?

We use only the highest concentration and purity PRP for all our O-Shot treatments. We have tested and compared our PRP to others and the results speak for themselves.

It’s important to look for a clinic that understands PRP and uses a high quality kit approved by the FDA or Health Canada. As for concentration, it’s generally accepted that the best results will be with a double-spin kit in order to obtain PRP that is 5-8X above baseline concentration. However there is a sweet spot; “Super high” concentration may actually lead to worse results. Also, make sure your provider is trained, certified and experienced to provide a comfortable treatment that is safe and effective.

verified highest concentration PRP available
Our PRP compared to other popular PRP kits

Why is PRP Quality so Important?

The quality of PRP is an extremely important but often overlooked factor. Platelet concentration directly affects the growth factor release, which of course, will affect the results. Higher concentration will create more stimulation of collagen and other tissues rejuvenation.

Unfortunately, there is a wide range of concentration and quality of PRP being used, with many different manufacturers. A recent review by Magalon et al identified 50 different manufacturers of PRP systems worldwide.​6​ Unfortunately, they also found that most of the systems being used today simply do not give a high enough platelet concentration to even meet the definition of true PRP (1 million per microliter, as defined by Marx).

Even having a good PRP system does not guarantee a high concentration each time, as there is often a large variation between sessions even with the same patient and same system. This is why at PRP Medical Aesthetics, we test your PRP just before we use it and will not proceed if the concentration is not high enough.

Is the O-Shot Safe?

When performed by properly certified and trained doctor, the O-Shot is considered very safe. Since 2010, there have been hundreds of thousands of these procedures performed wordwide, including the USA by many doctors, including several gynecologists and urogynecologists. No serious side effect or harm has ever been reported. The O-Shot involves an injection of autologous PRP which is derived from a patient’s own blood, so it’s very safe with virtually no risk of allergic reaction.

PRP was first recognized for its ability to heal tissue in the 1970s and used several medical and surgical fields since the 1980s, including cosmetic, sports medicine, orthopedics, oral and maxillofacial surgery, etc. Over the past ten years, many scientific studies have been published using PRP to treat skin, hair, acne, scars, etc.

What are the side effects from the O-Shot?

Although usually very well tolerated, you may experience slight swelling, soreness or pain, spotting, for a few hours to a few days. Urinary frequency and or a sense of urgency may also occur.

How long does it take for the O Shot to work?

For urinary symptoms, improvement is usually within a few days. For improvements in sensitivity and lubrication, it can take longer, up to 8-12 weeks. It takes time for the body to build new blood vessels and nerves. In general about 80% of the effect should be apparent by about 12 weeks.

How long does the O Shot last?

Improvements may stay for a year or more, as it induces the formation of new tissue by the body. However, as time goes on, age related changes are always inevitable, including hormonal changes which can affect the female urogenital system, especially major changes such as menopause. For this reason, a patient may want to repeat the procedure, for example, once a year.

Is the O Shot Painful?

With an experienced and well trained physician, most patients report no pain at all. At PRP Medical Aesthetics, we use a topical prescription grade numbing cream, and nerve block with local anesthetic which is so effective that most patients report no pain or discomfort at all. There is usually no downtime and normal activities are ok even the same day as the procedure.

How to prepare for the O-Shot?

Be well rested and stay hydrated on the day of treatment. Avoid fatty meals up to 6 hours prior to the procedure. Avoid smoking and alcohol up to 5 days before and after the procedure as they can have a negative affect on platelet function and blood flow. Avoid over the counter medication, (eg. advil, ibuprofen), and supplements (eg garlic, ginseng, ginger, green tea, fish oil, Vitamin E) . Do not stop any medication which has been prescribed by your doctor.

What to expect after the O-Shot?

Following the treatment, there may be some sensitivity after the numbing wears off, but most patients tolerate the mild discomfort. Plain or extra-strength tylenol (acetaminophen) may be used if necessary, although most patients do not need it. Avoid advil, ibuprofen or other anti-inflammatory medications, as they may interfere with platelet function. For the same reason, try to avoid or limit alcohol and tobacco products.

Looking for more information?

For more information please feel free to call us, send a message or book a free consultation today.

Academic References

  1. 1.
    Runels C. A Pilot Study of the Effect of Localized Injections of Autologous Platelet Rich Plasma (PRP) for the Treatment of Female Sexual Dysfunction. J Women’s Health Care. Published online 2014. doi:10.4172/2167-0420.1000169
  2. 2.
    Long CY, Lin KL, Shen CR, et al. A pilot study: effectiveness of local injection of autologous platelet-rich plasma in treating women with stress urinary incontinence. Sci Rep. Published online January 15, 2021. doi:10.1038/s41598-020-80598-2
  3. 3.
    Sanoulis V, Nikolettos N, Vlahos N. The use of Platelet-Rich Plasma in the Gynaecological Clinical Setting. A review. HJOG.org. Published March 2019. Accessed March 2023. http://hjog.org/?p=1766
  4. 4.
    Dawood AS, Salem HA. Current clinical applications of platelet-rich plasma in various gynecological disorders: An appraisal of theory and practice. Clin Exp Reprod Med. Published online June 30, 2018:67-74. doi:10.5653/cerm.2018.45.2.67
  5. 5.
    Streit-Ciećkiewicz D, Kołodyńska A, Futyma-Gąbka K, Grzybowska M, Gołacki J, Futyma K. Platelet Rich Plasma in Gynecology-Discovering Undiscovered-Review. Int J Environ Res Public Health. 2022;19(9). doi:10.3390/ijerph19095284
  6. 6.
    Magalon J, Brandin T, Francois P, et al. Technical and biological review of authorized medical devices for platelets-rich plasma preparation in the field of regenerative medicine. Platelets. 2021;32(2):200-208. doi:10.1080/09537104.2020.1832653