Male Sexual Wellness Training
P-Shot® & TRT Masterclass
Phoenix, AZ
One intensive day covering the core of male sexual health — from PRP injection and neurotoxin technique to TRT management, pellet insertion, shockwave therapy and Emsella pelvic floor strengthening. A multi-modality training for licensed prescribers building a cash-pay men’s health practice, with live-patient practice for the injection and insertion techniques.
Questions? Call 602-613-8685 or email [email protected]
Enrollment is limited. Contact coordinator for upcoming dates.
One procedure vs.
a complete practice
The P-Shot® Training course teaches one procedure well — PRP preparation, penile anatomy, nerve block, and injection protocol. It is the right course for a provider who wants to add the P-Shot® to an existing practice.
The Male Sexual Wellness Masterclass is for a different ambition. It is for the provider who wants to build an entire men’s health service line — one where the P-Shot® is the entry point, not the ceiling. Most male sexual wellness patients are candidates for more than one therapy. A provider who can offer PRP, neurotoxin, TRT optimization, pellet therapy, shockwave, and Emsella — and who knows how to design multi-modality treatment packages — is operating in a different market from a provider who can only offer one procedure.
The combination of modalities taught in this course is also what makes the cash-pay ROI compelling. Individual procedures generate individual transactions. Multi-modality programs generate $3,000–$3,500+ per patient engagement — recurring, relationship-based revenue that a single-procedure practice cannot access.
What the day
covers
One full day of didactic instruction and hands-on practice, taught in the order below. Exact session timing is confirmed with your cohort.
The modern men’s health market and why cash-pay male sexual wellness is one of the fastest-growing service lines in medicine. Comprehensive patient assessment framework: validated questionnaires (IIEF, AUA-SI), physical exam components, and targeted lab evaluation. Patient consultation structure and communication strategy.
Detailed penile neurovascular anatomy — corpus cavernosum, dorsal neurovascular bundle, and glans. Physiology of erection and the vascular, neurogenic, and hormonal mechanisms of erectile dysfunction. Peyronie’s disease assessment and PRP treatment rationale. Lab interpretation fundamentals for the male sexual wellness patient.
PRP biology — what growth factors matter for erectile and penile tissue regeneration. FDA-cleared centrifuge systems, CMA-compliant preparation standards, and quality assessment. Blood draw protocol, activation decisions, and sterile handling.
Penile nerve block technique — dorsal penile nerve block and ring block, landmarks, lidocaine protocol, and adequacy assessment. Official P-Shot® injection protocol per CMA standards: injection sites, depth, needle selection, volume distribution, and sequencing. Naomi demonstrates; every attendee performs the complete protocol on a consented live patient.
The science behind neurotoxin-mediated penile smooth muscle relaxation — mechanism, clinical evidence, and rationale for combining with PRP. Bocox™ reconstitution, dosing, and injection technique. P-Shot 100™ — the combined PRP and neurotoxin protocol, sequencing, and patient selection. Safety protocols for combined use.
Testosterone production, metabolism, transport (SHBG), and tissue-level action. Benefits, risks, and clinical evidence for all TRT delivery modalities — IM/SubQ injections, gels, creams, and pellets. Patient selection, baseline evaluation, and establishing treatment goals.
Comprehensive hormone panel interpretation — Total and Free Testosterone, Estradiol, SHBG, LH, FSH, Prolactin, PSA, CBC, CMP, and metabolic markers. Dosing strategies: initiation, titration, and individualization. Managing estrogen conversion, hematocrit, and SHBG. Complex cases: low SHBG, poor responders, secondary hypogonadism.
Patient selection, pellet types, dosing calculation methods (symptom-based and formula-based), and expected duration. Sterile field preparation, insertion site selection (gluteal), trocar technique, and post-insertion care. Complication management: extrusion, bleeding, infection, tachyphylaxis.
Why TRT and P-Shot® are synergistic — how testosterone optimization improves erectile tissue responsiveness to PRP. Designing combination protocols for the ED patient with both hormonal and vascular contributing factors. Patient timeline management for concurrent therapies. Extended Q&A on hormones.
Device setup, safety protocols, and patient preparation. Treatment zone mapping for ED (6 penile zones) and Peyronie’s protocols — probe placement and angle. Parameter settings: energy levels, pulse frequency, and treatment spacing. Hands-on application practice on live patients.
HIFEM (High-Intensity Focused Electromagnetic) technology and its mechanism of action — supramaximal pelvic floor contractions equivalent to ~11,200 Kegel exercises per session. Clinical applications for male sexual wellness: erectile function improvement via pelvic floor strengthening, urinary incontinence treatment, and use as a non-invasive complement to P-Shot® and other regenerative procedures. Treatment protocols: typically 6 sessions, 28 minutes each, twice weekly. Patient selection, contraindications, device operation, and integration into multi-modality treatment packages.
Open Q&A with Naomi. Course review and key clinical pearls. Distribution of all certificates of completion. Overview of 90-day post-course email support access.
What you’re learning to
actually offer
Each modality is a standalone cash-pay service. The real value is the ability to combine them into multi-modality programs and build longer patient relationships.
PRP injected into the corpus cavernosum and glans to stimulate neovascularization, nerve regeneration, and smooth muscle tissue growth. Primary applications: ED and Peyronie’s disease.
- Official CMA protocol and certification
- Penile nerve block — dorsal and ring block
- Peyronie’s-specific injection approach
- Market pricing: $1,200–$2,000
Botulinum toxin applied to the penile smooth muscle to reduce sympathetic tone, improve blood flow, and enhance erection quality. P-Shot 100™ combines PRP and Bocox™ in a single session.
- Neurotoxin reconstitution and dosing for penile application
- Injection depth and site selection for smooth muscle target
- Combining PRP and neurotoxin in one session safely
- Market pricing: $800–$1,500 (Bocox™ standalone)
Comprehensive testosterone replacement therapy across all delivery modalities. Full management: initiation, titration, monitoring, and side effect management. The most recurring-revenue service in men’s health.
- All TRT modalities: IM/SubQ injections, gels, creams, pellets
- Hormone panel interpretation and dosing adjustment
- Estrogen management and SHBG optimization
- Recurring revenue: $150–$400/month per patient
Subcutaneous testosterone pellet insertion — a long-acting TRT modality requiring a specific technical skill set. Patients who convert to pellets tend to stay on pellets. Reinserted every 3–5 months.
- Dosing calculations for testosterone and anastrozole pellets
- Trocar insertion technique in the gluteal region
- Complication management: extrusion, infection, bleeding
- Market pricing: $400–$800 per insertion
Low-intensity extracorporeal shockwave therapy for ED and Peyronie’s disease — one of the strongest evidence-based options for vasculogenic ED. Non-invasive, no consumable cost per session after device acquisition.
- ED protocol: 6–12 sessions, 2–3x/week
- Peyronie’s protocol: different energy settings and anatomical mapping
- Protocol-driven parameters — not brand-specific
- Market pricing: $300–$600/session
Non-invasive electromagnetic pelvic floor strengthening using HIFEM technology. Each 28-minute session triggers ~11,200 supramaximal contractions — improving erectile function, treating urinary incontinence, and complementing regenerative procedures like the P-Shot®.
- Mechanism of action: HIFEM supramaximal pelvic floor contractions
- Protocol: 6 sessions, 28 min each, twice weekly
- Male sexual wellness and incontinence applications
- Market pricing: $250–$500/session
What you leave
able to do
On completion you will be able to perform comprehensive male sexual health assessments, execute the injection and insertion techniques covered, design synergistic multi-modality protocols, and interpret hormone panels and manage TRT within your scope of practice.
- Perform thorough male sexual health assessments using validated questionnaires (IIEF, AUA-SI), targeted physical examination, and appropriate lab evaluation
- Accurately diagnose erectile dysfunction (vasculogenic, neurogenic, hormonal), Peyronie’s disease, hypoactive sexual desire disorder, and premature ejaculation
- Prepare high-quality PRP meeting CMA standards using FDA-cleared centrifuge systems
- Execute both penile nerve block techniques — dorsal penile nerve block and ring block — with appropriate anesthesia protocols
- Administer the complete P-Shot® protocol per official CMA standards with safe sterile technique
- Manage patient consultations, obtain informed consent, and deliver post-procedure care instructions
Live patient injection included — every attendee performs the complete P-Shot® protocol on a consented live patient under Naomi’s direct supervision.
- Articulate the mechanism of action of botulinum toxin on penile smooth muscle and its role in improving erectile function
- Reconstitute and handle neurotoxins safely for penile application — concentration, volume, and storage
- Execute the Bocox™ injection technique: site selection, depth, angulation, and distribution across penile smooth muscle
- Design and administer the P-Shot 100™ combined protocol — sequencing PRP and neurotoxin within a single session
- Identify appropriate candidates and contraindications for each technique
- Interpret comprehensive hormone panels — Total and Free Testosterone, Estradiol, SHBG, LH, FSH, Prolactin, PSA, CBC, CMP — and formulate personalized hormone optimization plans
- Initiate and titrate TRT across all major delivery modalities with individualized dosing strategies
- Proactively manage aromatase inhibitor use, SHBG, hematocrit, and PSA over time
- Navigate complex TRT cases: low SHBG, poor responders, secondary hypogonadism
- Design combination protocols integrating TRT with regenerative procedures for synergistic outcomes
- Select appropriate candidates for pellet therapy and explain its advantages versus other TRT modalities
- Calculate testosterone and anastrozole pellet dosing using symptom-based and formula-based methods
- Prepare a sterile field and execute subcutaneous pellet insertion in the gluteal region using proper trocar technique
- Recognize, manage, and document pellet therapy complications: extrusion, bleeding, infection, and tachyphylaxis
- Establish appropriate follow-up protocols and repeat insertion scheduling
Hands-on pellet insertion practice on live patients — every attendee performs the insertion technique under direct supervision.
- Explain the biophysical mechanisms of Li-ESWT — mechanotransduction, neovascularization via VEGF, and nerve regeneration — and cite clinical evidence for ED and Peyronie’s disease
- Set up and operate Li-ESWT devices safely, select appropriate energy settings and pulse parameters for each indication
- Map treatment zones for the ED protocol (6 penile zones) and Peyronie’s protocol (plaque-targeted application) with correct probe placement and angulation
- Apply protocol-driven parameters across different device types and interpret published energy settings for any comparable device
- Communicate realistic outcomes, structure multi-session treatment series, and calculate break-even and ROI for device acquisition
Hands-on device practice on live patients — both ED and Peyronie’s protocols. We teach protocol parameters, not brand loyalty.
- Explain the mechanism of HIFEM (High-Intensity Focused Electromagnetic) technology and how supramaximal pelvic floor contractions (~11,200 per session) improve erectile function and urinary continence
- Identify appropriate male candidates for Emsella therapy — erectile dysfunction with pelvic floor weakness, stress or urge urinary incontinence, and post-prostatectomy rehabilitation
- Design treatment protocols: standard 6-session series, 28 minutes per session, twice-weekly scheduling, and maintenance recommendations
- Operate the Emsella device safely — patient positioning, intensity titration, contraindication screening (pacemakers, metal implants, pregnancy)
- Integrate Emsella into multi-modality treatment packages alongside P-Shot®, shockwave, and TRT for synergistic outcomes
- Price and market Emsella as a standalone service and as part of bundled men’s health programs
Device demonstration included — attendees observe and practice Emsella device operation, patient setup, and intensity adjustment protocols.
For providers ready to build
a men’s health practice
Providers with an existing patient base who want to convert a portion of their practice to high-revenue cash-pay male sexual wellness services. You already have the clinical foundation — this masterclass gives you the procedural skill set and the business architecture to launch a complete men’s health program.
Specialty physicians who see male sexual dysfunction regularly and want to add evidence-based regenerative and hormonal interventions. The P-Shot®, shockwave therapy, and hormone optimization are natural extensions of a urology or physiatry practice.
If you are already P-Shot® certified, the Masterclass is the natural next level — adding TRT, pellet insertion, Bocox™, shockwave and Emsella to an existing foundation. Ask about adjusted pricing if you are already P-Shot® certified.
Practitioners opening a new practice or adding a dedicated men’s health service line. The course gives you the clinical skill set to add these services to a dedicated men’s health offering.
This masterclass is designed for licensed prescribers. Prior injection experience is beneficial but not required — all techniques are taught from the ground up with supervised hands-on practice.
- Active, unrestricted medical license (MD, DO, NP, or PA)
- Prescribing authority — required for TRT and hormone pellet therapy components
- Basic understanding of male anatomy recommended; no prior sexual wellness training required
- RNs may attend injection modules but cannot prescribe TRT independently — please inquire
Meet Naomi
Naomi Fayzulayev, FNP-C
Founder, Beso Wellness & Beauty · Board-Certified Family Nurse PractitionerNaomi founded Beso Wellness and Beauty to close the gap between clinical training and real-world practice — offering the kind of hands-on, small-group instruction she wished she had when she started. With over 15 years of clinical experience and deep roots in regenerative and aesthetic medicine, she brings active, practicing expertise to every course she teaches.
Her approach is integrative: combining conventional medicine with evidence-based wellness therapies to address root causes, not symptoms. As a Certified Trainer for the Cellular Medicine Association (CMA), Naomi personally trains other medical providers in advanced procedures including the O-Shot® and P-Shot® — a credential held by a small number of practitioners nationally. She holds advanced certifications in functional medicine, hormone optimization, and advanced medical aesthetics, and is known for her meticulous technique and the warm, patient-centered environment she creates in every training session.
She believes a well-trained provider is the foundation of a well-run practice. Every course she teaches reflects that: small cohorts, live patients, real feedback, and the business context to use the skills you leave with.
Clinical Practice
Per Cohort
Trainer
Active Practice
One day.
A complete practice.
The Male Sexual Wellness Masterclass is $3,500 all-inclusive — one full day across seven modalities, all supplies, six certificates of training, CMA P-Shot® certification with 3-month membership, comprehensive course manual, lunch, and 90 days of post-course email support. Cohorts are limited to 4 seats. Contact the training coordinator for upcoming dates.
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