Three intensive days covering the full spectrum of male sexual health — from PRP injection and neurotoxin technique to comprehensive TRT management, pellet insertion, shockwave therapy, and peptide protocols. Not a single-procedure course. A complete multi-modality training designed to build a cash-pay men’s health practice from the ground up.
Questions? Call 480-477-8166 or email clinic@besowb.com
Enrollment is limited. Contact coordinator for upcoming dates.
The P-Shot® Training course teaches one procedure well — PRP preparation, penile anatomy, nerve block, and injection protocol. It is the right course for a provider who wants to add the P-Shot® to an existing practice.
The Male Sexual Wellness Masterclass is for a different ambition. It is for the provider who wants to build an entire men’s health service line — one where the P-Shot® is the entry point, not the ceiling. Most male sexual wellness patients are candidates for more than one therapy. A provider who can offer PRP, neurotoxin, TRT optimization, pellet therapy, shockwave, and peptides — and who knows how to design multi-modality treatment packages — is operating in a different market from a provider who can only offer one procedure.
The combination of modalities taught in this course is also what makes the cash-pay ROI compelling. Individual procedures generate individual transactions. Multi-modality programs generate $3,000–$8,000+ per patient engagement — recurring, relationship-based revenue that a single-procedure practice cannot access.
Each day runs approximately 9:00 AM – 5:00 PM MST. Morning sessions are didactic; afternoon sessions are hands-on. Click any day to expand the full agenda.
The modern men’s health market and why cash-pay male sexual wellness is one of the fastest-growing service lines in medicine. Comprehensive patient assessment framework: validated questionnaires (IIEF, AUA-SI), physical exam components, and targeted lab evaluation. Patient consultation structure and communication strategy.
Detailed penile neurovascular anatomy — corpus cavernosum, dorsal neurovascular bundle, and glans. Physiology of erection and the vascular, neurogenic, and hormonal mechanisms of erectile dysfunction. Peyronie’s disease assessment and PRP treatment rationale. Lab interpretation fundamentals for the male sexual wellness patient.
PRP biology — what growth factors matter for erectile and penile tissue regeneration. FDA-cleared centrifuge systems, CMA-compliant preparation standards, and quality assessment. Blood draw protocol, activation decisions, and sterile handling.
Penile nerve block technique — dorsal penile nerve block and ring block, landmarks, lidocaine protocol, and adequacy assessment. Official P-Shot® injection protocol per CMA standards: injection sites, depth, needle selection, volume distribution, and sequencing. Naomi demonstrates; every attendee performs the complete protocol on a consented live model.
The science behind neurotoxin-mediated penile smooth muscle relaxation — mechanism, clinical evidence, and rationale for combining with PRP. Bocox™ reconstitution, dosing, and injection technique. P-Shot 100™ — the combined PRP and neurotoxin protocol, sequencing, and patient selection. Safety protocols for combined use.
Testosterone production, metabolism, transport (SHBG), and tissue-level action. Benefits, risks, and clinical evidence for all TRT delivery modalities — IM/SubQ injections, gels, creams, and pellets. Patient selection, baseline evaluation, and establishing treatment goals.
Comprehensive hormone panel interpretation — Total and Free Testosterone, Estradiol, SHBG, LH, FSH, Prolactin, PSA, CBC, CMP, and metabolic markers. Dosing strategies: initiation, titration, and individualization. Managing estrogen conversion, hematocrit, and SHBG. Complex cases: low SHBG, poor responders, secondary hypogonadism.
Three clinical case presentations: a non-responder to standard dosing, managing elevated hematocrit on TRT, and a patient with concurrent hypogonadism and ED who is a candidate for both TRT and P-Shot® combination therapy.
Patient selection, pellet types, dosing calculation methods (symptom-based and formula-based), and expected duration. Sterile field preparation, insertion site selection (gluteal), trocar technique, and post-insertion care. Complication management: extrusion, bleeding, infection, tachyphylaxis.
Why TRT and P-Shot® are synergistic — how testosterone optimization improves erectile tissue responsiveness to PRP. Designing combination protocols for the ED patient with both hormonal and vascular contributing factors. Patient timeline management for concurrent therapies. Extended Q&A on hormones.
PT-141 for libido and erectile function — mechanism, dosing, administration, and patient selection. Kisspeptin-10 for HPTA axis stimulation. CJC-1295/Ipamorelin for growth hormone support. BPC-157 for tissue repair in Peyronie’s disease and post-procedure recovery. Practical protocols, compounding pharmacy vetting, and safety considerations.
Evidence review for supplements supporting nitric oxide synthesis (L-Citrulline, Pycnogenol), endothelial health, libido (Tongkat Ali, Maca), hormone balance (DIM, Zinc), and overall vitality (CoQ10, Omega-3s). How to build a nutraceutical protocol that complements procedural interventions.
Physics of acoustic wave therapy — biological mechanisms: mechanotransduction, neovascularization (VEGF upregulation), and nerve regeneration. Clinical evidence for ED and Peyronie’s disease. Device comparison — linear vs. focused — and how to evaluate protocol parameters across different machines.
Device setup, safety protocols, and patient preparation. Treatment zone mapping for ED (6 penile zones) and Peyronie’s protocols — probe placement and angle. Parameter settings: energy levels, pulse frequency, and treatment spacing. Hands-on application practice on models.
Multi-modality program design — bundling into “ED Reversal,” “Peak Performance,” and “Age Reversal” packages with tiered pricing. Value-based pricing strategy. Patient consultation and cash-pay sales framework. Ethical and FTC-compliant marketing including legal trademark use. Break-even analysis for capital equipment and ROI projections by service category.
Open Q&A with Naomi. Course review and key clinical pearls. Distribution of all certificates of completion. Overview of 90-day post-course email support access.
Each modality is a standalone cash-pay service capable of generating significant revenue independently. The real value is the ability to combine them into multi-modality programs that command premium package pricing and build longer patient relationships.
PRP injected into the corpus cavernosum and glans to stimulate neovascularization, nerve regeneration, and smooth muscle tissue growth. Primary applications: ED and Peyronie’s disease.
Botulinum toxin applied to the penile smooth muscle to reduce sympathetic tone, improve blood flow, and enhance erection quality. P-Shot 100™ combines PRP and Bocox™ in a single session.
Comprehensive testosterone replacement therapy across all delivery modalities. Full management: initiation, titration, monitoring, and side effect management. The most recurring-revenue service in men’s health.
Subcutaneous testosterone pellet insertion — a long-acting TRT modality requiring a specific technical skill set. Patients who convert to pellets tend to stay on pellets. Reinserted every 3–5 months.
Low-intensity extracorporeal shockwave therapy for ED and Peyronie’s disease — one of the strongest evidence-based options for vasculogenic ED. Non-invasive, no consumable cost per session after device acquisition.
PT-141, Kisspeptin-10, CJC/Ipamorelin, and BPC-157 — practical protocols, dosing ranges, and quality-control criteria for peptide sourcing. Evidence-based nutraceuticals for nitric oxide, endothelial function, and hormonal support.
Individual procedures generate individual transactions. Multi-modality programs generate patient relationships — and the pricing reflects it. This module covers the entire business architecture of a men’s sexual wellness practice.
On completion you will be able to perform comprehensive male sexual health assessments, execute all injection and insertion techniques covered, design synergistic multi-modality protocols, interpret hormone panels and manage TRT independently, and launch a profitable cash-pay men’s health service line.
Live patient injection included — every attendee performs the complete P-Shot® protocol on a consented live model under Naomi’s direct supervision.
Hands-on pellet insertion practice on models — every attendee performs the insertion technique under direct supervision.
Hands-on device practice on models — both ED and Peyronie’s protocols. We teach protocol parameters, not brand loyalty.
Providers with an existing patient base who want to convert a portion of their practice to high-revenue cash-pay male sexual wellness services. You already have the clinical foundation — this masterclass gives you the procedural skill set and the business architecture to launch a complete men’s health program.
Specialty physicians who see male sexual dysfunction regularly and want to add evidence-based regenerative and hormonal interventions. The P-Shot®, shockwave therapy, and hormone optimization are natural extensions of a urology or physiatry practice.
If you are already P-Shot® certified, the Masterclass is the natural next level — adding TRT, pellet insertion, Bocox™, shockwave, and peptides to an existing foundation. Ask about adjusted pricing if you are already P-Shot® certified.
Practitioners opening a new practice or adding a dedicated men’s health service line. The Day 3 business integration module gives you a complete practice launch framework — package design, pricing strategy, patient consultation approach, and marketing compliance.
This masterclass is designed for licensed prescribers. Prior injection experience is beneficial but not required — all techniques are taught from the ground up with supervised hands-on practice.
Naomi Fayzulayev is a board-certified Family Nurse Practitioner with 15+ years of clinical experience in regenerative medicine, sexual wellness, and hormone optimization, and an officially CMA-certified P-Shot® instructor. She is the founder and owner of Beso Wellness & Beauty in Phoenix — an active practice where she performs P-Shot® procedures, manages TRT protocols, offers hormone pellet therapy, and runs a comprehensive sexual wellness service line every week.
What distinguishes this course is not the breadth of the curriculum — it is that every modality covered is one Naomi actually uses in practice. The TRT protocols she teaches are the ones she runs. The pellet insertion technique is the one she performs. The patient consultation framework is the one she uses to present multi-modality programs. There is no theoretical component in this course.
Maximum 12 seats. During hands-on sessions, the ratio is approximately one instructor per four participants — ensuring every attendee receives direct feedback, not just observation time.
Including active P-Shot® procedures, TRT protocols, and hormone pellet therapy performed at Beso Wellness & Beauty — the same clinical setting where the masterclass takes place.
Priority email access to Naomi for clinical questions, protocol decisions, and practice launch support for three months after the course ends.
The Male Sexual Wellness Masterclass is $10,500 all-inclusive — three full days across seven modalities, all supplies, five certificates of training, CMA P-Shot® certification with 3-month membership, comprehensive course manual, all three lunches, and 90 days of post-course email support. Cohorts are limited to 12 seats. Contact the training coordinator for upcoming dates.
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