Lately, it’s all about the O-Shot! What is it and how does it work? Well today I’ve had the pleasure to talk to Dr Jayson Oates from Academy Face Body, to get the complete run down about the latest craze “The O-Shot”.

Dr Jayson Oates

Dr Jayson Oates

Trish Hammond: Hello everybody. So I’m here today with Dr. Jayson Oates again who is an ENT surgeon from WA, also practises in Crow’s Nest, and we’re going to talk about the O-Shot which is, it’s a new procedure. Isn’t it Dr. Oates, it’s new isn’t it?

Jayson Oates: Hi Trish. Yes, it is a relatively new procedure although I think it’s been in development for a while.

Trish Hammond: Okay. And for those of us, which is nearly everybody, that haven’t heard about the O-Shot, it’s all about enhancing your orgasms so it’s pretty exciting stuff because everybody of course wants to enhance their orgasms. So can you tell us a bit about, like how did it come about? Who even invented this?

Jayson Oates: Well it is an interesting story. Its inventor is Dr. Charles Runels who is perhaps best known for the vampire facial that Kim Kardashian had and posted on social media and got this huge response for. Dr. Runels sort of says that the idea for the vampire facial was actually really to lead into the O-Shot. So in the vampire facial, it’s the needling procedure so doing all those little needles over the skin of the face, but then rubbing in the platelet-rich plasma. So people are familiar with platelet-rich plasma where we harvest some blood and spin it down and take out those platelets, which are full of all the growth factors and these great healing properties, and then we inject it in, well wherever we’re using it so in the vampire facial it was putting it on the skin. In the O-Shot it’s actually injecting it directly into the clitoris and on to the anterior wall of the vagina.

Trish Hammond: So it actually sounds like it would really hurt, like does it hurt?

Jayson Oates: Not having had it myself, it certainly has the potential to be uncomfortable. With the pain-blocking creams now, it’s surprising actually that most people find it pretty good. Some women will say oh that was totally fine, it didn’t hurt at all. I’ve had other women who have said, well actually no that does feel like you’re sticking a needle in the sensitive part of my body.

Trish Hammond: Okay. Yeah, I was sort of like mmm. I’ve heard both reports, I’ve heard that some people say it’s painless and other people say oh nah you know I definitely felt it, so I suppose it’s an individual thing.

Jayson Oates: Yeah, but with the right cream for the right amount of time most of the time it’s not too bad.

Trish Hammond: Okay. So can you tell me so how it actually works, like how does it actually work? So I know that PRP stimulates collagen production, so same thing down under?

Jayson Oates: It’s an interesting thing. This is really a procedure without a lot of science to back it. Dr. Runels and a whole group of people who are involved in the O-Shot are starting to write some papers and get some published literature into the medical journals. But really there’s no great science behind it. The idea that PRP, the platelets, which are packed full of all these amazing chemicals … So you have an injury, the first thing that stops the bleeding from a cut blood vessel is the platelets blocking it off.
A lot of people are familiar with aspirin and how aspirin blocks the clotting effect of platelets and then you get a cut and then bleed and bleed, or if you’re having surgery it’s best to stop aspirin first because you get so much more bruising. The reason that platelets are so great is as well as stopping the bleeding, they have all these chemicals in that cause the healing response to occur. Also, people came up with this idea that if the platelets are just jam packed with growth factors, and all kinds of growth factors there’s dozens and dozens of them, then maybe we can harvest that healing effect and inject it into parts of the body. And so, it’s been used in orthopaedics, so in joints, ligaments, tendons sort of injuries for a long time. Again, initially there wasn’t any great science or it working there but it seems to slowly gradually be building up a body of evidence to say, or it does do something real in joints and ligament injuries.

And so then they started using it on the face and on the skin. And it’s one of these things where you know you get all of these reports of patients coming back and saying how their skin looks so much better or it’s firmer, tighter, it’s improved in texture and pigment, but it’s still not great science. Then more recently of course the O-Shot, and then it’s getting more and more subjective and difficult to quantify. So I still think it’s an early day sort of thing. The great thing about it of course, well at least it’s your platelets and your body and your healing factors that are being injected into your body, as opposed to injecting something else into your body.

Trish Hammond: Yeah, totally I totally get that. It makes so much sense. So I was going to ask, so you book a treatment, of course you have a consultation first and the numbing cream stays on for X amount of time, how long does the actual … Like how long does it take?

Jayson Oates: Two or three minutes.

Trish Hammond: Okay.

Jayson Oates: So it’s really quick. And usually, as well as injecting the clitoris itself which only need quite a small amount, we inject sort of across the front wall of the vagina and around the opening of the urethra as well. And this whole area is all part of the sensory area that goes towards orgasm and that’s where the O-Shot gets its name, its full name, is the orgasm shot. But there’s also a lot of claims of benefits for urge and stress incontinence. There’s certainly a feeling that a lot of women get benefit there.
That’s been, again, same thing there’s not any science and in our experience it’s been a little variable and certainly some people come back and say look that’s fantastic and you know I cough and jog and I don’t have any leakage now. But I’ve also had other women who don’t get as good a benefit. So the actual injections there only take a few minutes, and in fact, often we’re combining this with another treatment like Mona Lisa Touch laser. If they’ve got those menopausal changes or the bladder issues with urgency and stress incontinence, then often we’ll do Mona Lisa Touch laser and the PRP O-Shot all together.

Trish Hammond: Okay. So can you tell me is there a certain how you’re saying some people may not experience as much as another person, is there a demographic? Like is it going to be like … why would a 25 year old get this done whereas I can kind of understand how a woman going through menopause might get it done?

Jayson Oates: Yeah and in some ways you know you think that the older women are the initial, obvious patient group, but there are younger women who have orgasmic issues as well. I always try to encourage them to go and speak with sexologist, a psychologist who’s got a specific interest and training in sexual health and sexual matters, and to go over all of those psychological things that are impacting as well. But it’s surprising how resistant so many people to going to speaking to an expert in that area and will say oh look I’d rather just do this and give this a try first and if it doesn’t do what I want, I’ll go and speak to the sexologist later. And so sometimes we still do it that way although I’d like them to sort of cover those avenues first. People see this as the less traumatic than going and speaking to somebody.

Trish Hammond: Yeah and you know what, having been one of those, I guess you call them, late bloomers myself, some people don’t even, some people probably go through their life without ever even having an orgasm because they don’t know that they … you know they might just, or don’t know they even can. I’ve just spoken to so many people over the years that may not have even ever had one and not realised you know what it truly is I guess or …

Jayson Oates: Yeah. And where they’re unsure about one or not. A lot of the time I say well you know it may be not your issue, it may be that your partner doesn’t know what to do. But you know women … and the clitoris is the only part of the body, men or women, that is solely seen to be there for the purpose of pleasure. Otherwise, it has no specific function in the human body and it’s the only thing that we know of that that’s the only reason it’s there. So if it’s not doing that then it’s not doing its job.

Trish Hammond: Of course. And I want to ask you something because I have heard that for people that suffer from painful intercourse this can actually help with that as well, is that true?

Jayson Oates: It’s an interesting area and it’s a difficult area and … saying that a woman should discuss either with their GP or a GP who has a specific interest in women’s health or a gynaecologist because there are a number of issues that can cause painful intercourse. Often we break it down into being superficial or deep and they can indicate different areas of issue. But sometimes, everything can be examined and there’s no other obvious physical cause and then for those women PRP and the O-Shot can be a really viable thing to try. And in fact also, the laser, Mona Lisa Touch, and combined can be useful. And the other area where the PRP is starting to gain a foothold is a treatment of lichen sclerosus, which is a condition where its just dry and scaly and can become quite painful and uncomfortable and require steroids. It would appear that the PRP into the lichen sclerosus can make a benefit there as well.

Trish Hammond: And is the lichen sclerosus down under as well?

Jayson Oates: Yeah, yeah.

Trish Hammond: Oh wow.

Jayson Oates: Yeah, and it can be difficult to treat and over time can cause scarring and tightness and changes to the quality of the tissue there. The PRP seems to be a step in the right direction for the treatment there.

Trish Hammond: Okay. I’m going to ask another question. So, I know that it says that it’s going to give you stronger and more frequent orgasms, so is this clitoral and vaginal? Or one or just clitoral because that’s where you put it or is it both because you’re putting it, because you’re injecting kind of everywhere aren’t you?

Jayson Oates: Yeah so there’s been this argument between clitoral and vaginal orgasms. Although there are women who are able to achieve orgasm through vaginal intercourse, I still think it’s … due to the stimulation of the clitoris and that anterior wall of the vagina, which is all sort of related, all has the same sort of nervous input, and I think the differentiation between the two is perhaps dividing things in a way that doesn’t need to be divided. And that is part of the reason why we spread the PRP over the entire anterior vagina wall as well as the clitoris because it’s all important as a sensory area.

Trish Hammond: Yeah of course. So women can get this done in WA at your clinic?

Jayson Oates: Yeah.

Trish Hammond: And also in New South Wales, is that just Dr. Stephanie Hyams that does it, or you do it there as well in New South Wales?

Jayson Oates: Actually we’ve got female GPs in both clinics and they end up doing most of the treatments. I still get some of the women who come through to see just because they’re specifically searching for myself or they might come to talk about labiaplasty or other sort of cosmetic surgical procedures and then as part of all that we talk about the O-Shot. So there’s multiple options and if women are more comfortable seeing a female doctor, then we’ve got female doctors in both locations who do these treatments as well.

Trish Hammond: Awesome, awesome. Well I can’t wait to speak to someone, which we’re going to do story pretty soon on someone who’s actually had it done so that’ll be pretty exciting to share as well. So thank you so much for your time today.

Jayson Oates: Great to talk to you again Trish.

Trish Hammond: Yeah, lovely. Thank you. So ladies if you’re out there and you’re having some problems or if it’s something that you want to have a look at, just drop us an email to and we’ll guide you in the right direction. So thank you so much Dr. Oates.

Jayson Oates: Great. Talk to you again later.

Trish Hammond: Have a great one. Bye.

Jayson Oates: Bye.


Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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