Sexual Health And Enhancement

Karen E. Kennedy, MD

Gynecology & Aesthetics located in Gulf Breeze, FL

Over time, we have blood flow decrease to all of our organs, and cells and organs become less structured and lose some function.  When this happens to the genital area, we can have a decline in sexual function.  There are ways to treat this decline.

What is the O-shot?

The O-shot is a method to use PRP from your own blood to stimulate growth and new structure to the bladder and vaginal area to manage urinary incontinence, urgency, and sexual experience.

Blood is drawn and the plasma is collected, which has concentrated platelets.  The genital area is pre-treated with an anesthetic cream and an anesthetic injection if needed.  This PRP is injected vaginally into an area that treats the vagina and bladder, and clitoris.  My patients generally describe the procedure as painless.  The result is improved urinary incontinence, less urinary urgency and frequency, and improved sexual response and physical sensation and orgasm.    Response is seen in 65% of women, and if a second treatment is needed, 85% response can be reached.  There is no recovery needed.

The same technology of blood plasma can be used to treat the face for a more youthful appearance, the breasts for enhancement, the scalp for hair growth, and the vulvar and vaginal area for pain and skin disorders such as lichen sclerosus.  Methods of treatment can be combined to make the blood draw for plasma efficient and used for multiple purposes.


Men, are you struggling in the bedroom?  Try the P-shot:

If you are experiencing erectile dysfunction, ED, the P-shot may be perfect.  This simple treatment helps men achieve a firmer, stronger, and larger erection.  It uses PRP, natural factors from your own blood, to stimulate growth and structure right where it is needed for proper genital function when it is needed.  

The problem is that over time, tissue and cells in the body break down and are not regenerated like when we are younger.  There are ways to use the body’s own healthy materials from the blood to induce blood flow and vessel development, and tissue youth, where we need it.    

Blood is drawn and prepared to separate the platelets and factors that can aid tissue growth.  Then it is placed into areas where ED has struck after an anesthetic cream is used to pre-treat the area.  There is no recovery.  Over a few weeks, results are improved erection.


DUO Shock Wave Treatment, for Men and Women

Alma Duo is an in-office, aesthetic treatment that uses gold standard shock wave technology, focused low-intensity extracorporeal shock wave therapy (LI-ESWT), clinically validated to stimulate better blood flow and restore natural sexual performance – bringing spontaneity back to his and her life.

• Globally, 322MM men is projected to suffer from sexual performance issues due to declining vascular function by 2025
• Alma Duo is a quick, 15-minute in-office treatment
• No topical anesthetic and no downtime required.
• No pills. No needles. No surgery.
• Long-lasting results clinically validated at least 2 years post treatment.

Technology Overview

First introduced for stone fragmentation in the 1970s, focused low-intensity extracorporeal shock wave therapy (LI-ESWT) has since evolved to successfully address additional medical concerns in orthopedics for its anti-inflammatory benefits and in cardiology to promote angiogenesis, the formation of blood vessels.

What is LI-EWST?

Focused LI-EWST, delivered with Alma Duo’s patented electrohydraulic applicator, consists of a short pulse of about 0.5µs duration or a near instantaneous jump to a peak positive pressure, which is referred to as a ‘shock’, followed by a longer-lasting period of negative pressure. Shock wave peak pressure is nearly 1000X greater than the peak pressure in ultrasound waves.

How does LI-EWST work?

The peak pressure exerts direct mechanical stress. This shear stress sets off a cascade of wound healing responses that induces neovascularization and angiogenesis (formation of new blood vessels) to restore better blood flow and natural function to the treatment site.

Unlike other shock wave technologies Alma Duo’s patented electrohydraulic applicator is designed to reach in deeper depths (135mm) with 3X fewer pulses and lower energy to effectively treat not just the penile shaft but the penile crus – where 50% of the cavernous bodies that comprise the corpora cavernosa is located.

300 pulses are administered to 5 unique treatment sites, 3 along the penile shaft and 2 directed to the penile crus. Two treatments per week for three consecutive weeks is recommended.

The restorative properties of Alma Duo’s focused LI-EWST has been clinically validated, with the most studies published studies dating back to 2010 that includes hundreds of male patients around the world.

DUO can also have similar restorative effects on women, returning more blood flow to the genital area.  The treatment can restore improved sexual function in women as well as men.