Similar to O-Shot™ Sex problems in women can take several forms. For instance, a woman can suffer pain (dyspareunia), she can have decreased lubrication, which can cause pain and other problems, decreased arousal, and decreased desire. Women can also have trouble with orgasm, either a decrease in intensity or difficulty in having an orgasm. Any one or more of those problems can cause decreased satisfaction. For decades, we as providers have been advised there are 3 FDA-approved modalities to treat sexual dysfunction in women, These are flibanserin, bremelanotide, and topical DHEA. Out of all these, two are psychotropic medications and one is a hormone. Other options include lubrication, fantasy, sex counseling or family counseling, sex toys, and the O-Shot® procedure. Alternate options also include surgery (for phimosis and other pain problems), lasers, radiofrequency, and Kegel exercise machines. To better understand how the Clitoxin™ procedure works one must have a basic understanding of how the autonomic nervous system works. In essence, it works by two different pathways- voluntary and conscious sensation or the second system that tells the heart how to beat or your bowels through peristalsis (bowel movements) as examples. Most importantly, it is in the midbrain that is controlling that autonomic nervous system, and there are nerves corresponding to both parts (somatic and autonomic) of the neurological system.