O
Sexual Wellness  ·  CMA Certified  ·  Phoenix, AZ

Official O-Shot®
Training &
Certification

The only officially CMA-sanctioned O-Shot® (Orgasm Shot®) training in Phoenix. Full female pelvic anatomy, PRP preparation, the updated clitoral nerve block, live patient injection, and complete CMA provider certification — including 1-year membership and directory listing. Taught by Naomi Fayzulayev, FNP-C, an officially certified CMA instructor.

4731 E Union Hills Dr, Suite 114, Phoenix AZ 85050
480-477-8166
Course Overview
O-Shot® Training & CMA Certification
Course Fee
$1,900 — all-inclusive
Duration
1-day intensive (~8 hours)
Schedule
Offered regularly — contact coordinator for upcoming dates
Cohort Size
Small group · Limited enrollment
Live Patients
Yes — supervised patient injection included
Certification
CMA O-Shot® Provider Cert + 1-year membership
Included
Training, all supplies, certification, CMA membership & directory listing, CME/CEU credits, lunch
Eligibility
MD, DO, NP, PA, RN — active unrestricted license required
Inquire & Enroll →

Questions? Call 480-477-8166 or email clinic@besowb.com
Bundle with P-Shot® for a combined sexual wellness discount.

8
Curriculum
Modules
1yr
CMA Membership
Included
~8
Hours Intensive
Training
15+
Years Instructor
Clinical Experience
Official CMA-Sanctioned TrainingStrictly follows protocols mandated by Dr. Charles Runels & the Cellular Medicine Association
OShot.info Directory ListingIncluded with 1-year CMA membership — drives patient referrals from the international directory
Legal O-Shot® Trademark LicenseLicense to use the O-Shot® trademarked name and access official marketing & patient education materials
CME / CEU Credits IncludedAMA PRA Category 1 Credits™ or equivalent CEUs for physicians, NPs, PAs, and RNs
Course Curriculum

What you learn in the
O-Shot® Training course

This is the official O-Shot® course as defined by the Cellular Medicine Association — not a generic PRP workshop that includes a section on vaginal injection. The morning is structured didactic covering anatomy, pathophysiology, PRP science, patient selection, and anesthesia technique. The afternoon is a supervised hands-on practicum with live consented patients. Every attendee performs the full O-Shot® protocol.

1
Female Pelvic Anatomy, Physiology & Pathophysiology
+
  • 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.

2
The Science of PRP — Preparation, Quality & FDA-Cleared Systems
+
  • 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
3
Patient Evaluation — Screening, Consent & Expectations
+
  • 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
4
Anesthesia Techniques — Topical, Local & the Clitoral Nerve Block
+
  • 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.

5
The Official O-Shot® Injection Protocol
+
  • 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.

6
Safety, Sterile Technique & Complication Management
+
  • 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
7
Post-Procedure Care & Follow-Up Protocol
+
  • 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
8
Practice Integration — CMA Resources, Pricing & Workflow
+
  • 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
Conditions Addressed

Six indications. All treated
in a single protocol.

Primary Indication
Female Sexual Arousal Disorder
PRP → vascular + neuronal tissue stimulation

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.

High patient satisfaction when baseline tissue health is adequate
Primary Indication
Orgasmic Disorder & Hypoactive Sexual Desire
PRP → clitoral complex regeneration

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.

Most consistent outcomes in pre-menopausal and early peri-menopausal patients
Primary Indication
Stress Urinary Incontinence
PRP → peri-urethral tissue regeneration

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.

One of the strongest evidence-supported O-Shot® indications
Secondary Indication
Dyspareunia (Painful Intercourse)
PRP → atrophic tissue restoration

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.

Often combined with vaginal rejuvenation protocols
Supportive Care
Lichen Sclerosus
PRP → inflammatory modulation

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.

Adjunct to standard LS treatment; patient selection is critical
Bundle & Save
Add the P-Shot® Course
O-Shot® + P-Shot® Combined Training

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.

What You Leave With

Certified, equipped, and
ready to see patients.

Live injection experience on consented 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.

CMA O-Shot® Provider Certification

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.

Legal O-Shot® trademark license

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.

Official CMA protocols, consent forms & marketing materials

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.

Ongoing CMA provider network access

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.

CME / CEU credits

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.

Who This Course Is For

Built for licensed providers
ready to offer sexual wellness

Nurse Practitioners and Physician Assistants

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.

Physicians — GYN, Urology, Primary Care & Aesthetics

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.

Registered Nurses with Medical Director Oversight

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.

Medspa & Wellness Clinic Owners Adding PRP Services

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.

Prerequisites
What you need before enrolling

The O-Shot® course is designed for licensed providers who are ready to integrate this procedure into active clinical practice. Prior PRP or injection experience is helpful but not required — the course covers all necessary PRP 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)
Important Note
This is the official CMA course — not a generic PRP workshop

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.

Your Instructor

Naomi Fayzulayev,
FNP-C

Naomi Fayzulayev is a board-certified Family Nurse Practitioner with 15+ years of clinical experience in regenerative medicine, women's health, and aesthetics — and an officially certified O-Shot® instructor recognized by the Cellular Medicine Association. She is the founder and owner of Beso Wellness & Beauty in Phoenix, an active medspa where she performs the O-Shot® and P-Shot® on patients regularly. The CMA recognized Naomi specifically for her clinical expertise and her ability to transfer it to trainees.

That distinction matters. The O-Shot® is not a difficult concept to explain — it is a difficult procedure to teach well, because the anatomy is internal, the nerve block is non-trivial, and the skill transfers poorly from a diagram to a patient. Naomi teaches from active clinical practice, not a curriculum she designed once and delivers unchanged.

MSN, FNP-BC / FNP-C — Board Certified Family Nurse Practitioner
Officially Certified O-Shot® Instructor — Cellular Medicine Association
Active O-Shot® and P-Shot® provider, Beso Wellness & Beauty, Phoenix AZ
15+ years clinical practice in regenerative medicine and women's health
Founder and owner, Beso Provider Hub — 14 clinical training courses
CMA
Official CMA-Certified Instructor

Naomi is officially recognized by the Cellular Medicine Association as a qualified O-Shot® instructor — one of a limited number of CMA-authorized trainers in Arizona.

15+
Years Active Clinical Practice

Including active PRP sexual wellness procedures performed at Beso Wellness & Beauty — the same clinical environment where the training takes place.

14
Clinical Training Courses at Beso Provider Hub

Across injectables, sexual wellness, hormone optimization, PRP, and hair restoration. The O-Shot® course shares the same curriculum rigor and hands-on structure as every Beso Provider Hub course.

Why Train at Beso

What makes this different from
other O-Shot® 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.

Official CMA sanctioning — not a generic PRP course

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 clitoral nerve block is taught — not skipped

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.

Live patient injection — every attendee, every time

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.

Bundle with P-Shot® for comprehensive sexual wellness training

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.

Ready to become an
O-Shot® provider?

The O-Shot® Training & Certification course is $1,900 — comprehensive didactic and hands-on training, 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 →
Official CMA certification included
O-Shot® Provider Certification + 1-year CMA membership with OShot.info directory listing and trademark license
Live patient injection included
Every attendee performs the full O-Shot® protocol — including the clitoral nerve block — on consented live patients
CME / CEU credits included
AMA PRA Category 1 Credits™ or equivalent CEUs for physicians, NPs, PAs, and RNs
Phoenix, AZ — in-person only
4731 E Union Hills Dr, Suite 114, Phoenix AZ 85050 · 480-477-8166 · clinic@besowb.com