V-Shot

The providers at Rockville Gynecology are trained to provide PRP (platelet-rich plasma)  treatment to patients in order to improve sexual pleasure and desire, and to improve  urinary issues such as leakage, urgency, and frequency. Known as the V-shot, many  patients have had great improvements in sexual dysfunction as well as urinary  incontinence after having the procedure.

Under local anesthesia. First, the provider  applies a numbing cream to the vulva and vagina. Blood is then drawn from the arm and  placed in a special centrifuge which separates the red blood cells from platelet-rich  plasma. The plasma has growth factors and stem cells which cause new blood vessels  and nerves to grow in the area where is injected. After we make sure the vulva is  thoroughly numb, a very thin needle is used to inject the PRP into the upper vagina and  clitoris, the areas most important for sexual response and bladder control. Because  these areas have been numbed with the anesthetic cream, there is little or no pain.  

The procedure is simple, quick, and has minimal risks since we are simply re-injecting a  patient’s own concentrated plasma with enriched growth factors back into their own  bodies. Some women note instantaneous results, but the majority of women note  improvement in their symptoms in 3 weeks. After the procedure, you are immediately  able to resume all normal activities including intercourse. Results tend to last for one  year.  

Although every woman’s experience is different, here is a list of some of the things  patients have experienced after having the V-shot:  

• Greater arousal from clitoral stimulation  
• Stronger orgasm  
• More frequency orgasm  
• Increased sexual desire  
• Increased ability to have an orgasm with vaginal intercourse  
• Decreased pain with intercourse (for patients who previously had painful intercourse) 
• Increased natural lubrication  
• A tighter introitus (vaginal opening)  
• Improvement in urinary leakage, frequency, urgency, and getting up at night to urinate

PRP (platelet-rich plasma) has been safely used in many areas of the body, including:  - Injected into the knee to help with joint pain  

• In dental surgery to help with healing  
• In healing of diabetic wounds  
• In breast augmentation (mixed with fatty tissue) 

The initial studies using PRP for sexual dysfunction and urinary incontinence have  shown benefit, but the use of PRP in the vagina has not been extensively studied,  and it is considered an off-label use. There is not a guarantee of results in any  woman with any procedure including the V-shot.