V-WaveAcoustic Wave Therapy for Women in Denver
V-Wave is a non-invasive acoustic wave treatment being used and studied for certain aspects of female sexual health. Low-intensity acoustic energy is applied externally to targeted vulvovaginal tissues with the goal of influencing local blood flow and tissue response.
V-Wave may be considered for appropriately selected women experiencing changes in sexual sensation, arousal or other aspects of sexual function. However, female sexual dysfunction can have many causes, including hormonal changes, medications, menopause, pelvic floor dysfunction, pain disorders and psychological or relationship factors.
For this reason, treatment at R2 Medical Clinic begins with an individualized evaluation to determine whether V-Wave or another treatment option may be appropriate.
How V-Wave, Ballistic Radial Wave Therapy Works
V-Wave uses low-intensity acoustic waves applied to targeted external tissues. Similar forms of acoustic-wave therapy have been studied in other areas of medicine for their effects on local circulation and tissue response.
Proposed mechanisms include changes in local blood flow, cellular signaling and vascular responses. These mechanisms have been studied more extensively in other applications than in female sexual dysfunction.
Research specifically evaluating acoustic-wave therapy for female sexual function remains limited, and additional controlled clinical studies are needed to determine its effectiveness, optimal treatment protocols and durability of results.
What Does the Research Say About V-Wave?
Acoustic and other energy-based therapies have been investigated for female sexual dysfunction and menopause-related vulvovaginal symptoms. Some studies have reported improvements in measures of sexual function and vaginal symptoms.
However, research specifically supporting low-intensity acoustic or shockwave therapy for female sexual dysfunction remains limited. Treatment protocols vary, and there is not yet enough high-quality evidence to establish which patients are most likely to benefit, the optimal treatment protocol or how long potential benefits may last.
Female sexual dysfunction is also multifactorial. Changes in desire, arousal, orgasm or sexual comfort may result from hormonal, medication-related, pelvic floor, vulvovaginal, psychological or relationship factors that acoustic-wave therapy does not necessarily address.
At R2 Medical Clinic, V-Wave is considered as one potential treatment option following an individualized evaluation rather than as a universal treatment for female sexual dysfunction.
Potential Key Benefit
6-8
Sessions Recommended
15-20
Minutes Per Session
0
Anesthesia Required
0
Days Downtime
Stimulates New Blood Vessel Formation
Promotes angiogenesis for improved circulation to intimate tissue.
Enhances Sensitivity
Improves tissue sensitivity and natural lubrication.
Combines with O-Shot
Can be paired with O-Shot therapy for maximum benefit.
Conditions Treated
What to Expect
Before
Your provider reviews your symptoms, medical history, medications, menopausal status and other factors that may contribute to changes in sexual function. This evaluation helps determine whether V-Wave may be appropriate.
During
Acoustic waves are applied to targeted external tissues using a handheld treatment device. A typical session takes approximately 15–20 minutes. Anesthesia is generally not required.
After
Most patients can return to normal daily activities following treatment. Temporary sensitivity or discomfort may occur. Your provider will discuss the recommended treatment schedule and follow-up based on your individual treatment plan.
Who May Not Be a Candidate?
Is V-Wave Right for Everyone?
V-Wave is not necessarily appropriate for every woman experiencing sexual concerns.
Sexual dysfunction may be related to:
- Genitourinary syndrome of menopause
- Estrogen deficiency
- Hormonal changes
- Medication side effects
- Pelvic floor dysfunction
- Vulvodynia or other pain disorders
- Vaginal or vulvar conditions
- Psychological or relationship factors
- Other medical conditions
Identifying these contributors may lead to treatments other than—or in addition to—V-Wave.
Alternative Treatments
Other Treatment Options
Depending on the cause of your symptoms, treatment may include vaginal moisturizers or lubricants, local vaginal estrogen, pelvic floor physical therapy, medication adjustment, sex therapy or counseling, hormone therapy when clinically appropriate, prescription medications for selected women with HSDD, PRP or other individualized treatment approaches.
Learn more about our comprehensive approach to Female Sexual Dysfunction.
Frequently Asked Questions
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References & Medical Resources
- Sandoval-Salinas C, Saffon JP, Corredor HA, et al. Are Radial Pressure Waves Effective in Treating Erectile Dysfunction? A Systematic Review of Preclinical and Clinical Studies. Sexual Medicine. 2021;9(4):100393.
This is particularly useful because it specifically distinguishes radial pressure waves from focused shockwaves and reviews their biological and clinical evidence. The authors concluded that clinical evidence for radial waves was insufficient and that focused-shockwave evidence should not simply be extrapolated to radial devices.
PubMed Central — Full Article - Sandoval-Salinas C, Saffon JP, Martínez JM, et al. Are Radial Pressure Waves Effective for the Treatment of Moderate or Mild to Moderate Erectile Dysfunction? A Randomized Sham Therapy Controlled Clinical Trial. Journal of Sexual Medicine. 2022;19(5):738–744. doi:10.1016/j.jsxm.2022.02.010.
This randomized, double-blind, sham-controlled trial is valuable because it evaluates radial pressure waves specifically, rather than focused Li-ESWT. It found no significant difference between radial-wave and sham treatment for erectile function. That negative result is important when accurately characterizing the evidence.
PubMed — Radial Pressure Wave RCT - Mohamed MH, et al. Effects of Extracorporeal Shockwave Therapy Versus Pulsed Electromagnetic Field Therapy in Females With Sexual Dysfunction: A Randomized Controlled Trial. ClinicalTrials.gov Identifier NCT07584174. 2026.
This is the most directly relevant study for the V-Wave page. It is specifically studying low-intensity radial extracorporeal therapy in women with female sexual dysfunction, using 1,500–2,000 pulses at 5–8 Hz applied to the perineum and pelvic-floor trigger points. It is a 90-patient randomized controlled trial comparing radial therapy plus pelvic-floor muscle training against PEMF plus pelvic-floor training and pelvic-floor training alone. However, it is currently recruiting and has no results yet, so it supports the fact that this technology is being actively investigated, not that efficacy has been established.
ClinicalTrials.gov — Female Sexual Dysfunction Radial Therapy Trial - Corredor H, Sandoval-Salinas C, Saffon J, Gallego A, Uribe O. Effectiveness and safety of the radial pressure waves for the treatment of erectile dysfunction. A randomized clinical trial. Journal of Sexual Medicine. 2022;19(Suppl 2):S160. doi:10.1016/j.jsxm.2022.03.366.
This report describes radial pressure-wave treatment parameters and again emphasizes that radial waves have a substantially different mechanism from focused shockwaves and that evidence from focused shockwave therapy cannot automatically be extrapolated to radial therapy.
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Medically reviewed by Erik Natkin, DO — Founder, R2 Medical Clinic. Content last reviewed August 2026.