Improving Sex

Quick facts

  • Good sex is an important part of intimacy in relationships and also has many proven health benefits
  • Research shows that more than 43% of women will have issues with sex, to a level that creates distress for them. That's nearly half of the adult female population! 
  • Childbirth and menopause can have a significant impact on sexual enjoyment, by impacting sensation, lubrication, and ability to orgasm. Desire is often reduced, and some will experience pain with intercourse 
  • Some women have never experienced an orgasm, or find it difficult to orgasm with a partner

Improving Sex FAQ’s

Wow, that got my attention! How can you help me enjoy sex more?

We currently have 2 different technologies that can help with improving sexual enjoyment for women: the O-Shot® and ThermiVa®. These treatments can be combined for a treatment called Thermi-O®. If you are a man, we can help you too, please check out the P-Shot®. 

Both the O-Shot and ThermiVa can help improve sensation, lubrication and the ability to orgasm. We can often help with dysparenuria (painful sex), and research shows that we can effectively treat lichen sclerosis. ThermiVa also assists with vaginal tightening and improving the external appearance of your intimate areas by tightening the skin of the labia (lips). 

Research shows a 65% success rate with just one O-Shot treatment, which increases to 85-90% satisfaction with a second treatment. Results last indefinitely, but you may want to 'top-up' your treatment on an annual or biannual basis. 

ThermiVa treatment involves a specialised wand which heats the tissues of the vagina and labia to 42-46 degrees, stimulating increased blood flow and tissue tightening. The treatment is pleasant and feels 'like a warm-hot massage'. A course of 3-4 treatments each spaced 2-4 weeks apart is recommended. 

These treatments can also assist with urinary incontinence. 

You must have a consultation with one of our doctors/nurses prior to proceeding with any treatment, and you must have had a normal PAP smear in the last 12 months. You are ideal for these treatments if you have mild-moderate symptoms and are otherwise fit and well. 

How much experience do your doctors have with these sexual rejuvenation treatments

Dr Cat has trained with the inventors of both the O-Shot and ThermiVa, and Dr Cat and Dr Kirshni are global trainers for the O-Shot, as well as having performed hundreds of these treatments. They have been surprised and delighted at the results that they have achieved with these simple non-surgical procedures, and the positive impact they have on the women we treat. They have also taught many of our nurses who now perform more of these than our doctors. 

Our doctors/nurses are not gynaecologists or urologists, so for more significant issues, we recommend you notify your specialist and that we work alongside them to get you the best possible results. 

We recognise that female desire and sexual function is multifactorial, so we can refer you to a qualified sex therapist or urogynaecologist if we believe they will be helpful for you. 

I'm self conscious about what I look like 'down there' - can you help? 

Every woman's vulval area looks different - they are as individual as faces! As we age, we often lose volume through the labia, in the same way as we lose volume in the cheeks.

If you have lost volume or naturally have a flabby, flat or small labia majora (outer lips), you can improve the volume in this area with dermal fillers, platelet-rich plasma (PRP) or a combination of both. 

A course of ThermiVa treatments can also help tighten the skin of both the labia majora and/or labia minora (inner lips).

Is there an age limit for women who want the O-Shot or ThermiVa?

Potentially results might diminish with age, or if you have poor health, but we have seen success in women in their 60's and 70's as well as great success in younger women. Menopause can have a significant effect on both desire and function, so we find many women seek treatment around this time of their life. Sex should be enjoyable at any age!

I've had breast cancer, can I have this treatment? 

Yes! Many women who have breast cancer are placed into early menopause by estrogen-lowering medication or removal of their ovaries. This can lead to issues with lubrication, sensation, desire and urinary incontinence as the tissues in and around the vagina atrophy (thin). Both the O-Shot and ThermiVa can help thicken, repair and rejuvenate these tissues to make sex more enjoyable. 


To find out whether the O-Shot or ThermiVa are right for you, book a consultation now with one of our Doctors or Nurses on 0800 COSMED.

Opening Hours
Monday 10am – 5.00pm (Takapuna closed)
Tuesday, Wednesday, Thursday 9am - 6.30pm
Friday 9am - 5.30pm, Saturday 10am - 4.00pm