Because the O-Shot is derived from our patients’ own bodies, there is a very low risk of reaction!

O-Shot in San Antonio
Bring Back Your "O"
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Category
Women's Sexual Wellness
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What O-Shot Treats
Decrease in natural lubrication
Stress urinary incontinence
Vaginal dryness
Chronic pain -
Downtime
none
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Treatments Needed
Typically 1 treatment
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Results of O-Shot
Results last up to 2 years
Experience Better Pleasure With the O-Shot
Just as important as your mental and physical health—and often connected with the two—your sexual health plays an important role in your overall wellness. When it comes to women’s sexual health, life-altering events such as pregnancy, childbirth, and menopause can cause a number of issues with both intimacy and function.
If any of this sounds familiar, you’re not alone, and you have high-quality options at your disposal, including the O-Shot. Changes to sexual function and bladder control are far more common than most women realize, largely due to stigmas keeping the public conversation quieter than it should be. In fact, national survey data published in Female Pelvic Medicine & Reconstructive Surgery found that more than 60% of adult women in the United States experience some form of urinary incontinence, with stress incontinence making up the largest share. Vaginal dryness and related discomfort are just as widespread, with the Cleveland Clinic Journal of Medicine reporting that roughly half of women experience these symptoms after menopause. These shifts are a normal part of hormonal change and aging, and they typically respond well to treatment.
Whether you’re struggling with urinary incontinence, dryness, or discomfort, the O-Shot in San Antonio at Marcos Medical Aesthetics & Wellness can help bring your spark back!
Benefits of Juliet
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Increased natural lubrication
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Increased sensitivity
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Decreased urinary incontinence
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More intense & frequent orgasms

Schedule Your Appointment
Start your journey by filling out the contact form below, or book an appointment when you’re ready to get started!
How O-Shot in San Antonio Works
- The O-Shot works by treating a variety of sexual health issues by using platelet-rich plasma (also known as PRP). PRP uses your body’s own growth hormones—which we get by drawing your blood from your arm and separating out the plasma—to regenerate the vaginal tissue.
- Once a highly trained provider separates the growth hormones, they’ll inject them back into the clitoris and upper vagina.
- The treatment is completely comfortable, 100% safe, and offers symptom relief within a few weeks following your injection!

What the Growth Factors in the O-Shot Actually Do
PRP works by concentrating the healing signals your body already produces. When your blood is spun in a centrifuge, the platelets separate from the red blood cells and cluster into a plasma densely packed with growth factors. These factors include proteins such as platelet-derived growth factor, vascular endothelial growth factor and transforming growth factor beta.
Once injected into the treatment area, these proteins signal the surrounding tissue to build fresh blood vessels, generate collagen and recruit the cells your body uses for repair. In the context of the O-Shot, that regenerative activity translates to healthier, better-vascularized tissue in the areas that drive arousal, sensation and bladder support.
O-Shot in the Research: Safety, effectiveness and the importance of prep
A 2023 systematic review in Biomedicines evaluated PRP injections for female sexual function and stress urinary incontinence. Across the studies reviewed, PRP produced measurable improvements on tools like the Female Sexual Function Index and the questionnaires researchers use to track incontinence, though the authors noted that larger trials are needed to confirm long-term results. This data and a consistent safety profile is a big reason the treatment has grown so quickly in popularity.
Because your provider draws and prepares your blood on-site, the quality of that preparation is key to achieving the best results. At Marcos Medical Aesthetics & Wellness, the O-Shot is handled by a medically trained team working inside a practice with more than 20 years of clinical experience.
Am I a Candidate for the O-Shot?
There’s no universal checklist that will clearly decide your candidacy for the O-Shot, but you may be a strong fit if you’re dealing with reduced lubrication, diminished sensation, discomfort during intimacy or mild stress urinary incontinence. The treatment tends to help women whose symptoms trace back to hormonal change, childbirth or the natural effects of aging on genitourinary tissue.
Women often explore the O-Shot when they notice:
- Reduced natural lubrication or persistent vaginal dryness
- Difficulty reaching orgasm or a drop in sensitivity
- Mild to moderate stress urinary incontinence — the leakage that shows up when you laugh, cough, sneeze or exercise
- Discomfort during intimacy
- A general decline in sexual satisfaction following pregnancy or menopause
Because the O-Shot uses your own blood, it carries a very low risk of allergic reaction, which makes it an attractive option for a wide range of patients. There are a few situations where your provider may suggest waiting or exploring an alternative. For example, if you’re pregnant, have an active infection in the treatment area or live with a blood-related condition that affects how your platelets function, the O-Shot may not be ideal at this time. A free, one-on-one consultation is the best way to see if the O-Shot is a good fit for you.

How to Preserve Your O-Shot Results
O-Shot results build gradually over a few weeks and can last up to two years, and a handful of simple habits can help you protect and extend them. Since the treatment enhances your body’s ability to regenerate healthy tissue, the better your baseline, the more durable your outcome tends to be.
A few practical steps go a long way:
- Stay consistent with hydration and a balanced diet, since PRP works alongside your body’s natural healing processes
- Keep up with pelvic floor exercises, which reinforce the bladder-control benefits of your treatment
- Address hormonal changes directly, including pursuing hormone replacement therapy as needed
- Steer clear of smoking, which constricts blood flow and works against tissue regeneration
- Return for a maintenance treatment if and when you notice symptoms creeping back
Lifestyle plays a bigger role here than you might think. We can map out a realistic maintenance plan built around your body and your schedule during any follow-up visit, so you’re never guessing about what comes next.
Can I Pair the O-Shot With Other Sexual Wellness Treatments?
Yes. For many women, the O-Shot works best as one piece of a broader sexual wellness plan rather than a standalone fix, and Marcos Medical offers several treatments that complement it well.
Juliet vaginal rejuvenation approaches vaginal health from a different angle. Where the O-Shot regenerates tissue from the inside through growth factors, Juliet uses laser energy to stimulate collagen in the vaginal wall. Together, they address both the regenerative and structural sides of the equation, which is why patients focused on dryness, laxity or discomfort can benefit greatly from this particular pairing.
Hormone replacement therapy targets the root cause behind many of these symptoms. Dryness, low libido and thinning tissue frequently trace back to declining estrogen, so restoring hormonal balance alongside the O-Shot tends to produce more complete, longer-lasting relief than either approach on its own.
Emsella may be an effective option if bladder control is your primary concern. This noninvasive treatment uses electromagnetic energy to strengthen the pelvic floor while you sit fully clothed, and it reinforces the tissue support the O-Shot provides around the urethra.
Every combination is tailored to you. During your consultation, the team will map out which treatments make sense for your goals and which sequence delivers the best value, so you’re never paying for more than you actually need.
Place Your Trust in Us
Part of what separates us is our commitment to constant improvement through cutting-edge treatments and the most advanced medical & aesthetics technology available.
But what truly makes us unique is our dedicated and highly trained staff. Instead of treating people as another appointment on the schedule, we take the time to build relationships and earn their trust. We firmly believe that the best possible outcomes only happen through patient-focused care—which means emphasizing compassion and collaboration from start to finish.

Why Choose Marcos Medical for the O-Shot?
The O-Shot is offered at medspas across San Antonio, so what sets Marcos Medical apart is the medical practice standing behind it. Dr. Yolanda Marcos leads a team that brings more than 20 years of clinical experience to every patient, and the practice’s roots in primary care mean your sexual wellness treatment is handled with the same medical rigor as any other part of your health.
Our aesthetics and wellness team approaches these conversations with the discretion and compassion the subject deserves.
Every O-Shot treatment plan begins with a complimentary consultation to discuss your concerns, review your health history, and determine the treatment options best suited to your individual needs and goals.
“Dr. Marcos actually cares and listens. I never feel rushed. She’s patient, understanding, compassionate and thorough. Everything is explained well and clearly. She’s very smart and has high standards and quality of care. Her staff is very friendly and helpful also. I am very thankful to be under her care. I definitely recommend Dr. Marcos.”
– H. Connell, Google Reviews
Frequently Asked Question About O-Shot
There is no downtime after receiving an O-Shot! You can even resume sexual activity on the same day if you desire.
There are not many side effects associated with an O-Shot. Some patients report a feeling of “fullness” after an O-Shot, which usually only lasts for a few hours and does not cause any pain.
Your provider may use a temporary numbing cream to help prep the intended injection site in advance of your injection, and ensure your total comfort through the procedure.
Most women begin noticing changes within a few weeks as the growth factors stimulate new tissue and blood vessel formation. Results tend to build gradually over the following two to three months, and the full effect can last up to two years for many patients.
O-Shot pricing depends on your treatment plan and whether you combine it with other services, so it varies from patient to patient. The clearest way to get an accurate quote is during your free consultation, where the team can walk you through cost along with any package or financing options that fit your budget.
Yes. The P-Shot applies the same platelet-rich plasma approach to men’s sexual wellness, addressing concerns like performance and sensitivity. Couples sometimes pursue both treatments as part of a shared wellness plan, and your provider can speak to whether that makes sense for you.