The O-Shot | Frequently Asked Questions
Does the O-Shot treat Urinary Incontinence?
Many women report significant improvement of stress and urge incontinence. There are also many reports of total resolution of the problem with the O-shot® alone. However, for best results, we highly recommend optimizing hormone levels through testing and bioidentical hormone replacement therapy with the inclusion of our combination hormone vaginal suppositories which help to nourish and support vaginal, bladder, and urethral tissue integrity.
Is the practitioner trained for this procedure?
Yes, trained and certified under the creator of the O-Shot, Dr. Charles Runels to administer the O-Shot®.
How Is My Platelet Rich Plasma (PRP) processed?
To provide best possible outcomes, we utilize the process and centrifuge developed by Jeffrey Picirillo, DO called Perfect PRP® which promises to deliver the highest amount of platelets.
How long until I see results?
Some women report immediate improvement in sensitivity and libido, however, the PRP is completely absorbed into the surrounding tissue in about three days. The healing process and initial formation of new tissue occurs at three weeks and full results will often take up to three months. (see Perfect PRP by Jeffrey Picirillo, DO).
Are there any medications or supplements I should avoid prior to or after the procedure?
YES! It is important to avoid medications or supplements which could interfere with either platelet function, or the ability to cause an inflammatory response. Therefore, please avoid any of the following for at least 14 days prior and 14 days after your injection: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, oral corticosteroids (prednisone, dexamethasone, etc.), turmeric/curcumin, Omega 3 fish oil, Specialized Pro-Resolving Mediators (SPMs).
Is there anything I can do to improve possible outcomes of the procedure?
YES! Optimizing your diet to promote healthy platelets includes avoiding processed foods, managing your blood sugar, and eating abundant nutrient-dense foods such as those included in a Paleo style or Whole 30 plan. Exercise also improves platelet counts.
-Take a whole food, comprehensive multivitamin with antioxidants such as Vita Core Daily. Improve nitric oxide production with supplemental citrulline.
-Nutritional IV Therapy to include Nicotinamide Adenine Dinucleotide (NAD) which is essential for energy metabolism, DNA repair and survival, and a decreased rate of cell death, improved ability for cell communication which decreases aging, chronic fatigue, altered immunity, and poor cognitive function.
***We offer a Premier Package if you would like to take advantage of this combination to optimize your results!
Can I have a consultation and the procedure at the same time?
We recommend you schedule your consultation at least two weeks prior to the date of the procedure to allow for you to prepare your body to promote the best outcomes possible.
What should I expect during my appointment?
We encourage you to fill out your consents prior to arrival so you can get started immediately. You will have an opportunity to ask questions should you have any. A topical numbing cream is applied to the injection area. Your blood is then drawn and prepared. Once your PRP is ready, Arielle Bennett, APRN will inject into two small areas of the vagina. The entire process takes approximately 30-45 minutes.
Does it Hurt?
Most women are quite comfortable during the procedure. The discomfort is often described as a mild pinch. The numbing feeling may last 30-60 minutes after the procedure.
Are there any Side Effects or Downtime?
There are typically no side effects or downtime. There may be a few drops of blood from the injection site. You can return to work, exercise, and any other activity the same day (including sexual activity).
Do I have to Come Back to see the Nurse Practitioner after the procedure?
We would like to have a very brief phone conversation or office visit (15 minutes) at 8 weeks after your procedure. We want to know the benefits that you may have experienced from having the O-Shot. A plan for further care will be considered at that time. We also encourage all of our clients to participate in a quick survey prior to and after the procedure so we may continue to collect and update data on efficacy.
Will I need a 2nd O-shot?
Some women choose to have a 2nd O-shot® for various reasons. We recommend waiting at least 8 weeks to evaluate the effects of the first O-shot before you determine your need for a second.
How many O-shots may I have?
There is no limit to the number of O-shots® a woman can have safely.
Is the Procedure FDA approved?
PRP Procedures are not approved or disapproved by FDA because PRP is not a drug. The FDA has approved the PRP harvesting kits that I use which have been deemed safe. Because PRP comes from your own blood, its use has always been shown to be safe and is being shown in many medical specialties to be effective at regeneration, healing, and rejuvenation.
Can I have the Procedure done if I am Pregnant?
NO – we do not do any procedures on woman who are pregnant or lactating. If you are not sure – a pregnancy test will need to be done prior. You will be asked to sign a document to verify that you are not pregnant or lactating at time of the procedure.
Can I have the Procedure if I am Menstruating?
There is no danger to having the procedure anytime during your menstrual cycle; however, we prefer if you schedule away from your menses for hygienic reasons.
Are there any Guarantees?
This is an elective procedure and there are no guarantees that you will achieve the desired results as each of us were created uniquely. However, in the thousands of women who have had this procedure, there is an average success rate between 75-95% after only one injection. There are no other known available therapies for these ailments that offer these success rates.
What are other options to treat urinary incontinence? (see Dr. Charles Runels book, Activating the Female Orgasm System)
-Behavior management: frequent urination, timing urination
-Medications: anticholinergics (many possible systemic side effects)
-Surgical Slings/Meshes: necessary for some women depending on severity of bladder prolapse
-Injections: Coaptite (a calcium hydroxyapatite crystal) that is used to allow closure at the bladder neck and mid urethra to reduce leakage. These have been shown to cause granulomas (aggregation of immune cells that forms in response to a persistent inflammatory stimulus) that must be surgically removed due to a complete blockage of the urinary canal.