CMA Certified · Cellular Medicine Association

O-Shot® & P-Shot® training for NPs & MDs in Arizona

Hands-on sexual wellness injection training designed specifically for Nurse Practitioners and Physicians practicing in Arizona. Live patient O-Shot and P-Shot injection, PRP preparation and platelet science, genitourinary anatomy, patient screening frameworks, and pathway to CMA (Cellular Medicine Association) certification — the only body authorized to certify providers to use the O-Shot® and P-Shot® registered trademarks. Taught in Phoenix by Naomi Fayzulayev, FNP-C.

Training Location
Beso Wellness & Beauty
4731 E Union Hills Dr, Suite 114
Phoenix, AZ 85050
Small cohort. Live patient O-Shot & P-Shot injection under direct FNP-C supervision. NP and physician participants both eligible for CMA certification on completion.

Built for NPs and physicians — the only two audiences that can offer these procedures.

Unlike neuromodulator or filler training, sexual wellness injection has a narrower audience. O-Shot and P-Shot are genital PRP injection procedures that require independent evaluation and prescriptive authority — which means Nurse Practitioners and Physicians only. RNs and aestheticians are not in scope for these procedures under any structure.

For Nurse Practitioners (NP / FNP / WHNP / AGNP)
Full practice authority — sexual wellness ready.

Arizona is a full-practice state. Board-certified NPs hold independent prescriptive authority and may evaluate, prescribe, and perform O-Shot and P-Shot procedures without a supervising physician. Family, women’s health, and adult-gerontology NPs are all in scope. WHNPs bring additional female GU depth; family and adult-gerontology NPs successfully build combined M&F sexual wellness practices.

  • Full O-Shot & P-Shot technique — live patient injection
  • PRP preparation and platelet science
  • Female & male genitourinary anatomy
  • Patient screening, contraindication, and candidate selection
  • CMA certification pathway (both procedures)
  • Practice-building framework: pricing, packaging, and combined-therapy pairings
For Physicians (MD / DO)
Add sexual wellness to your practice offering.

Family medicine, urology, OB/GYN, aesthetic medicine, and integrative/functional medicine physicians commonly add O-Shot and P-Shot as cash-pay procedures. No specialty board certification is required for the procedures themselves — but CMA certification is the recognized industry standard for competency documentation and the only way to legally market as an “O-Shot® provider” or “P-Shot® provider.”

  • Full O-Shot & P-Shot technique — live patient injection
  • PRP preparation and platelet science
  • Female & male genitourinary anatomy refresh
  • Patient screening, contraindication, and candidate selection
  • CMA certification pathway (both procedures)
  • Cash-pay practice model — pricing, packaging, marketing framework

Why CMA certification is the whole game.

The Cellular Medicine Association (CMA), founded by Dr. Charles Runels — the physician who developed the O-Shot, P-Shot, and Vampire Facial procedures — is the only body authorized to certify providers to use these registered trademarks.

Marketing your practice as an “O-Shot® provider” or “P-Shot® provider” legally requires CMA certification. Patients researching these procedures are consistently directed to the CMA provider directory — it is the first source of qualified leads for new sexual wellness practices. Providers who skip certification and offer generic “PRP genital rejuvenation” instead consistently underperform on patient acquisition.

Beso Provider Hub is a CMA-recognized training venue. Every NP and physician who completes both training days is eligible to submit for CMA certification as an O-Shot® and P-Shot® provider. Certification submission fees are paid separately to the CMA. For more depth on how to evaluate a training program, see our O-Shot & P-Shot training: what to look for guide.

Trademark protection
O-Shot® and P-Shot® are registered trademarks. Only CMA-certified providers may use these names in marketing. Without certification, you cannot legally advertise these procedures by name.
Patient acquisition directory
The CMA provider directory is the first place patients researching O-Shot or P-Shot look for a provider. Directory placement is a certification benefit and consistently drives new-patient inquiries.
Competency documentation
CMA certification is the recognized industry standard for these procedures. Professional liability insurers, medspa employers, and referring providers all recognize it as competency documentation.

Two days. Two procedures. One complete sexual wellness practice.

The training is structured as two full days — O-Shot on Day 1 and P-Shot on Day 2. You can take either day individually or both together. Most Arizona sexual wellness providers take both. The Sexual Wellness Combo (2-day) course is the most efficient path.

Day 1
The O-Shot®
Female sexual wellness & mild-to-moderate stress urinary incontinence

Full female genitourinary anatomy, PRP preparation and platelet science, patient screening (sexual wellness indications, mild-to-moderate stress urinary incontinence, lichen sclerosus adjunct treatment), injection technique for clitoral, periurethral, and upper anterior vaginal wall placements, consent documentation, complication recognition, and hands-on live patient injection under direct FNP-C supervision.

  • PRP draw, spin, and preparation
  • Female GU anatomy & injection landmarks
  • Candidate selection & contraindication screening
  • Clitoral, periurethral, and vaginal wall injection technique
  • Live patient O-Shot under direct supervision
  • CMA O-Shot® certification eligibility
Day 2
The P-Shot®
Male erectile function, Peyronie’s disease adjunct & sexual performance

Full male genitourinary anatomy, patient screening (erectile dysfunction, Peyronie’s disease, sexual performance enhancement), injection technique for bilateral corpus cavernosum and glans placements (and along Peyronie’s plaques where indicated), combined-therapy pairings (shockwave, vacuum pump therapy), and hands-on live patient injection under direct FNP-C supervision.

  • PRP draw, spin, and preparation
  • Male GU anatomy & injection landmarks
  • Candidate selection: ED, Peyronie’s, performance
  • Corpus cavernosum & glans injection technique
  • Live patient P-Shot under direct supervision
  • CMA P-Shot® certification eligibility
Enrollment

Ready to add sexual wellness to your practice? Enroll in the next cohort.

This landing page describes the NP & physician focus of our O-Shot and P-Shot training. Full cohort dates, pricing, refund policy, and enrollment are managed on the individual course pages — O-Shot only, P-Shot only, or the 2-day combined course. Most providers choose the combo for the pricing advantage and dual CMA certification.

Common questions from NP and physician sexual wellness providers.

Can NPs perform O-Shot and P-Shot in Arizona?
Yes. Arizona is a full practice authority state. Board-certified NPs hold independent prescriptive authority and may evaluate, prescribe, and perform these procedures without a supervising physician or collaborative agreement. FNP, WHNP, and AGNP credentials are all in scope.
Can MDs and DOs perform O-Shot and P-Shot?
Yes — commonly performed by family medicine, urology, OB/GYN, aesthetic medicine, and integrative/functional medicine physicians. No specialty board certification required for the procedures themselves. CMA certification is the recognized industry standard.
Can RNs or aestheticians perform O-Shot or P-Shot?
No. These procedures require independent patient evaluation and prescriptive authority, which are outside RN scope in Arizona. Aestheticians are limited to non-invasive skin services. NPs and physicians only.
Why is CMA certification important?
O-Shot® and P-Shot® are registered trademarks of the Cellular Medicine Association. Legally marketing your practice as an “O-Shot provider” or “P-Shot provider” requires CMA certification. The CMA provider directory is also the first source patients use to find qualified providers.
What does the training cover?
Day 1 — O-Shot: PRP preparation, female GU anatomy, patient screening, injection technique (clitoral, periurethral, upper anterior vaginal wall), and live patient injection. Day 2 — P-Shot: male GU anatomy, screening, injection technique (corpus cavernosum, glans), combined-therapy pairings, and live patient injection.
What certificates do I receive?
On completion of both days: (1) a Beso Provider Hub Certificate of Completion documenting hands-on live-patient experience, and (2) eligibility for CMA (Cellular Medicine Association) certification as an O-Shot® and P-Shot® provider.
Do I need prior injection experience?
Some injection experience is helpful. Prior familiarity with PRP is not required and is taught in the course. Prior gynecology or urology experience is not required. What is required is active NP or MD/DO licensure and clinical comfort with pelvic/genital examination.
Can I take the O-Shot or P-Shot separately?
Yes. See our O-Shot Training and P-Shot Training pages for individual course details. Most providers take both together via the Sexual Wellness Combo for pricing efficiency and dual CMA certification.
Can I attend from out of state?
Yes — NPs and physicians from any US state may attend the in-person Phoenix training. Clinical technique and CMA certification apply everywhere; verify your own state’s scope rules before independent practice.
How much does the training cost?
Current pricing and cohort dates are listed on the individual course pages. Tuition includes live patient injection, PRP supplies, refreshments, and certificates. CMA certification submission fees are paid separately to the Association.

NP or physician in Arizona? —
build a sexual wellness practice.

Small cohorts. Live patient O-Shot and P-Shot injection. CMA certification pathway. See the next available combo cohort and reserve your seat.

See Combo Cohort Dates →