Sexual Health · Bonita Springs, Fl
Alma Duo™ Shockwave Therapy in Bonita Springs, FL
Focused Low-Intensity Shockwave Therapy for Erectile Dysfunction & Female Sexual Wellness
Alma Duo™ uses focused low-intensity extracorporeal shockwave therapy (LI-ESWT) — the same acoustic wave technology applied in cardiology and orthopedics — to stimulate new blood vessel formation and improve vascular function in the sexual organs. For men, it addresses the vascular root cause of erectile dysfunction. For women, it improves clitoral blood flow, sensitivity, arousal, and lubrication. No needles. No drugs. No downtime. Dr. Katherine Ortiz offers Alma Duo™ at DNA Wellness and Longevity Institute in Bonita Springs as part of a comprehensive sexual health protocol for both men and women.
Why patients choose us
Physician-Led
All Alma Duo™ treatments supervised by Dr. Katherine Ortiz, PA-C, Ph.D.
For Men & Women
PRP uses concentrated growth factors from your own blood — no synthetics
SW Florida
Serving Bonita Springs, Naples, Estero & Fort Myers
Treatment Overview
PRP Therapy
Physician-Supervised
No Needles · No Drugs
For Men & Women
Bonita Springs, FL
What Is Alma Duo™?
How Low-Intensity Shockwave Therapy Restores Sexual Function
Alma Duo™ is a focused low-intensity extracorporeal shockwave therapy (LI-ESWT) device developed by Alma Lasers. It generates precise acoustic wave pulses that penetrate deep into tissue, inducing localized mechanical stress that triggers the body's wound-healing cascade — specifically promoting neovascularization (the formation of new blood vessels) at the focused site and breaking down micro-plaque in existing vessels. The result is improved blood flow to the sexual organs through a biological regeneration mechanism rather than a pharmacological one.
The mechanism distinguishes LI-ESWT from all pharmaceutical approaches to sexual dysfunction. Medications like Viagra and Cialis increase blood flow acutely by blocking the PDE5 enzyme — they require anticipation, have a time window, and address only the immediate vascular response. LI-ESWT works upstream: it stimulates the growth of new functional blood vessels (neoangiogenesis) and improves the structural health of existing penile or clitoral vasculature — producing improvements that persist between sessions and that do not require the drug to be active. A 2025 meta-analysis of 12 randomized controlled trials including 882 men with vasculogenic ED demonstrated statistically significant improvements in IIEF-EF scores and Erection Hardness Score compared to placebo — and the European Association of Urology's 2024 guidelines now recommend LI-ESWT for men with mild vasculogenic ED, including those who have not responded adequately to PDE5 inhibitors.
For women, the mechanism is the same but the application targets the clitoris and anterior vaginal structures — improving clitoral blood flow, enhancing sensitivity and arousal, supporting natural lubrication, and reducing discomfort during intercourse. The clinical evidence base for women is earlier-stage than for men but aligns with the same neovascularization mechanism in tissues with identical vascular physiology to penile erectile tissue.
Each Alma Duo™ session takes 15–20 minutes. The treatment is non-invasive, involves no needles, requires no anesthesia, and produces no downtime — patients return to normal activities immediately. A typical protocol consists of 6–12 sessions over 3–6 weeks, with results developing as the neovascularization response matures over the weeks following treatment.
How It Helps
What Alma Duo™ Can Address for Men and Women
How LI-ESWT Works (Shared Mechanism
LI-ESWT works by delivering low-energy acoustic pulses to targeted tissue, inducing controlled microtrauma at the cellular level. This triggers upregulation of vascular endothelial growth factor (VEGF) and recruitment of endothelial progenitor cells — initiating new capillary formation in tissue that has been compromised by aging, reduced circulation, or vascular disease. Simultaneously, the acoustic waves break down micro-plaque in existing vessels, improving their compliance and blood-carrying capacity. The combined effect — new vessel formation plus improved existing vessel function — produces meaningful improvement in vascular delivery to the sexual organs. This is fundamentally different from any drug or device that works symptomatically; LI-ESWT addresses the underlying vascular biology that drives sexual dysfunction in both men and women.
For Men: Erectile Dysfunction & Performance
Vasculogenic erectile dysfunction — ED caused by impaired blood flow to the penis — accounts for the majority of organic ED cases. LI-ESWT directly targets this mechanism: a 2025 meta-analysis of 12 RCTs in 882 men confirmed statistically significant improvements in IIEF-EF domain scores and Erection Hardness Score versus placebo. The European Association of Urology's 2024 guidelines recommend LI-ESWT for mild vasculogenic ED and specifically for men who do not respond adequately to PDE5 inhibitors — addressing the population that Viagra and Cialis fail to help. For men who do respond to PDE5 inhibitors, LI-ESWT may improve their response quality and duration. At DNA Wellness, Dr. Ortiz evaluates Alma Duo™ as part of a comprehensive men's sexual health assessment — including testosterone, cardiovascular markers, and metabolic health — and frequently combines it with testosterone optimization, PT-141, and the P-Shot® for a multimodal protocol addressing all contributing factors simultaneously.
For Women: Arousal, Sensitivity & Comfort
Sexual dysfunction in women — characterized by reduced arousal, diminished sensitivity, decreased lubrication, and discomfort during intercourse — is frequently vascular in origin, driven by declining clitoral blood flow associated with aging, hormonal shifts, or pelvic floor changes. LI-ESWT applied to the clitoris and anterior vaginal tissue improves microvascular supply to these structures — increasing sensitivity, supporting natural arousal response, enhancing lubrication, and reducing discomfort during intercourse. The clinical evidence for female applications of LI-ESWT is at an earlier stage than for men — most studies are prospective observational — but the mechanistic rationale is sound given the identical vascular physiology of clitoral and penile erectile tissue. Some studies report results lasting up to 2 years. At DNA Wellness, Dr. Ortiz evaluates Alma Duo™ for women alongside hormone optimization, the O-Shot® PRP, and PT-141 — because female sexual wellness is multifactorial and rarely responds optimally to a single intervention.
Your Journey
What To Expect with Dr Ortiz
Step 01 — Confidential Consultation & Assessment Your Alma Duo™ consultation with Dr. Ortiz is private, unhurried, and clinically thorough. For men, she reviews your erectile function history, prior medications tried (and response to PDE5 inhibitors), testosterone levels, cardiovascular health, metabolic status, and any other contributing factors. For women, she reviews your sexual wellness concerns — arousal, sensitivity, lubrication, discomfort — alongside your hormonal status, pelvic floor history, and whether concurrent hormone or PRP protocols are appropriate. The goal of this consultation is to determine whether Alma Duo™ is the right primary intervention, a component of a broader protocol, or not the most appropriate option for your specific pattern. Dr. Ortiz is direct about realistic expectations based on your clinical picture.
Step 02 — The Alma Duo™ Protocol Each session takes 15–20 minutes and is performed in the clinic. The focused shockwave applicator is positioned against the target tissue — the penile shaft and perineum for men, the clitoral and vaginal area for women — and delivers low-energy acoustic pulses across the treatment area. The experience is typically described as a mild tapping or vibrating sensation. There is no pain, no needles, and no anesthesia required. You can return to all normal activities immediately after each session. A standard protocol consists of 6–12 sessions over 3–6 weeks, with session frequency typically twice weekly. The exact number of sessions is determined by Dr. Ortiz based on your specific concerns and initial response.
Step 03 — Results Timeline & Ongoing Support LI-ESWT results are not immediate — they develop as the neovascularization response matures over 4–12 weeks following the treatment course. Most men notice improvements in erectile quality and spontaneity within 4–8 weeks of completing the protocol. Women typically report improved sensitivity and arousal within a similar window, with lubrication and comfort improvements developing over 6–12 weeks. Results from a completed protocol typically last 12–24 months — some studies report effects lasting up to 2 years. Dr. Ortiz schedules a follow-up assessment 8–12 weeks after your final session to evaluate your response and determine whether a maintenance course or complementary interventions are indicated. For patients pursuing a comprehensive sexual health protocol, this follow-up is also the opportunity to assess how Alma Duo™ is working alongside any concurrent hormone, PRP, or peptide therapies.
Alma Duo™ Shock Wave Treatment
No Downtime
Quick 15-minute, in-office treatment requiring no topical anesthetic and no recovery time
Non-Invasive & Effective
Helps support natural function without prescription drugs, needles or surgery
Long-Lasting Results
Long-term results clinically validated at least one year post treatment*
At Long Last
Finally, an emerging treatment category to support functional needs that affect millions of men and women
Shockwave therapy is recognized for its anti-inflammatory benefits while in cardiology it promotes angiogenesis which aids in the formation of blood vessels
Questions Answered
Frequently Asked Questions About Alma Duo™ Shockwave Therapy
Q1: How does Alma Duo™ compare to Viagra or Cialis for erectile dysfunction? Viagra and Cialis (PDE5 inhibitors) work pharmacologically — they block the enzyme that limits blood flow, producing an erection response in the 30–60 minute window after taking the medication. They are effective but situational: you need to take them in anticipation, they don't work for everyone (approximately 30–40% of men with ED have limited response), and they address only the immediate vascular response rather than the underlying vascular health of the penis. Alma Duo™ works biologically — stimulating the growth of new blood vessels and improving the structural condition of existing penile vasculature. The 2024 European Association of Urology guidelines specifically recommend LI-ESWT as an option for men who don't respond adequately to PDE5 inhibitors — addressing the population these medications fail. For men who do respond to PDE5 inhibitors, Alma Duo™ can potentially reduce their dependence on the medication and improve the quality of their erectile function more broadly.
Q2: Is Alma Duo™ FDA-cleared? The Alma Duo™ device is FDA-cleared as a shockwave therapy device. LI-ESWT for sexual wellness applications — specifically erectile dysfunction in men and sexual wellness in women — is considered off-label use in the US, meaning it is prescribed based on clinical judgment, growing clinical evidence, and international guideline recommendations rather than an FDA-approved indication specifically for ED or female sexual dysfunction. Dr. Ortiz discusses this distinction at every consultation — the off-label nature does not mean the treatment is experimental in the conventional sense; it is used in recognized clinical settings worldwide with an established evidence base, particularly for vasculogenic ED in men.
Q3: Who is the ideal candidate for Alma Duo™? For men, Alma Duo™ is most appropriate for those with mild to moderate vasculogenic ED — including men who do not respond adequately to PDE5 inhibitors, those who prefer not to use medications, and men who have responded to Viagra or Cialis but want to improve underlying function rather than remain medication-dependent. It is less effective in severe ED, neurogenic ED (caused by nerve damage rather than vascular disease), or ED following radical prostatectomy. For women, it is most appropriate for those experiencing reduced arousal or sensitivity, decreased lubrication, discomfort during intercourse, or diminished sexual satisfaction related to vascular or age-related changes. Dr. Ortiz's assessment identifies where you fall in this spectrum clearly.
Q4: Can Alma Duo™ be combined with other treatments? Yes — and Dr. Ortiz consistently finds the best results come from addressing sexual wellness through a coordinated protocol rather than a single intervention. For men, Alma Duo™ pairs well with testosterone optimization (addressing hormonal drivers), the P-Shot® PRP (improving penile tissue health at the local level through a different mechanism), and PT-141 (addressing the desire and central arousal pathways that Alma Duo™ does not reach). For women, it pairs well with hormone optimization, the O-Shot® PRP, and PT-141. Because each intervention works through a distinct mechanism — vascular (Alma Duo™), tissue regenerative (PRP), hormonal (testosterone/estrogen), and neurological (PT-141) — they are synergistic rather than redundant.
Q5: Is Alma Duo™ shockwave therapy available in Bonita Springs and Southwest Florida? Yes. DNA Wellness and Longevity Institute, located at 26800 S Tamiami Trail, Suite 380 in Bonita Springs, offers Alma Duo™ LI-ESWT shockwave therapy for both men and women under the direct supervision of Dr. Katherine Ortiz. All consultations and treatments are conducted with complete confidentiality. The clinic serves patients throughout Bonita Springs, Naples, Estero, Fort Myers, and surrounding Southwest Florida communities. Call (239) 250-7930 to schedule your private consultation.
Meet Dr. Katherine Ortiz
Dr. Katherine Ortiz is the founder of DNA Wellness and Longevity Institute in Bonita Springs, FL. She is a board-certified Physician Associate and holds a Ph.D. in Integrative Medicine from Quantum University, with fellowship training through the American Academy of Anti-Aging Medicine (A4M) and the University of South Florida in functional and regenerative medicine.
Her practice is built on a foundational belief: that the body has an extraordinary capacity to heal and self-regulate when given the right support. Dr. Ortiz investigates root causes — hormonal imbalances, nutritional deficiencies, genetic factors — and builds individualized protocols designed to restore function and optimize long-term health.
Every protocol at DNA Wellness is ordered, reviewed, and monitored directly by Dr. Ortiz.
