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O-SHOT in Asheville, NC

Life's too short for bad sex. Get your O-SHOT® today!

Biltmore Restorative Medicine

Did you know that studies show that 51 percent of women have never experienced an orgasm through vaginal penetration alone? The only treatment that has been offered to women thus far is vaginal estrogen, topical testosterone, or psychotherapy. No longer! The O-Shot has proven to improve the sex lives of women in Asheville, NC, who struggle with climaxing.

"I had an O shot by Dr. Ibrahim and all I can say is OOOOOOOO!!!!!!!!!! Need I say more!!! Wow!"
Debra W.

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Asheville o shot model with brown hair

Life's too short for bad sex. Get your O-SHOT today!

Are you one of the astonishing 51 percent of women who have never experienced an orgasm through vaginal penetration alone? Up until now, the options available to address this issue were limited to vaginal estrogen, topical testosterone, or psychotherapy.

But guess what? There's a wonderful breakthrough called the O-Shot that is bringing joy and fulfillment to the sex lives of women in Asheville, NC, who struggle to reach climax. It's like a ray of sunshine in the bedroom! This incredible treatment is offering new possibilities and helping women embrace a more satisfying and pleasurable journey. It's time to celebrate the power of the O-Shot!

Dr. Charles Runels

Inventor of the O-Shot, P-Shot, and Vampire Facelift Procedures & Founder of the Cellular Medicine Association

A Word From The Inventor Of the O-Shot

Dr. George Ibrahim has the kind heart and the listening, empathetic ear of the family doctor everyone would want. Yet, he actually has the intellect and academic credentials of a prestigious university urologist; he enjoyed a successful career as a faculty urologist at Duke, specializing in prostate cancer surgery.

He has contributed significantly to the thought development of the Cellular Medicine Association and to the development of P-Shot and O-Shot procedures.

He’s the doctor I would want any family member to see and the doctor I routinely go to for advice about current research regarding urology and sexual medicine. He has been a source of inspiration and wise counsel for me for a decade.

—Charles Runels, MD

Introducing the O-SHOT!!

End Your Sexual Plateau

The O-SHOT procedure is an in-office, painless, non-surgical procedure that uses the growth factors each woman has in her own body to stimulate vaginal and clitoral rejuvenation. Utilizing your own growth factors in a specific way, The O-SHOT rejuvenates the vagina to enhance your sexual experience and also mitigates stress incontinence.

Emotional, psychological, physical, and social factors all contribute to your sexual reaction. It may only occur in a certain sexual situation or present in every sexual interaction. If these elements are disrupted, your arousal, desire, and fulfillment will be compromised. Aging can also affect your sexual life in a variety of ways. Hormone changes, menopause, hysterectomies, childbirth, and other variables may have a role in women's anxiety and low self-esteem when it comes to sexual pleasure. Fortunately, non-surgical options for preventing these symptoms are now available.

Additional Reading

Our sexual health therapies at Biltmore Restorative Medicine & Aesthetics have helped hundreds of patients—both men and women—rediscover joy and pleasure. At our Asheville, NC headquarters, learn more about our hallmark sexual wellness treatments, such as vaginal rejuvenation, the O-SHOT, and the Juliet Feminine Laser.

What is the O-SHOT?

Restore your sexual vitality

The O-SHOT, also known as Orgasmic Shot, is a revolutionary procedure that treats female sexual dysfunction. During an O-SHOT session, one of your medical providers will administer platelet-rich plasma (PRP) to your clitoris, G-Spot, and other areas of vaginal erogenous zones to boost tissue health and pleasure. According to many physicians who have performed thousands of these procedures across various populations—the results are astounding! Many women report reaching new levels of sexual satisfaction after just one treatment with The O-SHOT in Asheville.



I’m a 56 year old woman and sex therapist. I learned of the O-Shot for the first time at a workshop featuring Dr. Ibrahim and Biltmore Restorative Medicine in Miami. I made an appointment to get the O-Shot, and I am not sorry. It was minimally evasive, and not painful at all. My orgasm’s are easier to achieve and last longer. I highly recommend Dr. Ibrahim and staff. They are professional and knowledgeable.

August 31, 2021

I’ve had some friends visit Dr Ibrahim over the past year with nothing but rave reviews about how their sexual health has improved. So I decided to give both the O Shot and testosterone pellets a try. I’m not sure whether it was the combination of the two or that they were both equally as good but within weeks I started feeling the changes. My excitement level skyrocketed along with my desire. Feel supercharged and love the feeling! Will continue!

September 10, 2020

I heard about Dr. Ibrahim and the O Shot while at a meeting in Mexico where he had been invited to speak. His expertise and ease at explaining this procedure and its benefits really made me feel at ease, and so it was without hesitation that I traveled to Asheville all the way from Las Vegas to have it done...

August 20, 2020

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What are the benefits of the O-SHOT?

Rediscover Pleasure Without Surgery

You can increase the quality of your sex life and sexual wellbeing with contemporary PRP treatments. Your provider will discuss your concerns, go over your alternatives, and design a treatment plan suited to your individual circumstances and needs during your consultation. Our Asheville O-SHOT treatment is best for people who have trouble getting an orgasm or have stress urinary incontinence (leaking when coughing, laughing, jumping, etc.)

Some of the benefits of obtaining an O-SHOT are as follows:

  • Heightened sensitivity of your clitoris
  • Stronger, faster, orgasms
  • More orgasms
  • Increased female ejaculations (squirting)
  • Dramatically improve stress urinary incontinence
  • Confidence due to decreased or cured incontinence
  • Vaginal lubrication improvement.
  • Vaginal tissue health improved 

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Combining the O-SHOT with the Juliet Vaginal rejuvenation laser typically increases the benefit of each of them. Essentially the combination is like 1 + 1 = 5! 

Am I a good candidate for the O-SHOT?

Heal yourself with healthy injections

The O-SHOT is ideal for women who have difficulty in reaching orgasm, experienced pain during intercourse, lack of vaginal lubrication, or other issues that may be impacting their sex life. If you’re interested in improving your sexual wellness, you might consider the O-SHOT. Urinary incontinence, vaginal dryness, reduced orgasm capability, Lichen sclerosus, Lichen planus, postpartum fecal incontinence, persistent pain after delivery (episiotomy scars), chronic pain from mesh, and chronic interstitial cystitis are all conditions that the O-SHOT can help with (ICD). Many patients claim that after having O-SHOT therapy, their orgasms improved. PRP promotes new blood vessels and neurons, resulting in better orgasms. Schedule your private consultation to ensure the O-SHOT is right for you.

Your O-SHOT Procedure

Experience a new kind of healing

When receiving the O-SHOT Asheville patients say there is little to no discomfort. We promise you’ll be pleasantly surprised, both with how easy the procedure is and with the results. To extract the PRP from the rest of your blood, your blood is taken and spun in a centrifuge. Then, a topical numbing lotion is given to your clitoris, labia, and G-spot for your comfort.

PRP (platelet-rich plasma) can be injected into therapeutic locations to trigger orgasmic pathways, hence "O-SHOT." Once injected, the platelets immediately activate and begin rejuvenating and revitalizing vaginal and clitoral function. Growth factors are released after your injection and will begin to improve the function of your vaginal tissues. This results in increased sensitivity and improved overall sexual response, almost immediately! Full results may take up to three months to fully manifest.

Not all PRP is the same!

“Not all 1 carat diamonds are worth the same, are they?”

At Biltmore Restorative Medicine and Aesthetics, we use only the very best PRP and PRF (Platelet Rich Fibrin). Not all PRP is the same, and most practices use very basic kits that, at best, concentrate to 1.4 times native concentrations. That’s less than double. Our process allows us to reach levels that are 8-10 times native concentration. That is a big difference.

To give you an example. A 1.4 x kit is like you taking $100 and turning it into $140. Whereas a 9x kit is like taking $100 and turning it into $900. Which one of those is “richer?” It’s your body, and these special areas deserve the very best PRP available. Platelet Rich Fibrin has even more growth factors and durability than PRP, and we are the area’s only provider that uses PRF in our O-SHOTs (and other procedures). Fibrin forms a scaffold that allows the platelets to linger in the area for longer, therefore allowing the growth factors more time to induce additional vessel and nerve growth. What does that mean for you? If you want to supercharge your results, consider PRF in your O-Shot to dramatically improve your sex life even more than PRP already does.

O-SHOT Recovery & Results

Regenerative Cellular Therapy

The O-SHOT procedure works! So far, many women have already enjoyed its benefits, with each patient reporting some level of enhanced sensation and function, and many have experienced significant enhancement. All-natural and virtually painless, The O-SHOT procedure cultivates a woman’s own healing agents (called Platelet Rich Plasma) and applies them to specific areas such as the G-spot and clitoris.

Patients often report feeling a heightened sexual sensitivity within one to two weeks of their treatment, and many claims that their sex lives actually improve due to their increased vaginal lubrication. For these reasons, we’ve been able to offer substantial relief to women suffering from disorders like Vaginismus. There is essentially no recovery time. Women can have sex the next day. Results may be immediate or take up to a month to notice. Durability is variable. Some women choose to repeat their O-SHOT yearly, some do them every three months. When Dr. Ibrahim asked one such patient about her results, she said, “It just gets better every time you do it, so why not keep doing it!”

Asheville o shot model with blonde hair

What Can The O-Shot Help With?


  1. Female Sexual Arousal Disorder: This condition refers to the difficulty women may experience in finding pleasure or becoming sexually aroused despite wanting to engage in sexual activity. It can affect around 5% of women and may contribute to feelings of frustration or dissatisfaction.
  2. Hypoactive Sexual Desire Disorder: Hypoactive Sexual Desire Disorder involves a persistent lack or decrease in sexual desire that causes distress or disruption in a woman's life. Approximately 10% of women may experience this issue, which can impact their overall well-being and quality of life.
  3. Female Orgasmic Disorder: Female Orgasmic Disorder occurs when a woman has difficulty achieving orgasm despite feeling sexually aroused. This frustrating condition affects about 5% of women and can lead to sexual dissatisfaction and avoidance of sexual encounters.
  4. Dyspareunia: Dyspareunia refers to the presence of real pain during sexual intercourse that is not caused by factors like decreased lubrication or vaginal spasm. It affects approximately 10% to 20% of women and can cause significant discomfort, making sexual activity distressing or undesirable.
  5. Genital Mismatch: Genital Mismatch can contribute to both Female Orgasmic Disorder and Dyspareunia. It occurs when there is a perceived discrepancy or dissatisfaction with the appearance or function of the genitalia, leading to sexual difficulties and distress.
  6. Stress Urinary Incontinence: Stress urinary incontinence (SUI) is a common and distressing condition that affects many women, causing involuntary leakage of urine during activities such as coughing, sneezing, or exercising. However, there is a promising treatment called the O-Shot that has been providing relief to women suffering from SUI. Along with a combination of PRP and laser treatments, the O-Shot helps to strengthen and tighten the pelvic floor muscles, enhancing support to the urethra and reducing episodes of urinary leakage. This innovative treatment option has shown great potential in improving the quality of life for women with stress urinary incontinence, offering them renewed confidence and freedom from the limitations imposed by this condition.

It's important to note that these conditions can have a profound impact on a woman's life, affecting her emotional well-being, relationships, and overall satisfaction. Seeking appropriate treatment and support, such as consulting with healthcare professionals or specialists, can be beneficial in addressing these concerns and improving overall sexual health and quality of life. Remember to consult a qualified provider and gather all the necessary information before considering any medical procedure.

WNC's First O-SHOT Provider, a "certifier" of other providers

Choose Biltmore Restorative Medicine & Aesthetics

Most primary care physicians and "franchise" clinics lack the clinical expertise that comes with three decades of practice! Your treatment should be designed for your concerns, goals, and overall quality of life.

At Biltmore Restorative Medicine & Aesthetics, your treatment is uniquely personalized to give you exceptional results. Discover The Biltmore Difference, where your provider listens and learns about the issues important to you to improve your quality of life. Your results are a direct reflection of the skill, knowledge, and experience of your provider. Biltmore Restorative Medicine & Aesthetics is your premier O-Shot provider, delivering exceptional improvement in your sexual health.

Schedule your Asheville O-SHOT consultation at Biltmore Restorative Medicine & Aesthetics today.

Revive yourself naturally with Biltmore's cutting-edge therapies

For hundreds of women, sexual pleasure is a fleeting memory—until now. When you choose Asheville's Biltmore Restorative Medicine & Aesthetics for a vaginal rejuvenation procedure, you’ll learn about one of our most exciting breakthroughs in sexual wellness treatments. This minimally-invasive treatment has helped many women overcome painful intercourse and restore their natural ability to achieve orgasm—an invaluable asset as you head into your later years.

The O-SHOT is an advanced, patented treatment designed to enhance female sexual pleasure by improving blood flow and neural sensitivity to women’s genitals. Most women report achieving orgasm in as little as two weeks—and some experience their first orgasm ever within that time frame. We’re happy to schedule a consultation with one of our medical professionals at our Asheville, NC headquarters, where you can learn more about The O-SHOT and how it can help you rediscover pleasure and orgasm after years of painful intercourse or lack of response. During your consultation, ask us about enhancing your treatment with Peptide Therapy.


“Good morning Doctor I. All is well here, and I am assured that this latest laser treatment will be more than satisfying for both Bxxx and myself. You have absolutely changed our lives with the O shot and P shot, along with my laser treatment.”

“I will never be able to thank you enough! Dr. I, you’ve given me back the youthful joyous feeling of being a woman, not a mother or grandmother, but a younger version of who I was. Never in a million years did I think I could recapture the excitement and joy of a fulfilling sex life. It’s an honor to be one of your patients. Thank you, sir!”

Frequently Asked Questions

Before your treatment, a topical numbing cream is applied to your vaginal area. The region is then further numbed with a lidocaine injection. Most patients have little to no discomfort.

The most common side effects associated with The O-SHOT include swelling, bruising, and pain at the injection site; however, your medical provider is experienced in performing The O-SHOT with minimal discomfort. Due to individual variation, results are not guaranteed.

Every patient receives a personalized sexual wellness treatment. As a result, the cost may vary depending on your concerns, the treatment required, and whether or not any additional therapies are included in your treatment plan.

Because sexual wellness treatments are deemed non-medical, the O-SHOT is not covered by medical insurance. It is always encouraged to discuss your coverage options with your insurance provider.

Everyone is different. Most women get their O-SHOT every six months to every year. Some, however, choose to do theirs as frequently as every three months to maintain optimal sexual enhancement.

Safety Information & What Can Happen

The information on this website does not guarantee specific results for patients who undergo the O-Shot (Orgasm Shot) procedure. Each individual may have different outcomes, and the website does not take responsibility if the desired result is not achieved. It is not claimed that the procedure is approved by the FDA or any other government agency.

The O-Shot (Orgasm Shot) procedure is not FDA-approved because the FDA does not regulate procedures like this, nor do they regulate PRP (which is a substance derived from a person's own blood and considered minimally manipulated). The FDA does not regulate other bodily fluids like urine, saliva, or skin either.

Studies have shown that PRP can be used to improve blood flow, increase collagen production, regenerate nerves, and improve scars. Most studies indicate that PRP is generally safe with rare complications, but it is important to note that results may vary for each patient. If any negative effects are experienced, they should be reported to the provider who performed the procedure.

Please note the following information about the O-Shot (Orgasm Shot) procedure:

The O-Shot (Orgasm Shot) is a method that uses growth factors from blood to help rejuvenate the vagina and address issues like urinary incontinence and sexual problems in women. It is important to ensure that the procedure is done correctly to obtain effective results. The names "Orgasm Shot" and "O-Shot" are protected by US Patent & Trademark law and are associated with the Cellular Medicine Association. Only certified providers listed on their website are members of this group and can be trusted to perform the procedure.

It's essential to understand that individual results may vary, and there is no guarantee that every patient will achieve a specific outcome. The website does not make any promises, guarantees, or warranties about the procedure's use, benefits, or quality. The FDA or other government agencies do not endorse the use of this procedure or PRP (a substance derived from blood).

Schedule Your Consultation

Biltmore Restorative Medicine and Aesthetics was built for you. We know you don’t trust your look to just anyone. You want the best. Our experienced and industry-leading regenerative medicine providers give you unparalleled personal care and will help you maximize your vitality for years to come.

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