Women's Sexual
Rejuvenation
Training
A half-day intensive covering two complementary female sexual wellness procedures: the O-Shot® (PRP injection for sexual dysfunction, arousal disorder, and urinary incontinence) and Clitoxin (neuromodulator application near the clitoris for hypersensitivity or arousal enhancement). Full anatomy, PRP preparation, clitoral nerve block, Clitoxin technique, live patient injection, and CMA provider certification — including 1-year membership and directory listing. Taught by Naomi Fayzulayev, FNP-C.
Questions? Call 480-447-8166 or email [email protected]
Bundle with P-Shot® for a combined sexual wellness discount.
What you learn in the
Women's Sexual Rejuvenation course
This half-day intensive covers two complementary female sexual wellness procedures. The morning includes structured didactic covering anatomy, pathophysiology, PRP science, patient selection, anesthesia technique, and Clitoxin protocols. The afternoon is a supervised hands-on practicum with live consented patients. Every attendee performs the full O-Shot® protocol and observes the Clitoxin technique.
- Detailed anatomy of the clitoral complex — the full internal and external structure, not just the visible portion
- Anterior vaginal wall anatomy: G-spot (anterior fornix erogenous zone), peri-urethral tissues, and their relationship to urinary continence
- Vascular supply and innervation of the vulvar and vaginal structures — what you must not injure
- Pathophysiology of female sexual arousal disorder, orgasmic disorder, and hypoactive sexual desire disorder
- Pathophysiology of stress urinary incontinence — peri-urethral tissue laxity and the O-Shot® mechanism of correction
- Dyspareunia and atrophic changes — how PRP growth factors address the tissue quality underlying painful intercourse
Anatomy is taught from an injection-planning perspective — every structure is covered in terms of what it means for your needle placement, your target tissue, and the complications you must avoid.
- Mechanism of PRP: platelet alpha granule contents, growth factor release, and tissue regeneration cascade
- What "platelet-rich" actually means — concentration thresholds for therapeutic efficacy
- FDA-cleared PRP systems recommended by the CMA: centrifuge selection, tube preparation, and draw volume
- PRP quality assessment: what good PRP looks like, and how to identify a failed preparation before it reaches the patient
- Activation options: calcium chloride vs. thrombin — when to activate and why the CMA protocol specifies its approach
- Storage, timing, and the processing-to-injection window — why PRP must be used within a specific timeframe
- Sexual function history-taking: the FSFI (Female Sexual Function Index) as a structured baseline tool
- Absolute contraindications: bleeding disorders, platelet dysfunction disorders, active local infection, full-dose anticoagulation
- Relative contraindications and case-by-case evaluation: autoimmune disease, active cancer, recent pelvic surgery
- Identifying the ideal O-Shot® candidate — the patient presentation most likely to produce a meaningful, satisfying outcome
- Realistic outcome communication: the 4–12 week tissue remodeling timeline, variability of response, and how to set expectations without losing the booking
- Informed consent documentation: what the CMA consent form covers and why it is structured the way it is
- Before-treatment documentation: photography standard for sexual wellness procedures
- Why topical anesthetic alone is insufficient for the full O-Shot® protocol — the peri-urethral and anterior vaginal wall injections require more
- The updated CMA clitoral nerve block — technique, landmarks, lidocaine concentration and volume, onset and duration
- Assessing block adequacy before proceeding to injection — patient feedback, anatomic confirmation
- Local anesthetic toxicity: dose limits, recognition of systemic symptoms, and management
- Patient comfort management throughout the procedure — positioning, communication cadence, and re-assessment
The clitoral nerve block is the most frequently undertaught element of O-Shot® training on the market. This module covers it fully, with supervised hands-on practice during the afternoon session.
- Injection site 1 — G-spot (anterior vaginal wall / anterior fornix): landmark identification, depth, needle angulation, volume
- Injection site 2 — Clitoral complex: approach, depth variation by patient anatomy, volume distribution
- Injection site 3 — Peri-urethral tissues: rationale for urinary incontinence indication, precise placement, volume
- Labia minora injection: indication, technique, and when this element of the protocol is included
- Sequence of injections and the logic behind CMA's protocol order
- Needle selection, syringe management, and the sterile field during active injection
- Total PRP volume per session and distribution across injection sites
Demonstrated by Naomi first, then performed by every attendee on live consented patients during the afternoon session.
- Universal precautions and sterile field maintenance for internal injection procedures
- Vasovagal response: recognition, management, documentation, and prevention in subsequent patients
- Hematoma and bruising: mechanism, patient communication, and when to be concerned
- Infection risk in vaginal PRP procedures: incidence data, prevention protocol, antibiotic prophylaxis considerations
- Unexpected pain during injection — causes, differential, and response protocol
- Documentation for adverse events: what to chart, when to refer, when to involve your medical director
- Immediate post-procedure instructions: activity restrictions, sexual activity timeline, hygiene guidance
- Managing the first 72 hours: what normal post-procedure response looks like vs. when to call
- The 4–12 week response window: how to counsel patients who don't see immediate results
- The patient who reports no improvement: reassessment framework, when to offer a repeat treatment, and when to refer
- Using the FSFI for structured outcome follow-up — before and after comparison as a clinical tool and patient retention mechanism
- Annual repeat protocol and long-term patient management
- Activating your CMA membership and OShot.info directory listing — step-by-step after certification
- Accessing and using official CMA patient brochures, website content, and educational videos
- Ethical and compliant O-Shot® marketing: what you can claim, what you cannot, and how to discuss outcomes without violating FTC guidelines
- Pricing models for the O-Shot® in the Phoenix metro: current market range ($800–$1,500), how to position your fee, and package vs. single-session pricing
- Appointment workflow: scheduling, intake forms, room setup, and post-procedure checkout in a single-provider practice
- Combining O-Shot® with complementary services: hormone optimization, vaginal rejuvenation, and P-Shot® for couples
- Medical director requirements for RNs offering the O-Shot® — standing order structure and documentation
- What is Clitoxin: the application of botulinum toxin (Botox/Dysport) near the clitoris for sexual wellness — mechanism of action and clinical rationale
- Indications: clitoral hypersensitivity, arousal enhancement, and complementary use alongside the O-Shot® for comprehensive sexual wellness treatment
- Patient selection and screening: identifying candidates who benefit from neuromodulator-based sexual wellness vs. PRP-only treatment
- Anatomy review specific to Clitoxin: superficial injection landmarks, safe zones, and structures to avoid
- Dosing protocol: unit selection, dilution, injection depth, and volume per treatment site
- Technique demonstration: proper injection approach, patient positioning, and comfort management
- Expected timeline of effect: onset (typically 5–10 days), duration (3–4 months), and patient counseling on realistic expectations
- Combining Clitoxin with the O-Shot®: treatment sequencing, same-session protocols, and packaging for your practice
- Contraindications, adverse effects, and complication management specific to neuromodulator use in the genital area
Clitoxin is a quick, complementary procedure that pairs naturally with the O-Shot® — adding a second revenue stream and a broader sexual wellness offering to your practice.
Six indications. All treated
in a single protocol.
Reduced ability to achieve or maintain sexual arousal despite adequate stimulation. PRP growth factors stimulate angiogenesis and nerve regeneration in the clitoral and vaginal tissue, supporting improved arousal response over 4–12 weeks.
Difficulty achieving orgasm or absent sexual desire. Growth factor stimulation of the clitoral complex — particularly the internal crura and vestibular bulbs — is the proposed mechanism for improved orgasmic response and restored sensitivity.
Involuntary urine loss with physical stress (coughing, sneezing, exercise). PRP injection into peri-urethral tissues stimulates collagen synthesis and vascular ingrowth, supporting improved urethral support and sphincter function without surgery.
Pain during intercourse — particularly in postpartum and post-menopausal patients with atrophic vaginal changes. PRP growth factors support tissue hydration, elasticity, and mucosal integrity, addressing the tissue quality changes underlying painful intercourse.
A chronic inflammatory skin condition affecting the vulvar tissue. The O-Shot® is used as supportive care — not primary treatment — in selected Lichen Sclerosus patients, with PRP's anti-inflammatory and regenerative properties providing symptom relief alongside standard management.
The O-Shot® and P-Shot® share PRP preparation, CMA membership infrastructure, and the same sexual wellness consultation framework — making combined training highly efficient. Serve couples, not just individuals, and maximize your CMA membership value with both procedures.
Certified, equipped, and
ready to see patients.
Every attendee performs the complete O-Shot® protocol — including PRP preparation, clitoral nerve block, and all injection sites — on live consented patients under direct instructor supervision. Not a demonstration you observe. A procedure you perform.
Official certification from the Cellular Medicine Association designating you as a Certified O-Shot® Provider. Includes your OShot.info international directory listing — the CMA's patient referral network — active from the moment your membership is registered.
Upon certification and CMA membership activation, you are licensed to use the O-Shot® trademarked name in your marketing, website, and patient materials. Without CMA certification, using the O-Shot® name in marketing is a trademark infringement — not a technicality.
Access to the official CMA procedure protocol, patient consent form, post-procedure instructions, patient brochures, and website content developed and updated by the Cellular Medicine Association — professionally produced materials you can deploy in your practice immediately.
Your 1-year membership includes access to the CMA provider forum, monthly educational webinars hosted by Dr. Charles Runels (the procedure's creator), and a peer network of certified providers across the country for clinical Q&A and case consultation.
This course awards AMA PRA Category 1 Credits™ or equivalent CEUs for physicians, NPs, PAs, and RNs — applicable toward your continuing education requirements. Credit documentation is provided at course completion.
Built for licensed providers
ready to offer sexual wellness
NPs and PAs expanding their practice into sexual wellness and regenerative medicine. In Arizona, NPs with full practice authority can offer and direct the O-Shot® independently. PAs need a supervising physician relationship in place.
MDs and DOs adding a non-surgical, cash-pay female sexual wellness service to an existing clinical practice. GYN and urology providers in particular find the O-Shot® a natural extension of their current scope and patient population.
RNs can offer the O-Shot® under written standing orders from a qualified medical director. The course covers the standing order structure, scope documentation, and medical director relationship requirements applicable to RN injectors in Arizona. Ask about our medical director services if you need one.
Practice owners looking to add a high-margin, low-consumable-cost service line with genuine patient differentiation. The O-Shot® serves a patient population that most aesthetics-focused competitors are not equipped to treat.
The Women's Sexual Rejuvenation course is designed for licensed providers who are ready to integrate these procedures into active clinical practice. Prior PRP or injection experience is helpful but not required — the course covers all necessary PRP and neuromodulator principles from the ground up.
- Active, unrestricted license in your respective field (MD, DO, NP, PA, or RN)
- Arizona licensure for medical director engagements; training open to out-of-state providers
- Ability to perform or be supervised performing injections under your license
- Basic understanding of female anatomy (no formal ob/gyn background required)
The O-Shot® is a trademarked procedure. Only providers trained at officially CMA-sanctioned centers and holding current CMA membership are legally authorized to use the O-Shot® name in marketing and patient materials. Our course includes everything required to operate as a fully certified, compliant O-Shot® provider from day one.
Meet Naomi
Naomi Fayzulayev, FNP-C
Founder, Beso Wellness & Beauty · Board-Certified Family Nurse PractitionerNaomi founded Beso Wellness and Beauty to close the gap between clinical training and real-world practice — offering the kind of hands-on, small-group instruction she wished she had when she started. With over 15 years of clinical experience and deep roots in regenerative and aesthetic medicine, she brings active, practicing expertise to every course she teaches.
Her approach is integrative: combining conventional medicine with evidence-based wellness therapies to address root causes, not symptoms. As a Certified Trainer for the Cellular Medicine Association (CMA), Naomi personally trains other medical providers in advanced procedures including the O-Shot® and P-Shot® — a credential held by a small number of practitioners nationally. She holds advanced certifications in functional medicine, hormone optimization, and advanced medical aesthetics, and is known for her meticulous technique and the warm, patient-centered environment she creates in every training session.
She believes a well-trained provider is the foundation of a well-run practice. Every course she teaches reflects that: small cohorts, live patients, real feedback, and the business context to use the skills you leave with.
Clinical Practice
Per Cohort
Trainer
Active Practice
What makes this different from
other sexual wellness courses
There are courses that will give you a certificate for watching a demonstration or practicing on a static model. This is not one of them. The O-Shot® requires a clitoral nerve block that is genuinely difficult to perform adequately the first time without direct supervision, and an injection technique that requires internal anatomic precision that cannot be practiced on a mannequin.
Every attendee performs the complete O-Shot® protocol on live consented patients — including the clitoral block, the G-spot injection, the peri-urethral injection, and the full post-procedure documentation. Not observed. Performed. With Naomi watching your technique in real time and correcting it before you do it solo.
The CMA affiliation is not a marketing claim — it is a functional requirement for legally using the O-Shot® name and accessing the patient referral network. Our course provides the CMA certification that activates both. What it doesn't provide is a false sense of competence from a generic PRP workshop dressed in O-Shot® branding.
The O-Shot® is a trademarked procedure with a defined protocol. Our course strictly adheres to CMA standards, provides legal trademark licensing, and gives you access to the official OShot.info referral directory — none of which non-CMA courses can provide.
The nerve block required for a comfortable O-Shot® procedure is the element most commonly undertaught in the market. We teach it fully: the landmark technique, the lidocaine protocol, the adequacy assessment, and supervised practice during the hands-on session.
Consented patients attend the afternoon session and receive a full O-Shot® treatment. Every attendee performs the complete protocol under Naomi's direct supervision — not one injection while the group watches, but the full procedure from prep to post-procedure documentation.
The O-Shot® and P-Shot® share PRP preparation, CMA infrastructure, and consultation framework. Providers who complete both courses can serve couples — and often do, because patients who discover the O-Shot® frequently ask about options for their partners. Combined training is available at a discount.
Common questions
Ready for
Women's Sexual Rejuvenation Training?
The Women's Sexual Rejuvenation Training course is $1,900 — a half-day intensive covering the O-Shot® and Clitoxin, all supplies, official CMA O-Shot® Provider Certification, 1-year CMA membership with directory listing and OShot.info profile, CME/CEU credits, and lunch are all included. Cohorts are small and scheduled regularly; spots fill in advance. Bundle with the P-Shot® course for a combined sexual wellness training discount.
Inquire & Enroll →