Sexual Rejuvenation Therapy - Dr. Neera Bhatia Obgyn

Sexual Rejuvenation Therapy

Our gynecologist San Antonio practice is centered around women’s health and, as part of our comprehensive women’s offerings we have expanded the options for non invasive treatment of gynecologic conditions. Urinary incontinence, vaginal dryness and even reduced sexual responsiveness are now treatable without surgery and with cutting edge technology.

Fortunately, over the past decade there has been an increase in the clinical and academic interest in female sexual function. The International Society for the Study of Women’s Sexual Health (ISSWSH) was established in 2001 to serve as a multidisciplinary international community dedicated to advancing the study of female sexuality. There are published guidelines and position papers that reinforce the practical aspects of female sexual dysfunction (FSD) evaluation and management.

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Services Available:

TempSure™ Vitalia

TempSure Vitalia helps our downtown OBGYN San Antonio patients because it is a gentle radio frequency based treatment which enables non-surgical vaginal rejuvenation by delivering therapeutic heat to internal and external vaginal tissue.

  • Tightening your vaginal canal
  • Improve and tightening the appearance of vaginal skin
  • Improve your intimate experience
  • Boost your self-confidence
  • Relieve dryness and enhance sensitivity
  • Reduce urinary leaks and incontinence

What is TempSure™ Vitalia?

TempSure™ Vitalia is a handpiece that delivers radiofrequency energy directly to the vaginal muscles surrounding the vaginal canal. RF energy helps to trigger a tightening effect within the muscles, which improves tightness, increases lubrication, and supports potentially weak bladder muscles.

Pelvic Floor Therapy

Pelvic Muscle Rehabilitation (or pelvic floor rehabilitation) is a non-invasive, non-surgical treatment for Pelvic Muscle Dysfunction. Pelvic Muscle Dysfunction may include any group of clinical conditions that includes Urinary Incontinence, Fecal Incontinence, Pelvic Organ Prolapse, sensory and emptying abnormalities of the lower urinary tract, defecatory dysfunction, sexual dysfunction, and chronic pain syndromes, (including vulvodynia).  The two most common and definable conditions that can benefit from a Pelvic Muscle Rehabilitation program are Urinary Incontinence and Fecal Incontinence.


A breakthrough treatment for incontinence and confidence. EMSELLA is a unique technology revolutionizes women’s intimate health and wellness by providing those suffering from incontinence with a completely non-invasive option for gynecologist San Antonio patients. Available at our downtown OBGYN San Antonio office, EMSELLA utilizes electromagnetic energy to deliver thousands of supramaximal pelvic floor muscle contractions in a single session. These contractions re-educate the muscles of incontinent patients.

Hormone Replacement Therapy

Many patients express interest in the procedure but wonder if hormone replacement therapy is a viable solution for them. We have included a list of highlighted benefits specific for women where natural hormone therapy is an ideal option. Hormone replacement therapy can help patients beyond the traditional audience.

Benefits of Bio-Identical Hormone Therapy in Women:

  • Increases Estrogen Levels
  • Look Younger
  • Reduce Cognitive Deficits
  • Control Hot Flashes


The O-Shot® is a revolutionary vaginal rejuvenating treatment for gynecologist San Antonio patients that addresses all of these concerns. O-Shot® uses growth factors from blood plasma called PRP (platelet-rich plasma) to alleviate stress incontinence, dryness and sexual dysfunction (such as difficulty reaching orgasm). This safe, nonsurgical procedure actually utilizes growth factors from your own body to stimulate vaginal and clitoral rejuvenation and activate the “Orgasm System.”

If you have any of the following symptoms the O-Shot® can help you.

  • Urinary leakage when you jump, laugh, cough, or sneeze. Also leakage from the strong urgency of urination.
  • Low Libido (low sex drive)
  • Difficulty reaching orgasm
  • Painful intercourse
  • Chronic pain from a history of vaginal childbirth (episiotomy scars)

How does the O-Shot® work?

The O-Shot® procedure begins with a simple blood draw. Then, using a proprietary technique, platelets are separated and concentrated. The PRP that contains growth factors 3 that are extracted from your blood is then injected into an area near the clitoris and into the area of the upper vagina that is most important for sexual response. These areas are numbed with a local anesthetic cream before injection, and patients to experience little or no discomfort during the procedure. If you’re seeking this treatment, our downtown OBGYN San Antonio clinic offers the O-Shot® procedure, providing expert care in a convenient location.

If you are seeking solutions to urinary incontinence, the O-Shot®, in conjunction with pelvic therapy, has been proven to be effective for treating both urinary incontinence and stress incontinence, and it can bring women relief for the long term.


The O-Shot: What You Need to Know

The O-shot is autologous, meaning it uses the patient’s own blood products. Using PRP technology, growth factors and plasma are obtained from a small amount of blood. This same sample, once prepared, is the source of the injection. Though there are small risks to removal and centrifuge processes, the overall procedure and it risks are very low. Put simply, the process uses your own blood to rejuvenate the area.

The entire procedure takes under an hour from start to finish and uses advanced technology to facilitate the process. Appointments consist of patient preparation and processing the patient’s blood within a centrifuge in order to extract the growth factors, which are then injected into the desired area.

While the O-Shot and other growth factor injections are not FDA-approved, they are well-known and well-documented techniques used in a variety of fields for their remarkable effectiveness. Growth factor injections are neither approved nor forbidden by the FDA, as they consist of the patient’s own blood rather than a drug. However, the FDA has approved growth factor harvesting kits, which are used in the O-Shot procedure.

A large number of women have seen noticeable improvement if not eradication of urinary incontinence related to urge or stress. In conjunction with pelvic floor exercises, the O-Shot can cause significant improvement in regards to urinary incontinence. For more information on urinary incontinence, make sure to review our blog and other modalities of treatment in the services section.

The introduction of this procedure was in 2013 by Dr. Charles Runels. The Google Scholar publication can be found here published an article Other review articles and research have documented its viability as a non-invasive means of treatment.!po=88.4615

While the O-Shot is mostly a standardized procedure, slight variances in how the shot is prepared and injected can change the final cost. However, most women can expect to pay between $1,500–$2,000 for their individual O-Shot. The only way to know what the final cost is to undergo a consultation to discuss specific desires and medical history. Patients are usually able to have their O-Shot during the same visit, which saves both time and money. Dr Bhatia offers an O-Shot package that reduces the price of an O-Shot even further.

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