Sexual Wellness  ·  CMA Certified  ·  Phoenix, AZ

O-Shot® + P-Shot®
Combined Training &
Certification

The complete sexual wellness launch — both CMA certifications, both nerve blocks, live patient injection for each procedure, the Vampire Breastlift, and the couples consultation framework that turns two single-procedure patients into a combined service line. Two consecutive days. One bundled investment.

♀️
O-Shot® (Orgasm Shot)
CMA Certification Included · Day 1
♂️
P-Shot® (Priapus Shot)
CMA Certification Included · Day 2
🌹
Vampire Breastlift® + Labia Rejuvenation
Aesthetic Procedures · Day 1 Afternoon
4731 E Union Hills Dr, Suite 114, Phoenix AZ 85050
480-477-8166
★ Flagship Combination Course
Sexual Wellness & Aesthetic Training
Bundled Investment
$3,200  $3,899 if purchased separately
Duration
2 consecutive full days (~8 hrs each)
Certifications
CMA O-Shot® + CMA P-Shot® — both included
Schedule
Offered regularly — contact coordinator for upcoming dates
Cohort Size
Small group · Limited enrollment
Live Patients
Yes — supervised patient injection on both days
Included
Training, all supplies, 2 CMA certifications, memberships & directory listings, CME/CEU credits, both day lunches
Eligibility
MD, DO, NP, PA, RN — active unrestricted license required
Inquire & Enroll →

Questions? Call 480-477-8166 or email clinic@besowb.com
Save $699 vs. enrolling in each course separately.

2
CMA Certifications
Included
6+
Procedures &
Techniques Covered
$699
Savings vs.
Separate Enrollment
15+
Years Instructor
Clinical Experience
Both CMA-Sanctioned TrainingsOfficial O-Shot® and P-Shot® protocols as defined by Dr. Charles Runels and the Cellular Medicine Association
Trademark Licenses for Both ProceduresLegal rights to use O-Shot® and P-Shot® in patient materials and marketing — both included in CMA membership
Two Provider Directory ListingsOShot.info and PShot.info — both included with 1-year CMA membership. Drives patient referrals directly to your practice.
CME / CEU Credits IncludedAMA PRA Category 1 Credits™ or equivalent CEUs for both days — physicians, NPs, PAs, and RNs
O-Shot® Training
Day 1 — Women's
$1,900
if purchased separately
+
P-Shot® Training
Day 2 — Men's
$1,999
if purchased separately
Bundle & Save
2-Day Training Schedule

What happens on
each day

Day 1 is dedicated to female sexual wellness — the O-Shot® protocol, supporting aesthetic procedures, and the female consultation framework. Day 2 covers male sexual wellness — the P-Shot® protocol, the penile nerve block, and the male patient consultation. Both days include a morning didactic session and an afternoon supervised live patient practicum.

Day 1  ·  O-Shot® + Aesthetics

Female Sexual Wellness
& Aesthetic Procedures

9:00–10:30
Female Pelvic Anatomy & Pathophysiology

Clitoral complex anatomy, anterior vaginal wall structures, pelvic innervation and vasculature. Pathophysiology of female sexual dysfunction, arousal disorder, orgasmic dysfunction, and stress urinary incontinence.

10:30–12:00
PRP Preparation & Anesthesia Technique

PRP science and centrifuge systems for the O-Shot®. The updated CMA clitoral nerve block — technique, landmarks, lidocaine protocol, adequacy assessment. Topical anesthesia for aesthetic procedures.

12:00–1:00
Lunch & Learn: Patient Consultation & Practice Integration

Consulting for female sexual wellness — how to have the conversation, set expectations, and present the O-Shot® to different patient types. Pricing models, consent structure, and ethical marketing.

1:00–3:00
O-Shot® Official Protocol & Live Patient Injection

Complete O-Shot® protocol: G-spot, clitoral complex, peri-urethral, and labia injection sites. Naomi demonstrates; every attendee performs the full protocol on a consented live patient.

🧑‍⚕️ Hands-On Live Patient
3:00–5:00
Vampire Breastlift® & Labia Rejuvenation

PRP breast injection technique — anatomy, injection map, topical anesthesia, patient selection, and expectation management. Labia minora and majora PRP rejuvenation — indications, technique, and consent. Both demonstrated with supervised hands-on practice.

🧑‍⚕️ Hands-On Supervised Practice
Day 2  ·  P-Shot® + Male Wellness

Male Sexual Wellness
& Performance

9:00–10:30
Male Urogenital Anatomy & Pathophysiology

Penile neurovascular anatomy — corpus cavernosum, dorsal nerve, and deep dorsal vein. Pathophysiology of erectile dysfunction, Peyronie's disease, and hypoactive sexual desire. Lab interpretation fundamentals for the male sexual wellness patient.

10:30–12:00
PRP Preparation & Penile Nerve Block

PRP preparation for the P-Shot® — same centrifuge system as Day 1, with P-Shot® specific quality standards. The penile nerve block: dorsal penile nerve block and ring block approaches, lidocaine protocol, adequacy assessment, and managing patient anxiety.

12:00–1:00
Lunch & Learn: The Couples Service Line

The unique opportunity in offering both O-Shot® and P-Shot® — why couples present together, how to structure the couples consultation, how to price the combined offering, and how to use the couples model to increase average transaction value and patient retention.

1:00–3:30
P-Shot® Official Protocol & Live Patient Injection

Complete P-Shot® injection protocol: injection sites, depth, needle selection, volume distribution, and sequencing. Naomi demonstrates; every attendee performs the full protocol on a consented live patient.

🧑‍⚕️ Hands-On Live Patient
3:30–5:00
Safety, Complications & Practice Launch

Complication management for both procedures. Post-procedure care and follow-up protocols. Activating both CMA directory listings, accessing official marketing materials, and setting up your sexual wellness service line before leaving the training.

Course Curriculum

What you learn across
both days

Both days follow the same structure: morning didactic covering anatomy, PRP science, nerve block technique, and the official CMA protocol; afternoon supervised hands-on practicum with live consented patients. The curriculum below lists the major learning blocks across the full two days.

Day 1 — Women's Day 2 — Men's Both Days
1
PRP Science, Preparation & Quality Control
Both Days
+
  • Platelet biology — what growth factors are in PRP and which matter clinically for sexual wellness applications
  • FDA-cleared centrifuge systems for PRP preparation — which systems Beso uses and why
  • Blood draw protocol, tube selection, anticoagulant considerations, and patient preparation
  • Centrifuge settings for O-Shot® and P-Shot® — spin speeds, timing, and separation technique
  • PRP quality assessment before injection — color, consistency, platelet concentration indicators
  • Activation protocols and sterile handling requirements

Every attendee draws, spins, and prepares PRP on both training days before the afternoon practicum begins.

2
Female Anatomy, Nerve Block & O-Shot® Protocol
Day 1
+
  • Detailed clitoral complex anatomy — internal crura, vestibular bulbs, and the full structure beyond the visible portion
  • Anterior vaginal wall — G-spot (anterior fornix erogenous zone) and peri-urethral anatomy for urinary incontinence indication
  • The updated CMA clitoral nerve block — landmark technique, lidocaine concentration and volume, onset, and adequacy assessment
  • O-Shot® injection protocol per CMA standards: G-spot, clitoral complex, peri-urethral, and labia injection sites — volume, depth, needle selection, and sequencing
  • Patient selection, contraindications, and the informed consent process for the O-Shot®
  • Post-procedure care and the 4–12 week response window — how to counsel patients on timeline

The clitoral nerve block is the most commonly undertaught element in O-Shot® training on the market. This module teaches it in full, with supervised practice during the afternoon session.

3
Vampire Breastlift® & Labia Rejuvenation
Day 1
+
  • Vampire Breastlift — anatomy, CMA injection map, topical anesthesia, patient selection criteria, and realistic expectation management (this procedure enhances sensation and skin quality; it does not volumize)
  • Labia minora and majora PRP rejuvenation — indications (dryness, atrophy, post-partum changes, lichen sclerosus support), technique, and consent
  • Contraindications for both procedures and how to identify the wrong candidate before the appointment
  • How these procedures complement the O-Shot® in a comprehensive female sexual wellness consultation
4
Male Anatomy, Nerve Block & P-Shot® Protocol
Day 2
+
  • Penile anatomy for the P-Shot® provider — corpus cavernosum, corpus spongiosum, dorsal neurovascular bundle, and glans anatomy
  • Penile nerve block techniques — dorsal penile nerve block and ring block approaches: landmarks, lidocaine protocol, onset, and adequacy assessment
  • P-Shot® injection protocol per CMA standards — injection sites (corpus cavernosum bilateral, glans), needle selection, depth, volume distribution, and sequencing
  • Patient selection for erectile dysfunction vs. Peyronie's disease — different injection approaches for each indication
  • Managing patient anxiety during penile procedures — communication cadence, positioning, and the pre-treatment consultation that sets the tone
  • Post-procedure care, vacuum erection device use post-treatment, and the 8–12 week response timeline
5
Safety, Complications & Emergency Management
Both Days
+
  • Vasovagal response — recognition, patient positioning, management, prevention in subsequent patients, and documentation
  • Hematoma and bruising management — mechanism, patient communication, and when to be concerned
  • Infection risk in internal PRP procedures — prevention protocol, antibiotic prophylaxis considerations, and recognition of early infection
  • Local anesthetic toxicity — dose limits for lidocaine across both nerve blocks, systemic symptom recognition, and management
  • Adverse event documentation — what to chart, when to refer, and when to notify your medical director
6
Couples Service Line & Practice Integration
Both Days
+
  • Activating both CMA memberships — OShot.info and PShot.info directory listings, trademark licenses, and official marketing materials
  • Pricing models for the Phoenix metro: O-Shot® ($800–$1,500), P-Shot® ($1,200–$2,000), couples bundles ($2,000–$3,000)
  • The couples consultation framework — how to structure the joint consultation, who to treat first, how to present the combined value
  • Patient referral dynamics — why O-Shot® patients frequently drive P-Shot® inquiries and vice versa, and how to build a referral loop
  • Ethical and FTC-compliant marketing for both procedures, including what outcome claims you can and cannot make
  • Medical director standing order requirements for RNs offering these procedures — and how to structure the documentation
The Couples Opportunity

Why O-Shot® + P-Shot®
belong in the same
practice

Sexual wellness is almost always a couples issue — even when only one partner presents initially. Providers who offer only the O-Shot® routinely field questions about what their patient's husband, partner, or boyfriend can do. Providers who offer only the P-Shot® find the same pattern in reverse. The combination is not just additive — it creates a referral loop that a single-procedure provider cannot access.

There is also a financial argument that is impossible to ignore. A practice that offers both procedures can structure a couples bundle at $2,500–$3,200 — a transaction that a single-procedure practice simply cannot replicate. That couples bundle, in a practice with any meaningful volume of sexual wellness patients, generates revenue that quickly outpaces the cost of the combined training.

Beyond revenue, offering both procedures signals clinical completeness to patients in a way that single-procedure training does not. Patients seeking a sexual wellness provider are looking for a practitioner who understands the full picture — not one who can treat half of it and refer out the rest.

1
Shared PRP infrastructure

The centrifuge, the draw supplies, and the quality control process are identical for both procedures. Adding the P-Shot® to an O-Shot® practice requires no new equipment — just the training to use what you already have for a second indication.

2
Shared consultation framework

The couples consultation covers both procedures in a single appointment — one intake form, one consent conversation, two CMA-certified treatments. This is a service structure that a single-procedure provider cannot offer and competitors who only do aesthetics cannot match.

3
Shared CMA infrastructure

Both certifications are issued by the same organization, governed by the same ethical and marketing standards, and listed on parallel patient-facing directories. Managing one CMA relationship covers both procedure lines.

4
Fastest path to a complete sexual wellness service line

Two days to launch a fully compliant sexual wellness program — both procedures, both certifications, both nerve blocks, the couples framework, and all the documentation you need before patient one. No other training format delivers this in less time.

Who This Course Is For

For providers ready to launch
a complete service line

Providers entering sexual wellness for the first time

No prior PRP or sexual wellness experience is required. The course covers all PRP principles from the ground up, and both nerve blocks are taught in full — not assumed as prior knowledge. If you are entering this space without a background in either procedure, this is the right starting point.

Providers already trained in one procedure adding the other

If you are already O-Shot® certified and want to add the P-Shot® — or vice versa — you can enroll in the single-day course for the procedure you're missing. The combo pricing applies to new enrollees taking both for the first time. Ask about the add-on rate if you're already certified in one.

NPs, PAs & Physicians in aesthetics or functional medicine

Providers with established aesthetic or hormone practices adding sexual wellness as an adjacent service line. The couples model is particularly well-suited to practices already treating both partners for other services — hormone optimization, IV therapy, or aesthetics.

Registered Nurses with Medical Director Oversight

RNs can offer both procedures under written standing orders from a qualified medical director. The course covers the standing order structure and documentation requirements for RN injectors. Ask about Beso's medical director services if you need one in place before launch.

Prerequisites
What you need before enrolling

The Sexual Wellness & Aesthetic Training is designed for licensed providers across experience levels. Prior PRP or injection experience is helpful but not required — all essential skills are taught from the ground up.

  • Active, unrestricted license (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 human anatomy — no formal ob/gyn or urology background required
This is the official CMA course
Only CMA-certified providers may legally use these names

O-Shot® and P-Shot® are federally trademarked names owned by the Cellular Medicine Association. Only providers trained at officially CMA-sanctioned centers and holding current CMA membership are legally authorized to use these names in marketing. This course includes everything required to operate as a fully certified, compliant provider of both procedures.

Your Instructor

Naomi Fayzulayev,
FNP-C

Naomi Fayzulayev is a board-certified Family Nurse Practitioner and an officially CMA-certified instructor for both the O-Shot® and the P-Shot® — one of a very limited number of providers in Arizona holding dual CMA instructor certification for both procedures. She is the founder and owner of Beso Wellness & Beauty in Phoenix, where she performs both procedures on patients regularly as part of an active sexual wellness and regenerative medicine practice.

The nerve blocks required for both procedures are the elements most commonly undertaught in the market. Naomi teaches both in full — the clitoral block and the penile block — with supervised practice on both training days. The couples consultation framework is drawn directly from how she runs the sexual wellness service line at Beso, not from a textbook.

MSN, FNP-BC / FNP-C — Board Certified Family Nurse Practitioner
Officially Certified O-Shot® Instructor — Cellular Medicine Association
Officially Certified P-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 sexual wellness
Founder and owner, Beso Provider Hub — 14 clinical training courses
CMA
Dual-Certified O-Shot® & P-Shot® Instructor

Naomi holds official CMA instructor certification for both procedures — one of very few providers in Arizona with this dual authorization. The courses you receive are taught by someone the CMA has specifically recognized for clinical expertise in both.

15+
Years Active Clinical Practice

In regenerative medicine and sexual wellness — including active O-Shot® and P-Shot® procedures performed weekly at Beso Wellness & Beauty, the same clinical setting where the training takes place.

2
Nerve Blocks Taught in Full — Both Days

The clitoral nerve block (Day 1) and the penile nerve block (Day 2) are both taught completely — technique, landmarks, lidocaine protocol, adequacy assessment, and supervised hands-on practice. Neither is glossed over.

Both certifications.
Two days. $3,200.

The Sexual Wellness & Aesthetic Training is $3,200 all-inclusive — two full days of didactic and hands-on training, all supplies, official CMA O-Shot® and P-Shot® Provider Certifications, 1-year CMA memberships with OShot.info and PShot.info directory listings and trademark licenses, CME/CEU credits for both days, and both day lunches. This is $699 less than enrolling in each course separately. Cohorts are small; spots fill in advance. The couples consultation framework and both nerve blocks are taught in full, on both days, with live patients.

Inquire & Enroll →
2 CMA certifications included
O-Shot® + P-Shot® — both certifications, both 1-year CMA memberships, both directory listings, both trademark licenses
Live patient injection on both days
Every attendee performs the complete O-Shot® protocol on Day 1 and the complete P-Shot® protocol on Day 2 — under Naomi's direct supervision
Vampire Breastlift & Labia Rejuvenation included
Two additional female aesthetic procedures covered on Day 1 afternoon — supervised hands-on practice included
Phoenix, AZ — in-person only
4731 E Union Hills Dr, Suite 114, Phoenix AZ 85050 · 480-477-8166 · clinic@besowb.com