MODERN INNOVATIONS IN ED TECHNOLOGY
With Dr. Jené Ferrante, a men's and women's health specialist
at Hawaii Natural Medicine in Honolulu, Hawaii
Linear Focused Shockwave Therapy
Featuring the PiezoWave2. It is an in office treatment that uses focused low-intensity extracorporeal shock wave therapy (LI-ESWT), clinically validated to stimulate better blood flow and restore natural sexual performance - bringing spontaneity back to your life.
• This is a quick, 15-minute in-office treatment.
• No topical anesthetic needed and no downtime required.
• No pills. No needles. No surgery.
• Long-lasting results clinically validated at least 2 years post treatment.
What is LI-EWST?
First introduced for stone fragmentation in the 1970s, focused low-intensity extracorporeal shock wave therapy (LI-ESWT) has since evolved to successfully address additional medical concerns in orthopedics for its anti-inflammatory benefits and in cardiology to promote angiogenesis, the formation of new blood vessels.
Focused LI-EWST consists of a short pulse of about 0.5µs duration or a near instantaneous jump to a peak positive pressure, which is referred to as a ‘shock’, followed by a longer-lasting period of negative pressure. Shock wave peak pressure is nearly 1000X greater than the peak pressure in ultrasound waves.
The Mechanisms and Research
Here is some great research on Shockwave Therapy:
Shockwave treatment of erectile dysfunction
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607492/
Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis
https://pubmed.ncbi.nlm.nih.gov/27986492/
The Basic Physics of Waves, Soundwaves, and Shockwaves for Erectile Dysfunction
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6934904/
Low-intensity Extracorporeal Shock Wave Treatment Improves Erectile Function: A Systematic Review and Meta-analysis
https://pubmed.ncbi.nlm.nih.gov/27321373/
Initial experience with linear focused shockwave treatment for erectile dysfunction: a 6-month follow-up pilot study https://pubmed.ncbi.nlm.nih.gov/25471316/
Efficacy of Penile Low-Intensity Shockwave Therapy and Determinants of Treatment Response in Taiwanese Patients with Erectile Dysfunction
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8615607/
Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction
https://pubmed.ncbi.nlm.nih.gov/20451317/
Retrospective comparison of focused shockwave therapy and radial wave therapy for men with erectile dysfunction
How does LI-EWST work?
The peak pressure exerts direct mechanical stress. This shear stress sets off a cascade of wound healing responses that induces neovascularization and angiogenesis (formation of new blood vessels) to restore better blood flow and natural function to the treatment site.
Unlike other shock wave technologies, this electrohydraulic applicator is designed to reach in deeper depths (135mm) with 3X fewer pulses and lower energy to effectively treat not just the penile shaft but the penile crus – where 50% of the cavernous bodies that comprise the corpora cavernosa is located. 300 pulses are administered to 5 unique treatment sites, 3 along the penile shaft and 2 directed to the penile crus. Two treatments per week for three consecutive weeks is recommended.
The restorative properties of focused LI-EWST have been clinically validated with published studies dating back to 2010 that include hundreds of male patients around the world.
P Shot
Also known as platelet-rich plasma injections
I often use the P-shot to enhance the effects of shockwave therapy in cases of moderate to severe ED. It is also often requested by the more adventurous, who have no current ED issues, because it can often increase size and sensitivity.
The P-Shot is prepared from your own blood. First we get 120 ml of blood from an arm vein (like a normal blood draw) and then take it to our Emcyte Centrifuge and spin off all the red blood cells. Next, we transfer the amber plasma into a different tube and concentrate it again, removing most of the water and platelet poor plasma. What we are left with is about 10 ml of very concentrated plasma that is rich in growth factors that promote the growth of new blood vessels and nerves, repairs and rejuvenates tissue, and promotes the growth of healthy new cells.
After seeing the picture to the left, the most common question is, “Does is hurt?”
Thankfully, the answer is that it is minimally painful. No more than any other shot, such as a vaccination. In fact, it hurts less than that because this layer of tissue is designed to hold blood. There is a quick jab from the needle, then pretty much nothing. Some guys want to get a nerve block, which is always offered, but nerve blocks themselves are painful. Most would rather just get on with it, with minimal discomfort. Almost every guy says, “Is that IT? I was expecting worse…”
Extra info on the P-Shot
If you would like to read more about the experience, here is a somewhat hilarious article by fitness guru Ben Greenfield, who just had to go and try this for himself:
https://www.menshealth.com/sex-women/a19540927/stronger-erection-shot/
The official site of the P-shot inventor, Dr. Charles Runnels, has some interesting info as well: www.priapusshot.com
The research page is particularly interesting:
https://priapusshot.com/research/
Finally, here is a link to study of 60 men, showing the P-shot is a promising treatment for ED:
https://pubmed.ncbi.nlm.nih.gov/33906807/
Additional Therapies Offered
In addition to Shockwave and the P-shot, we often find success by making sure you are optimally healthy prior to your procedure. We offer a comprehensive screening for testosterone deficiency, nutrient deficiency, and cardiovascular issues.
Once we identify specific needs we offer:
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Testosterone replacement therapy utilization the latest in injectable and implantable technologies
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Vitamin and nutrient therapy
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Peptide therapy
O Shot
Also known as platelet-rich plasma (PRP) injections for female sexual wellness
I often use the O-Shot® to help women experiencing decreased libido, vaginal dryness, difficulty achieving orgasm, or mild urinary incontinence. It’s also popular with women who aren’t struggling with any specific issue, but are simply curious and want to enhance sensation, arousal, or natural lubrication.
The O-Shot is prepared from your own blood. First, we draw about 60 ml of blood from a vein in your arm—just like a routine lab draw. We then process it in our Emcyte Centrifuge, which separates out the red blood cells. Next, we concentrate the remaining golden plasma by removing excess fluid and platelet-poor plasma. What we’re left with is a small volume of highly concentrated PRP—rich in growth factors that promote nerve regeneration, new blood vessel growth, collagen production, and cellular repair.
This powerful plasma is then carefully injected into two key areas: near the clitoris and into the anterior vaginal wall (the area often referred to in connection with the “G-spot”).
💉 “Does it hurt?”
That’s the number one question I get, and the answer is: not really. The area is pre-treated with a strong numbing cream, and most women report feeling pressure more than pain. The procedure is quick—typically less than 30 minutes—and there’s no downtime, though I do recommend avoiding intercourse for about 24 hours.
Extra Info on the O-Shot®
Want to hear a real-life perspective? Here’s a first-hand account from women who tried it and why they loved it:
Women's Health Magazine Article on the O-Shot
And for those who like digging into research, the inventor of the O-Shot, Dr. Charles Runels, has some excellent resources:
🌐 www.oshot.info
📚 O-Shot Research Page
Additional Therapies Offered
In addition to the O-Shot, I also evaluate and address underlying contributors to sexual dysfunction or hormonal imbalances. We offer:
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Hormone testing (including estrogen, progesterone, testosterone)
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Bioidentical hormone therapy
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IV nutrient therapy
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Peptide therapy
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Pelvic floor acupuncture and energy work (for emotional and physical balance)
My goal is to support your whole body—not just your symptoms—so you feel confident, connected, and vibrant.
