Please be sure that all rings and other type of metal devices are removed from your vaginal tissue and/or your penile tissue before you come to the office. We cannot perform your procedure if you have metal devices still in place. This includes patients who have implantable devices. We cannot perform PRP sexual wellness procedures with implantable devices. It is not compatible.

If you have undergone surgeries to your reproductive organs, we need to know this information. Some reconstructive procedures are unfortunately contraindicated with PRP treatment. We do not want you wasting your valuable time if PRP treatments are contraindicated in your condition.

If you have been diagnosed with lichen sclerosus, a vulvovaginal disorder, then this is a condition that must be surgically corrected by your GYN. At the time of your surgery (after the lichen sclerosus is removed), the use of PRP is very beneficial for faster healing of your vulvovaginal tissue and preventing the return of lichen sclerosus. We would need to speak with your GYN about walking them through this PRP component of your treatment at the time of your surgery.

We must have written medical clearance from your medical provider if you are taking a blood thinner                   ( examples: aspirin, Coumadin, Plavix, Xarelto, etc.).

If you are taking antibiotics for infection, then this is a contraindication. The course must be completed before you can be treated.


After the shaft and head (glans) are anesthetized with BLT (20% benzocaine/10% lidocaine/10%tetracaine) (Men apply this directly to their shaft and head [glans]) for 20-30 minutes. PRP is injected on both sides of the base of the shaft; both sides mid shaft, and into the corona (base of the head[glans]). Most men do well. Very few pass out!

IF you have a vacuum penile pump at your disposal, please make sure that it has the 25mmHg pumping capability. If you do not have this pumping capacity, then you may purchase a vacuum penile pump in our office for a very reasonable price. You must have a vacuum penile pump at your visit since this will be used for 10 minutes following your treatment. It will then be used 10 minutes twice a day separated by at least 30 minutes for six weeks. The purpose of using this device is to increase the spread of your PRP through the cavernous tissue.


The anterior wall of the vagina, labia minora and majora, and the clitoris are heavily anesthetized with BLT (20% benzocaine/10%lidocaine/10%tetracaine) for 20-30 minutes. PRP is injected into the the anterior wall of the vagina, both of the labia minora and majora and finally into the clitoris. Women handle this procedure quite well. Women typically see quicker benefit than their male counterparts.

You must be off your menstrual cycle in order to perform this procedure.
Because you may experience some spotting (bleeding) as a result of the needle entry into your vaginal tissue, please be sure that you wear an appropriate type of underwear. We suggest that you wear dark bottoms that day.

Dr. Bethea with Dr. Charles RunelS, the founder of PRP for aesthetic and sexual wellness June 25, 2016

Dr. Bethea with Dr. Charles RunelS, the founder of PRP for aesthetic and sexual wellness June 25, 2016

Before I formed thee in the belly I knew thee; and before thou camest forth out of the womb I sanctified thee, and I ordained thee a prophet unto the nations.
Jeremiah 1:5