Harper’s Bazaar (Malaysia)

THE O-SHOT

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CMiracle injection or shot in the dark? A radical new treatment, currently only available in America,

may just be the future cure for women’s bedroom blues. By Rachel Kramer Bussel.

all it the shot heard round the world – only this time the revolution is on behalf of modern women. The O-Shot, a new non-invasive treatment, aims to alleviate female sexual dysfunctio­n by extracting platelet-rich plasma (PRP), from a woman’s own blood and injecting it directly into the vaginal area. As cosmetic doctor Charles Runels explains, the O-Shot uses PRP to stimulate growth of new cells in a woman’s vaginal walls and clitoris. The platelets, which naturally generate tissue, increase not only the number of cells but also, he claims, sensitivit­y to stimulatio­n.

Runels was inspired by the array of treatments available for men with sexual problems, and the glaring void when it came to female sexual dysfunctio­n, even though more than 40 percent of American women are estimated to suffer from it. There was nothing similar for women, recalls Samuel Wood, a San Diego reproducti­ve endocrinol­ogist who began a clinical trial on the procedure in 2011. He and Runels are hopeful that the in-office treatment, which takes about 20 minutes and can be done only by a certified doctor or nurse-practition­er, will be the answer.

Take Nadia*, 39, a mother of three who found sex with her fiancé lacking. In her younger days, she says, “I was turned on whenever the guy was,” but by her late 30s, that same level of arousal “required so much foreplay, I was ready to give up.” Though she tried over-the-counter lubricants, she complained they didn’t last. When she heard about the O-Shot, she decided to give it a try. She now has an orgasm every time she has sex, “stronger ones than I used to have when I was younger.” Similarly, Gail*, 53, has been married for 20 years and had resigned herself to lacklustre, once-a-month lovemaking. “I wasn’t really aroused no matter what we did,” she reveals. So when her nursepract­itioner suggested the shot, she was more than willing. The result? She noticed an immediate effect, and returned home from work that day ready to go. Whereas before, she’d fake orgasms and felt “inadequate”, she now looks forward to sex.

How does the O-Shot work? First, the patient’s blood is drawn (about half a teaspoon) and placed in a centrifuge to separate out the PRP. To determine where an injection will have maximum results, Wood does “vaginal mapping”, asking the patient where she’s most sensitive, and then an anaestheti­c cream is applied to the area. “You have to understand each woman’s sexuality and her anatomy to know where to put it,” he explains. The procedure, which costs USD1,200 to USD1,500 (RM3,950 to RM4,940) and isn’t covered by insurance, has the added benefit of creating what he refers to as an immediate volumising effect, which lasts up to a week. The real payoff, though, comes over the next few months as the PRP “stimulates the stem cells, collagen, and blood vessels,” says Runels, who calls it “fertiliser to grow the tissue.” (The overall effect should last at least 18 months.)

As for safety, Runels claims no serious side effects have been reported. The treatment itself doesn’t require FDA oversight, although an FDA-cleared kit is required to prepare the plasma. Laura Berman, author of Loving Sex: The Book of Joy and Passion, is concerned about the lack of scientific studies thus far. (Results of both Runels’s and Wood’s clinical trials will be published this year.) “There’s no mechanism of action that I can see that would really facilitate arousal and orgasm,” Berman says. “It feels like they’re taking advantage of a valid longing that millions of women have and stating a claim that hasn’t been supported in any substantia­l way other than through anecdotal reports.”

Perhaps Dena Harris, a New York gynaecolog­ist who has treated women suffering from vulvar pain with PRP and is interested in seeing study results, sums it up best: “I don’t know if it works, but I really hope it does.” *Names have been changed.

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