118 7th Ave SW | Puyallup, WA 98371
Phone: (253) 203-6886
SMS/Text: (253) 209-9009
  • This field is for validation purposes and should be left unchanged.

The O-Shot™ Difference

The O Shot® uses PRP (Platelet Rich Plasma) to enhance the clitoral area. PRP is derived from your body’s own blood by separating it through a centrifuge. It is different from the G-shot, which uses Hyaluronic Acid (like a filler) to enhance the G spot.

About US

Ladie C. Araña-Domondon, MD

Certified O-Shot Provider

Ladie C. Araña-Domondon, MD is a licensed physician specializing in Internal Medicine with over 30 years of experience. She received her board certification in internal medicine in 1997. As one of the original Internists at Good Samaritan Hospital (now Multi-Care Hospital), Dr. Araña-Domondon has been a staple in the Puyallup area since 1997.

Over the years, we’ve established a lovely facility right in the heart of Puyallup, WA. We cater to patients throughout Tacoma, WA and the South Sound with innovative service and unrivaled patient care. We’ve also made sure to create a welcoming office atmosphere to ease your concerns. When you visit Concordia Star Med Aesthetics, you’ll gain immediate peace of mind! Ladie C. Araña-Domondon, MD was recently named the Best Doctor of South Sound 2017 and 2014 by South Sound Magazine readers, awarded Vital’s Patient’s Choice Award, as well as awarded the 2014 Best Doctor of Western Washington (top 2) by King 5 viewers.

Learn More


What Is O-Shot?

O-Shot Logo

We Also Offer the P-Shot™

The O Shot® (Orgasm Shot®) Procedure is a specific way of using growth factors to rejuvenate the vagina for help with stress incontinence and with sexual dysfunction. Injected in the wrong way, results could be useless or worse.

5 Sex-Pleasure Problems

Female Sexual Arousal Disorder

Female sexual arousal disorder (FSAD) is a disorder characterized by a persistent or recurrent inability to attain sexual arousal or to maintain arousal until the completion of a sexual activity.

Hypoactive Sexual Desire Disorder

Hypersexual disorder is characterized as a pattern of behavior involving intense preoccupation with sexual fantasies, urges, and behaviors. This can lead to adverse consequences and clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Individuals with hypersexual disorder may experience multiple unsuccessful attempts to control or diminish the amount of time spent engaging in sexual fantasies, urges, and behaviors in response to dysphoric mood states or stressful life events.

Symptoms must persist for a period of at least 6 months and occur independent of substance use, mania, or a medical condition in order for a diagnosis of hypersexual disorder to be established.

Female Orgasmic Disorder

Many women have difficulty reaching orgasm with a partner, even after ample sexual stimulation. In fact, orgasmic dysfunction affects approximately one in three women. Orgasmic dysfunction is also known as anorgasmia or female orgasmic disorder.


Dyspareunia is painful sexual intercourse due to medical or psychological causes. The pain can primarily be on the external surface of the genitalia, or deeper in the pelvis upon deep pressure against the cervix. It can affect a small portion of the vulva or vagina or be felt all over the surface. Understanding the duration, location, and nature of the pain is important in identifying the causes of the pain.

Numerous physical, psychological, and social or relationship causes can contribute to pain during sexual encounters. Commonly, multiple underlying causes contribute to the pain. The pain can be acquired or congenital. Symptoms of dyspareunia may also occur after menopause. Diagnosis is typically by physical examination and medical history.

Underlying causes determine treatment. Many women experience relief when physical causes are identified and treated. Even when the pain can be reproduced during a physical examination, doctor and patient must acknowledge the possible role of psychological factors in either causing or maintaining the pain.

Globally, dyspareunia has been estimated to affect between 8–21% of women, at some point in their lives.

Genital Mismatch

Religious leaders, marriage & family counselors, and your best friend will all tell you that family and relationships are the “Happiness Machine” and that sexual behavior plays an important part in the relationship of family leaders–especially in the early formative years of a family.  After examining over 10,000 men and women over the past 25+ years as a physician, studies have found that women and their doctors seldom speak of the following sexual problems – even though these problems can destroy a marriage.

  • A very small vagina may result from genetics or from surgery.
  • Because of a smaller vaginal canal, some women experience pain from a penis more than 4 inches in length, or circumference.
  • Vaginal canal enlargement may result from childbirth, aging, & some sexual practices.
  • Some women with a larger vaginal canal may not be able to appreciably feel a penis less than 7 or 8 inches in length and 6 or more inches in girth. In other words, only the 20% or so of men with a penis larger than average will bring appreciable sensation.
  • Muscles surround the vaginal canal and contract or relax to accommodate a range of penis sizes (both diameter and length can change).
  • Even though the vaginal canal can change in size, for every vagina a specific range of sizes feels best to that particular woman.
  • For every woman, there is an “ideal custom penis size” or ICPS that offers the most sensation and pleasure.

Read More About The O-Shot

Help! My face keeps moving in the opposite direction & it won’t get up!

It wasn’t until recently that I had the ultimate experience of realizing gravity was taking over and it wasn’t letting go!  I try to take care of myself and take a yoga class every week. Until recently I hadn’t noticed anything different. It wasn’t until this past class that I had to look twice at […]

Read More

O-Shot® Certified Provider | Tacoma | Seattle

Move over Viagra, women now have their own “pleasure” offer that brings back the “O” in “Orgasm”! The O-Shot®, or “orgasm shot,” rejuvenates the female organ to aid in achieving orgasm – especially after undergoing the most unpleasant side effects of aging, dryness, zero sex drive, no orgasm, no nothing.  Apparently, it can do just […]

Read More

Eyebrows Your Friends Will Envy…

Summer is here and nothing is worse than having your face melt away right before your eyes.  Did you know your brows are the framework to your eyes, one of the most noticeable features of your face?  This is why I continue to struggle with finding that “perfect” look. This past week, I went into […]

Read More


Dr. Ladie Araña-Domondon has been entrusted with the health care needs of the Puyallup-South Sound community for 20 years and has become one of the most trusted and respected physicians in Washington. She and her team believe in empowering patients to live their best lives by offering primary care based on trust, meaningful communication and […]

Read More

Concordia Star Medical Aesthetics

Ladie Araña-Domondon, MD

Follow Us On: