Though it's unclear which came first, life mimicking television or vice versa, a recent "Nip/Tuck" episode on Grafenberg Spot (G-spot) enhancements is one example of the ever-growing blur between Hollywood reality television and the real world. Now, just as depicted in the FX smash hit, there really is a G-Shot® to heighten female sexual pleasures. In fact, show producers approached Dr. David Matlock, the Beverly Hills physician that invented the shot, to make sure of the details, which patients say is "the ultimate in sexual ecstasy achieved in an effortless manner." Matlock, a board-certified OB/GYN laser surgeon, president and CEO of Laser Vaginal Rejuvenation Institute in Los Angeles, said while some patients claim to have orgasms when they laugh, are in spinning class, or even when driving down "the 405," his mission is just to "empower women with knowledge, choice and alternatives" so they can enjoy sex more. That said, there is still an endless stream of phone calls and e-mails pouring into Matlock's Beverly Hills office from women trying to squeeze in an appointment for the $1,850-a-pop G-Shot. "Since 'Nip/Tuck' aired, I have four staff members handling the calls and my associate doctor answering emails. Some people say $1,850 is kind of high for something that's temporary, but I say it's a small price to pay for such a bundle of joy," said Matlock. The Designer Vagina G-Spot Amplification (DVGSA), or G-Shot, is an injection of a specially developed collagen compound, which produces a prominent, semi-permanent physiologic swelling of the G-spot. It increases the size of the G-spot to about the size of a quarter in width and one-fourth of an inch in height. In clinical studies, 87 percent of women who had the G-Shot reported enhanced sexual arousal and gratification with no complications. The injections take about eight seconds and last four months. Sexual activity can resume within one day. For Matlock, a pioneer in the field of boutique cosmetic gynecologic laser surgery, it's all about helping women find realize sexual satisfaction with their partners. His development of the Laser Vaginal Rejuvenation® (LVR®) and Designer Laser Vaginoplasty® (DLV®) procedures have been now commercialized. His new book, "Sex by Design," is quickly becoming a best seller and he's producing a new reality show, "DocStars," that focuses on the sexual side of cosmetic surgery. "If you look in the Physician's Desk Reference Guide, there are 18 different types of medication for men used to maintain erection for use in recreational sex," said Matlock. "Is there anything remotely similar for women? No. They're left behind on this. We're listening to women and what they want." Matlock was quick to point out that the G-Shot isn't for everyone. It can't repair deeper relationship problems, nor is it for people with sexual dysfunctions. "This is for women who have orgasms, but want enhanced sexual arousals and gratification," Matlock said. Plastic surgeon Dr. Kathy Jones, FACOG, of The Women's Pelvic Surgery Center of Orlando is a certified associate of the Institute of Laser Vaginal Rejuvenation (LVR) and received LVR training from Matlock. "Women are an integral part of the partnership and should get satisfaction from their sexual act," Jones said. "If the patient is coming to the office because they're not happy with their sexual response, it means you have to make a total assessment of that patient. If they're loose, but satisfied, the G-Shot is not necessarily what they need. If they're stressed out, overwhelmed, don't feel attractive sexually, all those things will contribute to their interest in intercourse. This is not going to be like drive-by shopping." Although collagen has been injected into the vagina since around 1940 for intrinsic sphincter dysfunction, Matlock is the first to use it in this manner. "WebMD" recently filmed the procedure, which it will soon host on its Web site. Dr. Michael Hueneke of Plastic Surgery Affiliates in Nashville has some concerns about the injection. "Some procedures they perform, such as tissue reduction to improve cosmetics around the labia or for functional reasons to improve clitoris stimulation, can rarely have the drawback of creating too much sensitivity in some women, especially when playing sports or wearing jeans," Hueneke said. "There could be some similar issues of sensitivity with the injection of collagen. One would want to be exceedingly careful in performing any injections on the female genitalia because complications can be very difficult for a patient to experience. For example, if you put in a filler, what if a woman had a reaction to it? What if they got scarring? That's not typical with collagen, but sometimes people have reactions to fillers like hardening of the tissues … (who) would want to have that? Without knowing what all is in the filler, I would be concerned. I'd have to say I'm uncertain at this time that it would be a procedure I'd offer my patients." Matlock said he will soon be providing to physicians online instruction for the G-Shot, including the ability for physicians to order the compound, posters and print-ready ads to market their services. "Our ultimate objective is to provide the methods, products and special supplies to any gynecologist and perhaps urologist who would be interested in providing this for their patients," he said. For more information, visit www.thegshot.com. February 2007