Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.

Benefits of the Orgasm Shot
Platelet rich fibrin (PRF) injections have been used to treat medical conditions including arthritis and ligament/tendon sprains and tears. The orgasm shot is one of the first PRF applications used to treat female sexual dysfunction.
Platelets can help revitalize dysfunctional tissues through a process called neovascularization. PRF can increase libido, vaginal sensitivity, lubrication, and climax strength.
The orgasm shot can also tighten the vaginal opening and reduce urinary incontinence, especially after child birth.


Who is a good candidate?
The orgasm shot is ideal for women who are in good general health and experience dysfunction during the normal phases of intercourse. This might include:
- Lack of libido or sexual desire
- Lack of lubrication
- Lack of sensitivity
- Pain associated with vaginal intercourse
- Weak orgasms or orgasmic dysfunction (inability to climax)
The orgasm shot is also an effective way to treat urinary incontinence. If you pee a little when you laugh, cough, or sneeze, the orgasm shot may be able to reduce this embarrassing condition.
Patients have also used the orgasm shot to counteract the biological effects of aging.
What happens during the procedure?
The orgasm shot is a non-surgical procedure that takes approximately 30 minutes at our Mishawaka medical spa.
The first step is a blood extraction from the patient’s arm. The blood is then spun in a centrifuge to separate red blood cells from platelet rich fibrin (PRF). Once separated, the PRF is extracted and put into a small syringe.
A topical anesthetic is applied to the genitals to reduce discomfort. The PRF is then injected into the anterior walls of the vagina and the clitoris.

What is the recovery like?
Recovery after the orgasm shot is quick and shouldn’t interfere with normal daily activities. Exercise can resume in 24 hours and sexual activity in a few days.
Full results can be expected within three months of the procedure. Some patients report improvements right away. Others experience changes within two or three weeks after the procedure.

Real Patient Testimonials/Reviews
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
From the time I walked in the door to the moment I walked out, I felt respected, seen and heard! The staff are kind and gentle and I will never go anywhere else for the things I need. Dr. Macias is outstanding.
I was recently hospitalized last week for a finger infection. I ended up having surgery and Dr. Downs was my doctor. Very good bedside manner and great doctor. He takes his time to explain things to you. I really liked that. And went to his office for my follow up. All the staff were so sweet and professional.
Dr. Downs and whole team at Centre PC have been amazing! They listened to me as I told them my desired results, provided different options for me, based on years of industry knowledge and worked alongside me as I navigated the headaches of insurance. I couldn’t be happier with my experience there and would highly recommend them to anyone looking to make some positive change in their life!
Dr. Downs and his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
I received a rhinoplasty from Dr. Macias and my nose is PERFECT. 😍
I enjoyed my whole experience but here are a few specific highlights that stuck out:
- The staff is kind, informative, and responds quickly.
- I loved the simulation they used to show desired results.
- The staff the day of surgery was fun and helped me with my nerves.
- From the little shopping I did, their prices were the best (sometimes by far!).
I recently had a surgical procedure done with Dr. Macias. The staff was absolutely amazing from my consult to surgery everyone was soooo sweet and kind! So very helpful from the front desk to the treatment coordinators to the pre op the whole surgery experience to post op!!
If you are considering on having anything done I highly recommend. I am extremely happy with my results so far and it’s only been a week.
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
Talk to Your
Doctor About
the Orgasm Shot.
There are a million reasons you might consider the orgasm shot. You may also want to combine the orgasm shot with other treatments like Votiva and bioidentical hormones like BioTe. Come to The Centre, P.C. and find answers to all your questions during a consultation!
Call to schedule a consultation or contact us online to schedule an appointment.

