Women’s Health

Take back control of your body.

Women’s Health

Take back control of your body.

P-Shot® and O-Shot® | Boston, MA


Steven Zivich, M.D. is pleased to offer the P-Shot and O-Shot to improve sexual health in men, women, and LGBTQ+ patients. These nonsurgical treatments use plasma to increase the ability to climax, quality of orgasms, and libido. A P-Shot is injected into the penis while an O-Shot is administered to the vaginal structures. To enhance your sexual wellness, consider an O-Shot or P-Shot. Do not hesitate to call our office at 617-304-1965 for directions or to schedule a consultation to learn more.

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Benefits of the O-Shot include:

Benefits of the P-Shot include:


Ideal candidates for the O-Shot and the P-Shot are women and men in good overall health who want to enhance sexual enjoyment and performance while improving their sexual health. Candidates for the O-Shot and P-Shot are:
  • Women who want to increase sensitivity and responsiveness for improved ability to climax, stronger orgasms, and higher libido. Some problems experienced by ideal candidates include low sex drive, vaginal dryness, inability to achieve orgasm, urinary incontinence, overactive bladder, or painful intercourse.
  • Men who want to have stronger erections, improved performance, and a possible increase in penis size. Problems experienced by ideal candidates include erectile dysfunction (ED), poor sexual performance, low sex drive, and dissatisfaction with size.


A P-Shot and O-Shot are holistic treatments that use a patient’s own blood supply to boost their sexual health. First, a small amount of blood is extracted from your arm. The sample is then placed in a special machine to separate the different components of the blood. This process takes about 15 minutes. During this time, the designated treatment area is numbed. Once the concentrated form of platelets has been collected, it will be placed into a sterile syringe. The vitamin-rich plasma is then injected into the vagina or penis.
You may experience local sensitivity for a day or two, but after this dissipates, you can resume sexual activity. Increased sensation can be experienced within 3 – 7 days and will continue to improve over the next few weeks. Results have been known to last 12 – 18 months.


No. Though many patients are often wary of the treatment due to the injection being in such a sensitive area, most patients report feeling nothing more than a slight bit of pressure.

Since the P-Shot utilizes growth factors to restore function to the penis, it can also create new erectile tissues. This means that, in addition to treating erectile dysfunction, the P-Shot can actually enhance the size of the penis in some cases.

Typically, results from both the P-Shot and O-Shot tend to be long-lasting. Men who undergo treatment with the P-Shot can often expect to see results for around two years. Women, on the other hand, often experience results lasting up to three years with the O-Shot.


An O-Shot and P-Shot can dramatically elevate your sexual desire, energy, and passion. It has helped countless individuals spice up their sex life without any major downtime! To increase your sexual satisfaction, urge, and sensitivity, call Boston Direct Health today. Steven Zivich, M.D. is thrilled to provide a nonsurgical solution to his Boston, MA patients.

Hormone Balancing | Boston, MA


Hormones play a key role in our overall health. Basically, your body’s hormones serve as a special communications system between all the cells in your body. They regulate everything! Your digestion, growth, appetite, immune system — even your mood and libido are controlled by your hormones. Sometimes our hormone levels drop, or they fall out of balance. That’s where hormone replacement therapy comes in.
Bioidentical hormone replacement therapy (BHRT) helps men and women who are struggling with abnormal hormone levels. Bioidentical hormones are just what they sound like. They are biologically, structurally, and chemically identical to the body’s natural hormones. This makes them a natural and safe choice for hormone balancing. BHRT can greatly ease the symptoms experienced when hormones are low or irregular. To learn more call 617-304-1965 for directions or to schedule a consultation with primary care physician Dr. Steven Zivich at Boston Direct Health, MA.


Dr. Zivich will perform a thorough medical exam, order lab work, and take his time to discuss your health history to identify hormonal imbalances and deficiencies. He doesn’t believe in treating symptoms one by one with pills, sedatives, steroids, and the like. Instead, he believes in taking a holistic approach to correct hormonal abnormalities. Dr. Zivich looks at the whole picture. He will evaluate all your medications and how they interact together, go over your diet, and discuss your daily routine. He’ll also consider your stress level and mental well-being. From there, he’ll discuss supplementations with bioidentical hormones. Hormone therapies come in different forms, including oral medications and injections.


Results of hormone balancing with BHRT vary according to each patient's unique needs, but typically, most can expect to start seeing results within about 2 – 3 weeks. Maximum results are usually seen at around 2 – 3 months.

Hormone balancing with bioidentical hormone treatments can have a host of beneficial effects, including:

  • Reducing the negative effects of menopause

  • Increasing libido and sexual function

  • Raising energy levels

  • Improving mental focus and clarity
  • Making it easier to lose weight and build muscle
  • Giving you healthier skin and a more youthful appearance
  • Boosting mood and overall wellbeing

While there can be side effects experienced by some people with hormone balancing, these are rare and typically go away as their body adjusts to the bioidentical hormones. These can include acne, fatigue, headaches, mood swings, fatigue, or weight gain. During your consultation, Dr. Zivich will thoroughly review your medical history, current condition, and symptoms to determine if hormone balancing is right for you.

Everyone experiences the effects of hormonal imbalances differently; however, common symptoms of hormonal imbalances can include:

  • Weight gain
  • Loss of muscle mass
  • Low energy levels<
  • Memory loss and difficulty focusing
  • Loss of interest in sex or lowered sexual performance
  • Hot flashes
  • Mood swings
  • Night sweats
  • Sleep problems
  • Anxiety and depression


Bioidentical hormone replacement therapy can give you an improved quality of life. It can help boost your energy level, reduce brain fog, aid in better sleep, regulate weight, elevate your mood, and enhance your sex drive. Other health benefits include lowering cholesterol, decreasing your risk of diabetes, and lowering the chances of developing cataracts. Reach out to Boston Direct Health to meet with seasoned family physician Dr. Steven Zivich today. Our Boston, MA team looks forward to serving you.

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