O-Shot® (Orgasm Shot®)
More Sensation. Better Control. Your Own Biology.
Most women don’t talk about this — not to friends, sometimes not even to their doctor. The gradual loss of sensation, the dryness, the leakage when you laugh or sneeze, the intercourse that used to feel good and now doesn’t. These things happen quietly, and women are often told to simply accept them as part of aging. You don’t have to.
The O-Shot® uses platelet-rich plasma concentrated from your own blood to regenerate the tissue that determines intimate sensation, lubrication, and bladder control. No hormones. No surgery. Nothing foreign. Just the healing factors already inside your body — delivered precisely where they’re needed most.
Thomas Pulice, PA-C is a certified O-Shot® provider personally trained by Dr. Charles Runels — the physician who invented the O-Shot®, the P-Shot®, and the full Vampire® procedure family. Thomas has been featured as a guest expert on CBS News and ABC News discussing PRP and Vampire procedures. He has been performing the O-Shot® protocol for 12 years.
The O-Shot® (Orgasm Shot®) is a regenerative treatment developed by Dr. Charles Runels that uses platelet-rich plasma (PRP) derived from your own blood to rejuvenate vaginal and clitoral tissue. The growth factors in concentrated PRP stimulate new blood vessel formation, improve nerve sensitivity, enhance natural lubrication, and support the tissue structures responsible for both sexual function and bladder control.
It is not a hormone. It is not a drug. Nothing foreign is introduced into your body. The entire treatment uses biology you already have — concentrated and delivered precisely where your body needs it.
The Procedure, Step by Step
• Topical numbing cream applied thoroughly to the treatment area. Comfort first.
• 60cc of blood drawn from your arm — Las Vegas Aesthetics uses a higher draw volume than most providers, producing approximately 6x platelet concentration. The clinical therapeutic threshold for meaningful tissue regeneration requires 4–5x. Most clinics drawing only 10cc don’t reach it.
• Sample centrifuged to isolate and concentrate the platelet-rich plasma.
• PRP precisely injected into the anterior vaginal wall (the O-Spot) and the clitoris, stimulating tissue regeneration, nerve sensitivity, and improved blood flow.
• The injection takes only a few minutes. No bandages, no restrictions. Normal activity resumes the same day.
Results develop over 4–12 weeks as the growth factors stimulate new blood vessel formation, improved nerve sensitivity, better lubrication, and stronger tissue function. Results typically last 12 months or longer.
Stress Urinary Incontinence
Leakage when laughing, coughing, sneezing, or exercising affects a significant percentage of women — and is one of the most underreported conditions in women’s health. The O-Shot® delivers PRP to the tissue around the urethra, Skene’s gland, and bladder neck, stimulating regeneration and improving the structural support that controls urinary function.
Low Libido & Reduced Sensitivity
The O-Shot® improves blood flow to the clitoris and vaginal tissue, enhances nerve sensitivity, and creates the physiological conditions for a more responsive intimate experience. This is a tissue-level change — not a psychological fix. One of our patients had gone more than a year without achieving orgasm; seven weeks after her O-Shot®, that had changed completely. She has since returned for two additional treatments.
Painful Intercourse (Dyspareunia)
PRP addresses dyspareunia at the root — regenerating tissue, improving lubrication, and normalizing nerve sensitivity. Many women report complete resolution of discomfort that had persisted for years.
Menopause & Genitourinary Syndrome (GSM)
The O-Shot® offers a non-hormonal approach to GSM — the dryness, irritation, urinary urgency, and painful intercourse that accompany declining estrogen. It regenerates tissue directly rather than supplementing the hormone, making it a meaningful option for women who
cannot or prefer not to use hormone therapy.
Lichen Sclerosus
PRP therapy has shown encouraging clinical results for lichen sclerosus — a chronic inflammatory condition causing vulvar tissue thinning, whitening, and scarring. Thomas addresses it as part of a comprehensive intimate wellness protocol; a free consultation will determine if the O-Shot® is appropriate for your presentation.
Postpartum Recovery
The O-Shot® supports postpartum tissue regeneration, helping restore the function and sensitivity that can diminish after vaginal delivery.
Magic Button Shot™ — The Combination Protocol
The Magic Button Shot™ pairs the O-Shot® PRP with Dysport administered to the clitoral area. PRP builds results over weeks; Dysport amplifies sensitivity within days. Available as a discounted add-on.
Same-Day Vampire Facial® Combination
The 60cc blood draw often produces extra plasma. Las Vegas Aesthetics offers a same-day Vampire Facial® — PRP via microneedling for skin rejuvenation at no additional blood draw. Two regenerative treatments, one appointment.
The 60cc Blood Draw Protocol
Most O-Shot® providers draw only 10cc of blood — producing 1.6–1.8x platelet concentration. Clinical data requires at least 4–5x for meaningful tissue regeneration. Las Vegas Aesthetics draws 60cc, producing approximately 6x concentration — firmly within the therapeutic range. If a provider cannot tell you their draw volume and resulting concentration, that is your answer.
Ask any provider: how much blood do you draw?
12 Years of O-Shot® Experience — and the Training Behind It
Thomas is a certified O-Shot® provider personally trained by Dr. Charles Runels, the inventor. He has been performing the protocol for 12 years and sought advanced training alongside urologists with 25 years of specialized pelvic medicine experience — the training that informed the higher-volume protocol Las Vegas Aesthetics now uses as standard.
As Seen on CBS News and ABC News
Thomas has appeared as a guest expert on CBS News and ABC News discussing PRP and Vampire procedures. That recognition reflects genuine clinical depth — not just familiarity with a protocol.
“Intimate health is something women have been told to be quiet about for a long time. My job is to give them real options, real information, and real results — in a space where they feel completely comfortable asking the questions they’ve never had a chance to ask.”
— Thomas Pulice, PA-C
- 60cc blood draw — approximately 6x platelet concentration vs. the industry-standard 1.6–1.8x
- Certified O-Shot® provider trained personally by Dr. Charles Runels, the inventor
- 12 years of O-Shot® experience — one of the most experienced providers in the country
- Featured CBS News and ABC News guest expert on PRP and Vampire procedures
- Treats full spectrum: incontinence, dyspareunia, GSM, lichen sclerosus, low libido, postpartum recovery
- Magic Button Shot™ combination protocol — Dysport + O-Shot® for accelerated results
- Same-day Vampire Facial® combination available — one blood draw, two treatments
- No hormones, no surgery, no foreign substances — entirely your own biology
- Performed personally by Thomas Pulice, PA-C — never delegated
- Free consultation • Financing available • Private, discreet environment
What Results Can You Expect, and When?
Every woman's response is her own — conditions being treated, hormonal status, and overall health all shape when and how results emerge. Most women begin noticing changes in the first few weeks, with improvements deepening over the following months. Lubrication and sensitivity often appear earlier; bladder control tends to develop more gradually. Results typically last 12 months or longer. Some women return before that simply to build on what they experienced.
Thomas will give you an honest, personalized assessment at your free consultation — not a generic timeline.
Below are the most common questions clients ask before their O-Shot® appointment. Every treatment is customized for natural, comfortable results, so you always know what to expect.
What is the O-Shot® (Orgasm Shot®)?
The O-Shot® (Orgasm Shot®) is a regenerative treatment developed by Dr. Charles Runels that uses platelet-rich plasma (PRP) from the patient's own blood to improve female intimate wellness. PRP growth factors are injected into the clitoris and anterior vaginal wall, stimulating new blood vessel formation, improved nerve sensitivity, enhanced lubrication, and stronger tissue function. It treats urinary stress incontinence, reduced sensitivity, painful intercourse (dyspareunia), genitourinary syndrome of menopause (GSM), lichen sclerosus, and postpartum recovery. Performed at Las Vegas Aesthetics by Thomas Pulice, PA-C — a 12-year certified O-Shot® provider and CBS/ABC News featured PRP expert.
Does the O-Shot® actually work?
Yes. The O-Shot® has demonstrated consistent clinical results for stress urinary incontinence, reduced sensitivity, dyspareunia, and genitourinary syndrome of menopause. Results typically develop over 4–12 weeks and can last 12 months or longer. Outcomes depend significantly on
PRP concentration — Las Vegas Aesthetics uses a 60cc blood draw producing approximately 6x platelet concentration, well above the 4–5x clinical therapeutic threshold required for measurable tissue regeneration.
What conditions does the O-Shot® treat?
The O-Shot® treats: stress urinary incontinence (leakage during coughing, sneezing, or exercise), reduced sexual sensitivity and difficulty achieving orgasm, painful intercourse (dyspareunia), genitourinary syndrome of menopause (dryness, irritation, urinary urgency), lichen sclerosus, low libido, and postpartum tissue recovery.
How is the O-Shot® different from hormone therapy?
Hormone therapy supplements declining estrogen. The O-Shot® regenerates tissue directly — improving blood flow, nerve sensitivity, and vaginal wall thickness using your own PRP, with no hormones or synthetic substances. It is a meaningful option for women who cannot use hormone therapy (such as those with a cancer history) or who prefer a non-hormonal approach. Many women use both in coordination with their physician.
What should I look for when choosing an O-Shot® provider?
Ask how much blood the provider draws. A 10cc draw produces only 1.6–1.8x platelet concentration — below the therapeutic threshold for meaningful tissue regeneration. Las Vegas Aesthetics draws 60cc, producing approximately 6x concentration. If a provider cannot tell you their draw volume and resulting platelet concentration, that is your answer.
Is the O-Shot® painful?
Most patients experience little to no discomfort. A thorough topical numbing cream is applied before treatment. The injection takes only a few minutes, and most women describe the experience as far less intimidating than anticipated. No significant soreness afterward — normal activities resume the same day.
How long does an O-Shot® appointment take?
Approximately 60 minutes from arrival to departure — blood draw, PRP preparation, and injection. If combining with the Magic Button Shot™ or a same-day Vampire Facial®, plan for additional time.
When will I see results from the O-Shot®?
Most patients notice changes within 2–4 weeks, with the most significant improvements between weeks 6–12. Lubrication and sensitivity often improve earliest. Urinary incontinence reduction typically develops over 6–12 weeks. Results can last 12 months or longer.
What is the Magic Button Shot™?
The Magic Button Shot™ is a proprietary combination protocol at Las Vegas Aesthetics pairing the O-Shot® PRP with Dysport administered to the clitoral area. Dysport relaxes smooth muscle tissue, amplifying sensitivity and accelerating the regenerative response. Where PRP builds results over weeks, Dysport acts within days — the two work on different timelines and produce results neither achieves alone. Available as a discounted add-on to the O-Shot® appointment.
How much does the O-Shot® cost in Las Vegas?
Pricing depends on the specific protocol — including whether the Magic Button Shot™ or Vampire Facial® combination is included. We offer free consultations with transparent pricing before you commit. Financing is available. Call or text 725-527-8211 or book online.
Where is Las Vegas Aesthetics located, and do you offer financing?
9081 W. Sahara Ave, Suite 230, Las Vegas, NV 89117. Open Tuesday–Saturday, 10:00 AM – 5:00 PM. Financing available. Call or text 725-527-8211 or book your free consultation online.