Vaginal Rejuvenation Treatments

The Orgasm-Shot®​

The Orgasm-Shot®

The Orgasm-Shot® (O-Shot®) is an injection of Platelet-Rich Plasma (PRP) around the clitoris and in the area of the G-spot to improve sexual sensitivity and orgasm.

What are the benefits of the O-Shot®?

  • Stronger, more frequent orgasm
  • Improved vaginal sensitivity
  • Decreased pain for patients with dyspareunia (painful sex)
  • Increased natural lubrication
  • Improved symptoms of urinary incontinence

How quickly will I experience results after the O-Shot®?

Results from the O-Shot vary with each woman. Most women will experience improved sexual arousal and orgasmic intensity beginning a dew days to a few weeks after injection. Some do not experience a notable difference but are still a candidate for a repeat injection to achieve the desired effect.

Will O-Shot® work for me?

Improvements in sexual symptoms from the O-Shot® have been reported in an estimated 80-90% of women.

How long will effects from the O-Shot® last?

Effects appear to last anywhere between 1 to 4 years. Most women repeat an injection around 18 months after their initial injection.

When should I repeat the O-Shot®?

When improvements wane, the shot can be repeated.

Is the O-Shot® safe?

Yes. The O-Shot® is safe and associated with minimal discomfort. It is performed as a quick non-surgical in-office procedure.

Platelet Rich Plasma (PRP)

What is Platelet-Rich Plasma (PRP)?

PRP is plasma derived from your own blood and is made by concentrating your own platelets and serum that contains growth factors.

What conditions can PRP treat?

PRP works by activating the body’s natural healing processes in the affected areas.

PRP shots have been useful in treating many conditions, including conditions involving the gynecological, musculoskeletal, and dermatological systems.

In our practice, we use PRP for the following:

  • Vaginal rejuvenation
  • Clitoral and G-spot amplification
  • Urinary incontinence
  • Lichen sclerosis
  • Scar treatment

How does PRP work?

PRP is injected into an area of the body where it may induce healing or growth-enhancing properties, such as the vagina, the clitoris, or the labia, which then can induce new tissue generation and repair, neovasculogenesis (formation of new blood vessels), and collagen production.

How is PRP made?

PRP is created in the office by drawing a small amount of your blood. Your blood is then placed in a centrifuge and spun down to concentrate the platelets from the red blood cells and blood plasma.

Monalisa Touch Laser®

What is the MonaLisa Touch Laser?

MonaLisa Touch is a gentle medical laser that delivers controlled energy to the vaginal wall tissue. It stimulates the cells in the vaginal mucosa (vaginal tissue) to produce new collagen and elastin, and improves blood vessel supply. The CO2 laser energy is delivered in two steps via a probe inserted inside the vaginal canal to treat the interior, and an outside probe to treat the exterior tissues.

Am I a Candidate for the Treatment?

Treatments are recommended for any woman who wishes to treat or prevent vaginal atrophy symptoms due to the lack of estrogen, or who suffer from lichen sclerosis.

These include women who:

  • are going through or have gone through menopause and are having vaginal dryness, pain with intercourse, urinary incontinence, urinary urgency, recurrent urinary tract infections, recurrent vaginal infections, and/or lack of sensation
  • are experiencing post-menopausal symptoms from surgical removal of ovaries (sometimes during hysterectomy), breast cancer treatment, or other cancer treatment
  • cannot receive estrogen therapy or prefer not to use hormones
  • are experiencing symptoms from lichen sclerosis and
  • are not having relief from topical steroids
    are experiencing vaginal symptoms due to breastfeeding or longterm birth control use

What is Vaginal Atrophy?

Vaginal atrophy is thinning, drying, and inflammation of the vaginal walls due to a decline in estrogen due to natural or surgical menopause, breast cancer treatments, or removal of ovaries. Symptoms include: vaginal dryness, itching, burning, urinary frequency and/or urgency, vaginal laxity, and pain during intercourse.

Where can I have this done?

The MonaLisa Touch is an in-office procedure performed by your physician.

Does the procedure hurt?

The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort when the probe is inserted, but the actual treatment is not painful. Many patients report that it feels like a gentle vibration. We do apply numbing cream for treatment of the external tissues as these areas are more sensitive.

How many laser treatments are needed?

Patients receive three treatments, spaced six weeks apart. Additional treatments may be needed depending on severity of symptoms. For patient receiving external treatment only for lichen sclerosis, we recommend 3-5 treatments. yearly or every other year depending on initial response and symptom severity. Our medical providers, after careful examination, evaluate and recommend your optimal treatment plan.

When will I see results?

Most patients feel improvement with the first week after the first treatment. We typically see progressive improvement over subsequent treatments and several months after completion of the series.

How long does it last?

Patients should expect to come back annually to every 2 years for a single maintenance treatment.

What are my limitations after the procedure is done and what is the recovery process?

Patients should refrain from sexual activity for 2-3 days after each treatment. Some women report slight localized discomfort for a few hours to a couple of days following the laser treatment. NO time off work is needed. Most women almost immediately resume their normal routine.

Is this procedure safe for women with breast cancer?

Yes, MonaLisa Touch treatment is particularly well suited for patients who cannot, or prefer not to receive estrogen therapy.

What clinical trials have been conducted on the MonaLisa Touch?

A multisite study was conducted by Dr. Mickey Karram, Director of Fellowship Program on Female Pelvic Medicine & Reconstructive Surgery at The Christ Hospital and Dr. Eric Sokol, Associate Professor of Obstetrics and Gynecology at the Stanford University Medical Center. Findings from trials evaluating the laser treatment on postmenopausal women and breast cancer survivors experiencing vaginal health issues have shown positive results.


What is Votiva?​

Votiva is a safe and comfortable treatment for labia and vaginal tightening and rejuvenation. It can address both internal and external vaginal health issues without surgery. As women age, their bodies face a host of new changes, from a loss in elastin and collagen, to physical trauma associated with vaginal childbirth, to reduced estrogen. Votiva can be performed in conjunction with the MonaLisa Touch Laser for treatment of atrophy and associated painful intercourse.

Common Concerns

  • Elasticity and wrinkled appearance of the labia and vulva
  • Loosened vaginal canal especially after childbirth
  • Low blood flow and sensitivity
  • Pain sensation caused by labial hypertrophy
  • Decrease in sexual interest and self-esteem
  • Urinary stress incontinence

How does Votiva work?​

  • Votiva uses FormaV and FractoraV technologies to address the vaginal internal and external areas of concern.

    • FormaV- Gentle thermal tissue remodeling (internal and external)
    • FractoraV- Fractional radio-frequency contraction (external)

    During your private consultation we will develop a tailored treatment plan that can include either FormaV or FractoraV, or both.

How many Votiva treatments do I need?​

Votiva is a NEW non-surgical treatment for labia and vaginal tightening and rejuvenation. It uses radiofrequency energy to treat the inside (vagina) and outside (labia) tissue. It is a treatment for:

  • Elasticity and wrinkled appearance of the labia and vulva
  • Loosened vaginal canal especially after childbirth
  • Enlarged inner labia
  • Low sensitivity
  • Urinary stress incontinence

Votiva is performed in the office with little to no downtime and is painless. It is performed in 2-3 sessions depending on the patient. Results can be immediate!

Votiva can be performed in conjunction with the MonaLisa Touch Laser for treatment of atrophy and associated painful intercourse.

What can I expect during a Votiva treatment?​

Patients can expect to feel a heating sensation during the treatment. Depending on the intensity of the treatment, there is little to no downtime. While many patients have slight discomfort during and immediately after the treatment, some patients experience no discomfort at all.

When do I get results from the Votiva treatment?​

Votiva offers results that can be felt and seen immediately, with continued improvements over time and with multiple treatments.

Physician: Shaghayegh M. DeNoble, MD, Advanced Gynecology and Laparoscopy of North Jersey
Shaghayegh M. DeNoble, MD, FACOG
AGLNJ-2021.07.08-5 9x6 2
Myrandele Damian-Coleman, MD, FACOG
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Advanced Gynecology and Laparoscopy of North Jersey
Advanced Gynecology and Laparoscopy of North Jersey
Advanced Gynecology and Laparoscopy of North Jersey
Advanced Gynecology and Laparoscopy of North Jersey
Advanced Gynecology and Laparoscopy of North Jersey