Women have trusted K2 Restorative Medicine and Med-Spa with the O-Shot® for years, and many travel to our Trussville, Alabama office from neighboring states. Dr. Pamela Kulback, our Medical Director, trained with O-Shot® creator Dr. Charles Runels many years ago because she wanted a real way to help women feel their best as they age.
One of the issues as we age is decreased libido and a lack of bladder control. Now there is a nonsurgical treatment that can help you optimize your intimate life and minimize urinary leaks. If you suffer from accidents when you jump, laugh, or cough, the O-Shot® may be a solution for you. The best part is that the O-Shot® is made from your own blood.
The O-Shot® stimulates increased blood flow, strengthens muscle and tissue, enhances sexual sensitivity, and reduces dyspareunia (painful sex). By rejuvenating aging vaginal muscle and the surrounding tissue, Dr. Pamela Kulback is able to help improve patients’ bladder control and enhance sexual function.
The O-Shot® uses platelet-rich plasma drawn from the patient’s own blood at the same office visit as the procedure. Dr. Kulback uses an FDA-cleared centrifuge system to separate the platelet-rich plasma from the rest of the blood. After numbing is applied, she injects the platelet-rich plasma, which contains many growth factors, into the clitoris and the upper vaginal wall. The procedure takes approximately 60 minutes, including the platelet preparation. Patients visiting Dr. Pamela Kulback at K2 Restorative Medicine and Med-Spa report little discomfort with this procedure. Using platelet-rich plasma for sexual wellness and bladder control is considered off-label, and Dr. Kulback will walk you through what the research shows.
The growth factors released once injected continue to rejuvenate the tissue for several months to come, resulting in long-lasting rejuvenation. Patients often notice increased libido as well as decreased bladder leakage.
Most women experience improvement in libido and orgasmic function, as well as decreased bladder leakage, within 1 to 2 weeks after the O-Shot®, and that improvement keeps building over 3 to 6 months. Results typically last 12 to 18 months, and Dr. Kulback encourages repeating the O-Shot® at least once a year to keep the benefits going.
There is no downtime with the O-Shot®. You may experience some mild discomfort, spotting, or slight swelling after your O-Shot®, but it usually subsides fairly quickly. You can have sex immediately after your procedure. If anything concerns you, contact our team anytime.
The cost of the O-Shot® is $1,250 to $1,500 per treatment, depending on current seasonal offers. Ask our office about packages that include the Emsella chair, since combining treatments often allows for savings. PatientFi and CareCreditfinancing are also available.
At K2 Restorative Medicine and Med-Spa, we talk with women about sexual problems. Research shows that only about 14% of women ever talk to any of their physicians about sex. With around 4 in 10 women suffering from a sexual disorder, why do only about 1 in 10 ever talk to their physician about it? According to a Practice Bulletin in Obstetrics and Gynecology (April 2011), the reason may be that, with the exception of short-term hormone replacement, research shows few proven treatment options. Both physician and patient can be discouraged from discussing a problem with no proven solution, so the doctor often just doesn’t ask. The treatments typically offered are vaginal estrogen, topical testosterone, or psychotherapy, and even the hormone therapies were described as short-term. No wonder only 14% of women ever discuss sexual problems with their physician. If a woman is already on hormones, or is pre-menopausal, the only known solution recommended by the American College of Obstetricians and Gynecologists appears to be psychosocial therapy.
The O-Shot® might be a solution for you to explore. Not sure where to start? Take our intimate health quiz.
Patient treatment needs and results vary. Ask Dr. Pamela Kulback for your specific protocol to achieve an optimal outcome.
Dr. Pamela Kulback is a board-certified physician with extensive experience in aesthetics and the Medical Director of K2 Restorative Medicine and Med-Spa. She takes time to listen before recommending anything, and women come to our Trussville, Alabama office from Birmingham, Pinson, Clay, Springville, Leeds, Moody, and neighboring states for care that feels private, unhurried, and personal.
Ready to talk it through? Request an appointment at our Trussville, Alabama office. Looking for options for the man in your life? Learn about the P-Shot®.
Medically reviewed by Dr. Pamela Kulback, Medical Director. Last updated October 2026.
The O-Shot® uses platelet-rich plasma from your own blood, drawn and prepared in a centrifuge during your visit. Its natural growth factors stimulate tissue healing along with new collagen and elastin. After numbing, Dr. Kulback places it in the clitoral and vaginal tissue. Women choose it for better orgasmic function and natural lubrication, relief from painful intercourse and dryness-related itching, and fewer mild to moderate bladder leaks and urges.
Yes, Dr. Pamela Kulback is an authorized O-Shot® provider and has taken the official training provided by Dr. Charles Runels, who created the O-Shot®. Every O-Shot® at K2 Restorative Medicine and Med-Spa is performed exclusively by Dr. Kulback herself, right here in our Trussville, Alabama office.
K2 Restorative Medicine and Med-Spa is at 3536 Vann Road, Suite C, Birmingham, AL 35235, in the Trussville, Alabama area. It’s an easy drive for women in Pinson, Clay, Springville, Leeds, and Moody.
For many women with mild to moderate stress urinary incontinence, it can. Those are the leaks that happen when you laugh, cough, sneeze, or exercise. It may also help with urinary urge, that sudden need to go. For even better results, we pair the O-Shot® with our Emsella chair, which strengthens the pelvic floor muscles while you sit fully clothed. Dr. Kulback talks through your symptoms first to see if it is a good fit.
Plan on about an hour at our Trussville, Alabama office. Most of that time goes to numbing and preparing your platelets, and the injections themselves are quick.
Some women notice a change within a week or two, and improvement keeps building over 3 to 6 months after receiving the O-Shot® with Dr. Pamela Kulback at K2 Restorative Medicine and Med-Spa in Trussville, Alabama.
Numbing is applied before your treatment, and most of our patients describe little discomfort.
It depends on things like your age, lifestyle, and overall health, but results typically last 12 to 18 months. To keep the benefits going, Dr. Kulback encourages repeating the O-Shot® at least once a year. Some women choose to come in more often, since each treatment uses your own platelets and can build on the one before. Dr. Kulback will help you find the timing that works best for you.
There’s no downtime. You can go right back to work, exercise, and your normal routine the same day.
Yes, if you’re comfortable with it. Your period doesn’t get in the way of treatment. Many women prefer to schedule around it, but if your cycle lines up with your appointment, there’s no need to reschedule.
Yes, all three are normal and nothing to worry about. They usually settle on their own within a day or two. If anything ever concerns you, call Dr. Kulback and our team at K2 Restorative Medicine and Med-Spa. We’re always happy to check in.
The O-Shot® runs $1,250 to $1,500 per treatment, depending on current seasonal offers, so call our Trussville, Alabama office for today’s price. Ask about packages that pair the O-Shot® with our Emsella chair, since combining treatments often saves you money.
Yes. We offer PatientFi and CareCredit, so you can spread the cost into manageable monthly payments. Both have quick applications, and our team is happy to walk you through your options.
Yes, the O-Shot® can absolutely help with vaginal dryness, itching, and discomfort during intimacy. Many women come to us with these concerns after childbirth, during menopause, or after menopause. The growth factors in your platelet-rich plasma support healthier, better-hydrated tissue, and many women notice more comfortable intimacy and improved natural lubrication.