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Female Anatomy & GlossaryProceduresVaginal Rejuvenation, Cosmetic-Plastic GYNLabiaplastyThermiVaG-Spot Enhancement

The G-SHOT® (clinical description: G-Spot Amplification® or GSA®), is a simple, nonsurgical, physician-administered treatment that can temporarily augment the Grafenburg spot (G-Spot) in sexually active women with normal sexual function.

GSA is a patent pending method of amplifying or augmenting the G-Spot with a high molecular weight hyaluronan, an FDA approved collagen. To make this collagen, it is carefully treated and preserved, and is then supplied to physicians in a form that can be injected. The collagen is a natural, biological substance. The collagen is typically processed gastrocnemius fascia.

The FDA approved hyaluronan is a specially developed and processed collagen which doesn’t require pre-injection skin testing.

G-Spot Amplification was invented and developed by a gynecologist David Matlock, MD, MBA, FACOG.

In a pilot study, 87% of women surveyed after receiving the G-Shot reported enhanced sexual arousal/gratification. Results do vary.

The affect can last for up to 4 months, and does vary.

So why not ask us if G-Spot Amplification is right for YOU?


The G-Shot® is a painless office procedure performed in your doctor’s office under local anesthesia. The actual injection usually takes less than 8 seconds and the total office visit time is usually less than 30 minutes. A specially designed speculum is used to assist in the deliver a specified amount of high molecular weight hyaluronan directly into the G-Spot after local anesthesia. The G-Shot® augments (enlarges) the G-Spot. This results in a G-Spot about the size of a quarter in width, and one fourth of an inch in height (meaning the projection into the vagina). Note that results do vary.

G Spot Amplification™ or G-Shot is not an approved use of the high molecular weight hyaluronan by the FDA and is an off-label use. However, collagen injection into the vagina (trans-vaginal or trans-urethral) has been performed for many years for the treatment of a condition called intrinsic sphincter deficiency (ISD) which primarily affects elderly women. In ISD the internal urethral sphincter remains open and these women continuously leak urine. These techniques are also used for the treatment of stress urinary incontinence (involuntary loss of urine with laughing, coughing, sneezing, exercising etc). The G-Shot procedure is an off label use. Multiple “fillers” or bio-injectables are used as bulking agents to close the internal sphincter and provide continence. There are numerous clinical investigational studies reporting on the injection of collagen substances, fillers and bio-injectables into the vagina for conditions indicated above. The majority of the studies show that the techniques are safe and rarely have complications. Any sign of swelling, itching or redness or other occurrences at the procedure site should be reported to your surgeon.

Risks not necessarily related to allergic reactions include uncomplicated urinary tract infections, urinary retention, and urethral irritation. Uncommon complications such as periurethral pseudocyst formation and urethrovaginal fistula also have been reported. Other complications seen include bleeding, infection, abscess formation, open sores, scarring and lumpiness, which may persist over the amplification area. However, long term (> 1 year) data are lacking. Please see consent form for a comprehensive list of the risks and complications associated with the use of this product.

We have included a list of some of the scientific research articles on the conditions listed above (ISD, SUI) where collagen injection into the vagina is used. You can also go to the website and type in the browser collagen treatment of stress urinary incontinence. By so doing you can view abstracts of peer reviewed scientific articles.

It is important that every patient is informed of the risk, complications and alternatives and therefore we review and explain the informed consent  for every patient, you need to read it, understand it and sign it before the procedure.

Before you try and schedule your first G-Shot® treatment consultation, you probably have some questions, such as: How long will it take? How long will the results last? When can I resume sex?

Here's what you might expect at the doctor's office from the moment you arrive until your procedure is done. (Please note that although this experience is typical, the routine at your doctor's office may be different.)

The day of your appointment: Allow time before your appointment for filling out forms and for consulting with the doctor or a member of his or her staff.

You may also be asked about your expectations for treatment and if you have any allergies or any condition that wouldn't make you a good candidate for the G-Shot.

Before the procedure: In the consultation process your doctor will educate you on the G-Spot and how to localize it. Your doctor will go over risks and complications verbally and he or she will give you written consent as well. It is important to the doctor that every patient is completely informed of the risks, complications and alternatives to the procedure. You will then go into the examination room alone and perform a self examination based upon the doctor’s instructions and after you are comfortable with the localization of the G-Spot you will notify the assistant and they will come in to start the procedure.

The procedure: You will be positioned on the examination table as if you are “getting a PAP smear” and the doctor will do a pelvic exam and measurement of the G-Spot based upon your direction. He will transfer this measurement to a ruler and then a special speculum. The speculum, which has the location of the G-Spot on it, will then be inserted into the vagina and then a small needle will be used to deliver a small amount of local anesthetic in the area of the G-Spot. Then the high molecular weight hyaluronan will be injected. After this a tampon is placed (the tampon is to be removed in 4 hours). The entire G-Shot® injection procedure takes approximately 10 minutes.

After the procedure: There's no recovery time needed. You're ready to get on with your day! The most common side effect following injection includes scant bleeding from the needle injection site.

Results: Within 4 hours you can resume normal sexual activity. Results can last up to 4 months. Results do vary.

Frequently Asked Questions

Q: Does the G-Shot® hurt?
A: No it doesn’t. Patients are given a local anesthetic via a tiny needle before the G-Shot® thus making it painless.

Q: How long does the G-Shot® take?
A: The actual injection takes less than 8 seconds. The preparation for the G-Shot® (consultation, consent, examination and measurements) takes about 25-30 minutes.

Q: How long does the effects of the G-Shot® last?
A: The effects last for about 4 months. Results do vary.

Q: Is the G-Shot® safe?
A: The G-Shot® is safe and the risks are rare (see about safety).

Q: Does the G-Shot® make it easy for me to find my G-Spot?
A: The G-Shot® makes it easier to locate the G-Spot.

Q: Can I continue to use tampons with the G-Shot®?
A: There is no problem with using tampons after the G-Shot®.

Q: Can the G-Shot® product move out of place?
A: After placement the G-Shot® remains in its original position.

Q: After my first G-SHOT® is the next procedure quicker?
A: The next procedure is quicker because all the measurements are maintained in your record and the entire process is expedited resulting in only placement of the G-Shot®.

Q: Does the G-Shot® help you to become in tune with your G-Spot?
A: The G-Shot® can help you become in tune to your G-Spot.

Q: How does the G-Shot® program help me to find my G-Spot?
A: In the consultative portion of the program, the physician will provide the information and assistance you with the knowledge to locate your G-Spot.

Q: Does the G-Shot® heighten awareness of the G-Spot?
A: The G-Shot® can heighten awareness of the G-Spot (results do vary).

Q: Does the G-Shot® have any hormones in it?
A: The G-Shot® is natural and it doesn’t contain any hormones.

Q: Does the G-Shot® affect my period?
A: The G-Shot® should not affect the period.

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E. John Serrão, MD, FACOG, FAACS, FAAAAM | Larissa R. Serrão, RN, ACE
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