Trish: Hello everyone. Well I’m here today with Dr. Jayson Oates, who is the Director of Face Body Academy in Perth, and also in Subiaco. So, welcome Dr. Oates.

Dr. Jayson Oates: Hi Trish, how’re you?

Trish: Yeah, really good. Nice to have you on here again today.

Dr Jayson Oates

Dr Jayson Oates

Dr. Jayson Oates: Nice talking to you.

Trish: And today’s a really interesting topic that we’re going to talk about. We’re going to talk about the girl things and boy things, so we’re going to talk about the MonaLisa Touch and the o-shot, and you’re going to give us a bit of a rundown. So, I’ll just let you start, but, I don’t really know much about the o-shot, so give us a rundown as if I don’t know anything. Cause this is so interesting for you listeners out there, because this is something that’s … it’s groundbreaking stuff and I think it’s kind of … it’s making waves in the industry for a start, and there’s a solution to people’s problems where they didn’t know that there was a solution to a problem.

Dr. Jayson Oates: Yeah, absolutely. So, the o-shot, is relatively new and it’s where we’re taking somebody’s blood, spinning it down to get the platelets and producing PRP, the Platelet Rich Plasma. Platelet rich plasma has been around for, you know, 10, 20 years or more in various areas especially in orthopaedics.

With the o-shot, it’s actually injecting that platelet rich plasma into the clitoris itself, and some of the surrounding area of the anterior vaginal wall. And it’s used especially for orgasmic dysfunction, which is a surprisingly common problem that women have, where they have difficulty reaching orgasm, never having had an orgasm or maybe not able to have orgasm with sexual intercourse, but only able to have it with say, clitoral stimulation from a vibrator, or something like that.

So, it’s not an uncommon problem, and the o-shot was developed by Dr.. Charles Runels, who was perhaps famous for the Vampire Facial and that picture of, what’s her name, Kim Kardashian?

Trish: Yeah, Kim Kardashian.

Dr. Jayson Oates: Yeah, unfortunately, not one of my patients, and where she’s got the blood all over her face and she’s had the needling and then they put the plasma over the top. And in fact Dr. Runels said that he developed the Vampire Facial as a way of introducing people to the whole concept of PRP and injecting it back into their body. And then once they’re comfortable with that, what he was really planning on developing was this o-shot and for the men, the p-shot.

And so, for the men the p-shot is taking that platelet rich plasma, and of course it’s your own platelets, and injecting it into the penis.

Trish: Ah, that’s just sent shivers … have I gone red?

Dr. Jayson Oates: It is the sort of thing that gives people reason to shiver.

Trish: Yeah.

Dr. Jayson Oates: When we first started doing it we were only using the local anaesthetic cream, a lot of people are familiar with Emla. We now use a local anaesthetic block for women when they’re having it. For men not such a big deal, just the cream, wrapped up with Glad Wrap makes all the difference. It makes it numb enough. But actually most people find it really no big deal, having the injections.

Trish: It almost makes my eyes water, but I do know that … I’ve spoken to people that have had it done and it sounds worse than what it is.

Dr. Jayson Oates: Pretty much. It sounds worse than what it is, and certainly the problem is worse than what people sort of imagine, that inability to have an orgasm. And, this is a relatively new treatment. In some ways it’s one of these things where commercially it’s sort of taken off without having a lot of really strong science behind it. There’s lots of great anecdotes, we use the term, where, you know people had this great result and everybody of course puts it down to the benefits of the platelets.

The platelets, the reason why they’re so interesting, is cause they’re stuffed full of growth factors and healing factors. So when you have an injury and you’re bleeding, the first thing that clots the blood, stops the bleeding, are the platelets, because they’ve got the clotting factors. And then they release all of these growth factors, and they stimulate the healing for that wound.

And so that’s what started this whole industry of using platelet rich plasma. It’s to harness those growth factors and put them into an area, where you want to have the body have its own healing. So that’s where and why platelets have taken off so much.

Trish: Alright, so just to get it right in my head, because this is what I’m hearing, tell me if I’m right. So basically, if you suffer from not being able to have an orgasm, or … oh by the way, is this any age? Like, is it more so for someone who’s older or younger or …

Dr. Jayson Oates: Well that’s one of these things where it hasn’t really been studied, so anybody who’s asking in this area, then it’s one of the things that we offer and they can use sexologists and they can have a role in helping in this situation. In the US of course, they’ve got their new medication, it’s often described as the female Viagra. Of course, it’s nothing really like Viagra at all, but it’s meant to help achieve orgasm.

Trish: What’s that called? I’m going to write it down.

Dr. Jayson Oates: I knew you would ask that, I shouldn’t have mentioned it. [inaudible 00:06:33] If you Google female Viagra, you’ll find it.

Trish: Okay cool, I will.

Dr. Jayson Oates: It’s a relatively low success rate really, and so, it’s not something that I think people are really rushing into. And in fact some of these other more natural sort of treatments are things that we hope are going to work well. So we’ve been using both the o-shot and the p-shot for a couple of years now . And in men, it’s especially for erectile function, so that they can achieve erection more easily, that it’s a stronger, longer lasting erection.

Trish: And that’s still the PRP process as well.

Dr. Jayson Oates: Using PRP, yeah.

Trish: Yip.

Dr. Jayson Oates: What we are also combining for men, especially with erectile dysfunction, is what’s called low intensity shock wave therapy. And low intensity shock wave therapy is nothing to do with electricity. You’re not getting electric shocks, everybody gets concerned about that, especially when it comes to their genitals. But it’s a percussive device, physiotherapists have been using it for a long time, and it’s found to stimulate new blood vessels.

And so the underlying problem in erectile dysfunction, is closing down of the blood vessels in the penis so they can’t get that blood flow and that hard, firm erection. And have been using it on the penis, and it has now been recognised both in Europe and the US as a useful first line treatment for erectile dysfunction. And I think what we’ll see over the next few years, becoming more and more common, and a way for men to avoid having medications like Viagra, the best known medication in that area.

But recently I had a patient in his sixties, diabetic, even the Viagra tablets weren’t working for him anymore. He was needing to have injections to be able to obtain an erection. That wasn’t thrilling him, and it sort of dampens the mood down when you’ve just got to stop and have an injection. So, we combined the p-shot with this low intensity shock wave therapy, and it takes about five or ten minutes to do, it’s painless, it’s two sessions a week for a total of six sessions over three weeks. And he had an amazing result. And he doesn’t even need have Viagra anymore to be able to have sex. And so, he’s a real convert, he’s telling all of his friends. And it’s a common problem in men, even from the age of 40, but especially from the age of 50 to 60, erectile dysfunction becomes more and more common.

Trish: Yeah.

Dr. Jayson Oates: And it’s a way of getting off medication, it’s the body actually healing itself, and stimulating this new blood flow, so it’s a really interesting idea. In fact, after I saw this particular patient, it was six months after his treatment, and things were still going strong, I had a woman, who had orgasmic dysfunction, and then it made me think, other than just having the o-shot, maybe we should trial using this low intensity shock wave therapy for women as well.

So, we’re actually going to do a study in this, and we might be working with the local sexologist, psychologist that we work with, and just do a little trial study and see whether stimulating that increased blood flow into the clitoris has any effect in orgasmic dysfunction. And it might not.

Generally, once some of the basic things such as menopause and hormone levels, some basic trauma issues, like having traumatic birth, and then not being able to have orgasms after that, or pelvic surgery, hysterectomies. If there’s nothing very specific that can be pointed out, then usually it’s put down to a psychological problem. And in fact that’s what erectile dysfunction used to be put down to, 20, 30 years ago. It was all sort of in your head, you know, you’re too busy, you’re too stressed, and you’re just getting old and things just don’t work as well.

Trish: Yeah.

Dr. Jayson Oates: And then it became realised that it’s a vascular problem, you just need more blood flow into the penis and you’ll get an erection. And I thought well maybe the same thinking is going on with managing female orgasmic dysfunction. I can’t find any studies that have trialled using this so we thought we’d perhaps search down half a dozen women or so here in Perth, and trial it, and if it doesn’t work, well then we’ll write it up and publish it and say, “Well at least we tried it, it didn’t work for us, so somebody else can do something different.” But if it does work, then that would be fabulous. And when we do this trial we won’t combine it with the o-shot, then that just … things …

Trish: So the trial is for the shock wave therapy?

Dr. Jayson Oates: Yes, this low intensity shock wave … it something that goes rat tat tat tat tat, very fast and gently. And of course, we don’t know, it’s not been tried, but this would be a fantastic thing if it did work.

Trish: Yeah. So, just to, so I can … cause when you explain it … so just explain it in layman’s terms. So basically a woman or a man … so we’ll go the lady first, so she’s having problems having an orgasm, so she comes to see you, and I’ll get you to talk me through the process. So basically, she comes in, you take blood, the blood gets centrifuged and then you put local around …

Dr. Jayson Oates: Yeah, so we use both the cream plus we use a little injection to numb it up.

Trish: Alright, and then you kind of put the blood … sorry the PRP I suppose solution, into the clitoris and that kind of creates more blood flow and …

Dr. Jayson Oates: That’s the PRP and the o-shot, and it’s not just the clitoris, in fact it’s the whole sort of anterior vaginal wall, sort of right down to the so-called G-spot sort of area, because all of that is involved in the sensory reception that leads to orgasm.

Trish: Alright.

Dr. Jayson Oates: And so yeah, that’s the o-shot. And we use a special kind of PRP called Pure PRP. It gets the highest number of platelets per mill. It uses a larger volume, so we get lots of PRP, and that’s what helps make it more successful in this area. And that’s sort of our traditional sort of treatment.

But when we do this trial for this low intensity shock wave therapy then we will delay doing the o-shot. Only use the shock wave therapy, which is the two sessions a week for three weeks, and then we don’t know how quickly the results will be felt with that. You know, it may be felt within a few weeks, but it may be even three months after, so we’d have to wait before doing that o-shot in that case.

Trish: Okay. Alright, and you’re looking for women in Perth at the moment for this treatment aren’t you?

Dr. Jayson Oates: Yes, we are.

Trish: So, what sort of women are you looking for? Is there a certain age or just like if someone’s had a hysterectomy, is it someone that probably you don’t…

Dr. Jayson Oates: Someone who’s struggling with orgasmic dysfunction. We would like, in fact it will probably be a requirement for the study, for them to have seen their GP, discussed it. Maybe had the basic investigations, you know hormone investigations. Looking into this … in fact it’s surprising how many women have never discussed this with their doctor and looked into it to see if there’s something behind it.

Trish: Yeah.

Dr. Jayson Oates: So we’d like them to look into that basic sort of thing beforehand and so long as there’s nothing else specifically found, then yeah, we’d be able to go ahead and treat.

Trish: Alright. And any age?

Dr. Jayson Oates: I think any age. Well, perhaps we might have like an upper limit of 75 or something …

Trish: Okay.

Dr. Jayson Oates: But … I’m sure there are plenty 75 year old women who find their orgasm just as important as when they were 25.

Trish: Oh, I hope I’m like that, yeah. When I get there, when I get there.

Dr. Jayson Oates: Well yes, in the many decades in the future.

Trish: Yes, of course.

Alright, so I just want to run through the process again. I’m talking about the o-shot now, cause do you do that with the shock therapy together normally?

Dr. Jayson Oates: Well, in men, for the p-shot and the shock wave, yes, we do that together. Most men will have one p-shot, one lot of the PRP and six sessions of the shock wave therapy. And I would imagine with women, that if this trial demonstrates some benefit from the shock wave therapy that we’d probably be combining the two as well.

Trish: Okay, alright. Okay. So, just go back to … just to talk me through the process, just so anyone that wants to come, they kind of understand what the process is. So, they’d come in, blood, PRP put it through the centrifuge and then how long … you put the numbing cream and some local, so how long … like how long is the procedure basically?

Dr. Jayson Oates: Probably about, the whole process is probably about half an hour, really.

Trish: Okay.

Dr. Jayson Oates: Maybe 45 minutes, so, usually like the first thing we do is put the numbing cream on first, then take the blood. The spinning and the preparation of the PRP is around about 20, 25 minutes something like that.

Trish: Okay.

Dr. Jayson Oates: Then, we’re sort of all set up with the stirrups in lithotomy position and so you’ve got to jump up onto there. We’ve got a nurse practitioner who’s actually very experienced with this. She went over to America and did the course with Dr. Runels. So yeah, the actual injecting of the PRP, that only takes a minute or two.

Trish: Okay. And it doesn’t hurt?

Dr. Jayson Oates: Well, you’ll probably have a little scratch with the local, but that … it’s a sensitive area, and there’s a few tiny little pin pricks, but now that we’re using local anaesthetic, most people find that it’s really not a big deal.

Trish: Okay. And then, so what about afterwards? Can you jump down the table and are you going to walk funny, or is it just … like are you going to go back to work and people will say, “What have you had done?” You’re walking funny.

Dr. Jayson Oates: No, you shouldn’t have any issues at all. There are all these stories on the internet of you know, women walking out, and like having orgasms in the street.

Trish: You’d have them lining up.

Dr. Jayson Oates: I don’t know …

Trish: Yeah okay.

Dr. Jayson Oates: … if I believe that. Certainly we’ve had people come back and say, “Yes, this definitely works, it’s changed things.” But not walking down the street, sort of thing.

Trish: Yeah, okay, alright, and with the p-shot, you combine it with the shock therapy. Same thing, guy comes in, take out the blood … oh sorry, put the numbing cream on first, take out the blood, and then half an hour later or whatever, just do the injections and then … can he use it straight away? Or like is there a down time?

Dr. Jayson Oates: No, so that’s good, there’s no down time with this.

Trish: For ladies or men?

Dr. Jayson Oates: Ladies or men, no.

Trish: Okay, alright. Awesome. Well that sounds … it’s so interesting. I’m so shy to talk to you about this, but I think it’s really important for people to know that it’s available if you want to give it a go.

Dr. Jayson Oates: It is. It’s this new and developing sort of field, I think it’s opening up a lot of options for people. I think for people just to know that there is an option, sort of, out there, is really important and they don’t have to go rushing in to do anything, but to know that, if they get to the point where they need to have some other kind of therapy or treatment, that there is an option.

Trish: Yeah, there is something out there. And I know myself, from our groups and the inquiries coming through, there’s a buzz happening about it, there’s no doubt about it, so I’m really grateful that you actually took the time today to actually talk to me about it and I’m so happy that I could actually talk about this ,because I … if you could see me, I’m glad it’s a dark colour, cause I think I’m red as a beetroot. Cause it’s really hard to talk about, isn’t it?

Dr. Jayson Oates: It is. And this is one of the things I think, that you know, we’re hoping to change sort of over time. And especially with your doctor, is the ability to talk about these areas of your bodies and these issues, without hiding things or being shy or ashamed. There really isn’t a great reason to be limiting people’s lives like that. So we’re hoping this is an area that’s going to be opening up more and more.

Trish: Yeah, yeah. That’s good. Actually I’m going to ask you one more question because I have been asked this question, and I know the answer but, someone said to me, “How does an ear, nose and throat specialist get involved with treating down there?” And I know that you’re constantly on the lookout for, you know, inter-development and stuff like that, so, can you give them the answer for me please?

Dr. Jayson Oates: Yeah, it’s a long, long story. I guess I’m naturally innovative, and I like pursuing new and interesting things. And it started because I was doing a lot of laser resurfacing, and I was using the DEKA Laser, which developed the MonaLisa Touch procedure, which was that first intra vaginal laser that rejuvenated that menopausal Dr.y, itchy, irritated, unable to lubricate for sexual intercourse, into like a young youthful vagina again.

And when they first told me about this, I just said, “No, I’m not going to do that. I just can’t see … so how are we going to do it, you know, lasers hurt. I do it on the face all the time, I’ve got to numb it all up. How’re we going to numb it and it needs to be Dr.y. I just can’t see this working.” And of course, it did work, it was fantastic treatment.

And then, I went and did a course in Europe. Five day, hands on surgical course doing labiaplasty. And labiaplasty has become the fastest growing cosmetic surgery in the world. And, these things, yes, one thing leads to another and then once you sort of work in this area, you meet all these women and they’re telling you what’s going on and what they want sorted out, and so you keep on expanding and expanding what you do and so I now am sort of looking at developing a whole new treatment in this area, that nobody else has done.

Yeah, I guess it’s part of my … just my nature.

Trish: Yeah, it’s good, because it’s people like that, that actually create new things that happen. You know, so it’s a great thing.

Dr. Jayson Oates: It will be interesting to see, you know, maybe we’ll be reporting back in three months time or six months time and saying, “Yes, we tried it, didn’t make any difference.” But at least we’d know.

Trish: Yeah. Exactly, exactly. Well thank you so much for your time today. I’ll let you get back to your busy list of consults for today. So thank you so much for taking the time.

Dr. Jayson Oates: You’re welcome Trish, great to talk to you again.

Trish: Alright. Ciao, ciao.


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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