Desire and arousal
Lower libido, reduced sensation, or difficulty reaching orgasm, particularly when they appear alongside midlife hormonal change.
Services
The O-Shot® in Houston
A non-surgical treatment that uses platelet-rich plasma from your own blood to address changes in arousal, sensation and bladder control. Offered at Plaza OB/GYN by a certified O-Shot provider.
What the O-Shot is
The O-Shot® procedure, developed by Dr. Charles Runels, uses platelet-rich plasma, or PRP. Platelets carry growth factors that play a role in the body's natural repair of tissue. Concentrated from a small sample of your own blood, PRP is placed in specific areas of the vaginal wall and near the clitoris.
The goal is to support healthier tissue and blood flow in those areas. Because the material comes from your own body, the risk of an allergic reaction is low.
Concerns women ask about
These are the reasons women most often consider the procedure. Whether it is a good fit for you is decided at your consultation.
Dryness and comfort
Vaginal dryness and discomfort with intercourse after menopause or after breast cancer treatment.
Mild bladder leakage
Stress urinary incontinence, the leaks that come with a laugh, a cough or exercise, and some urge symptoms.
Skin conditions and pain
Certain vulvar skin conditions such as lichen sclerosus, and some cases of pain after childbirth or pelvic surgery, as part of a wider treatment plan.
What to expect
Consultation
A conversation and exam to understand your concerns and rule out other causes that need different treatment.
Preparation
A small blood draw from your arm. The sample is processed in a centrifuge to concentrate the platelet-rich plasma.
Treatment
A numbing cream is applied first. The injections themselves take only a few minutes; the whole visit is usually about half an hour.
Afterward
Most women return to normal activities right away. You may be advised to wait a short time before intercourse. Changes, when they occur, may appear over weeks to months.
An honest view of the evidence
Research on PRP for sexual function and bladder leakage is early. Small studies and case series have reported improvement, but large controlled trials are still limited, and results vary from woman to woman. As with any procedure, there are possible side effects, including soreness, bruising or infection at the injection site.
For many women, the O-Shot works best as part of a broader plan that may also include hormone therapy, vaginal therapy or the MonaLisa Touch. Dr. Balat will walk you through the options side by side.
Ask whether the O-Shot is right for you
Book a visit at the Binz Street office, or start with an online consultation if you would rather talk first.