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A neuromodulator approach to sensation & orgasm

Clitoxin®

Certified Runels Provider · Clitoxin.com

Clitoxin® is a procedure developed and taught by Dr. Charles Runels, using a neuromodulator to support sensation and orgasm. It is a small, superficial injection into the body of the clitoris, and can be performed on its own or alongside the O-Shot®. Shannon has years of hands-on experience performing this procedure and is an approved instructor within Dr. Charles Runels' network.

Who This Helps

What women tell us before this procedure

Difficulty reaching orgasm
Orgasms that are weaker than before
Feeling "close" but unable to get there
Decreased sensitivity in the clitoral area
Sexual frustration affecting relationships
Wanting to enhance an already satisfying experience

What It Is

How Clitoxin® works

Clitoxin® is a small, superficial injection of a neuromodulator into the body of the clitoris. It's a procedure developed and taught by Dr. Charles Runels to support sensation and orgasm, and it can be performed on its own or alongside the O-Shot® for an enhanced result.

A common and understandable worry is that injecting the clitoris would dull sensation. That is not how it is intended to work — rather than numbing the surface, it acts on the deeper autonomic wiring that influences how readily the body becomes aroused. Shannon will walk you through exactly how it works, and what is realistic for you, at your assessment. Individual results vary.

Important Safety Information

This is an off-label use of a neuromodulator, performed only by a specifically trained provider under medical delegation. Off-label use is common and legal in Canada. Results vary between individuals and are not guaranteed. Full informed consent including off-label disclosure is obtained, and your suitability is confirmed at your medical assessment. We use one specific neuromodulator for this procedure — a deliberate clinical choice.

The Procedure

What happens at your appointment

1

Assessment

Your health history, current symptoms, and goals are reviewed. Shannon will confirm you're a good candidate and answer every question.

2

Numbing

BLT 20/8/8 compounded topical cream is applied for a minimum of 25 minutes. An injectable lidocaine block is added at the frenulum of the clitoris for complete comfort.

3

Injection

A small, precise amount of neuromodulator is injected superficially into the body of the clitoris per the Runels protocol. The actual injection takes only a few minutes.

4

Done

No downtime. Post-procedure instructions are reviewed and you leave. Follow-up is at 4–6 weeks.

What to Expect

Timeline

Procedure Time

45–60 minutes

Downtime

None

Onset

7–14 days

Duration

9–12 months (100-unit dose)

Retreatment

No sooner than 3 months

Often Combined With

O-Shot® (same appointment)

Candidacy

Is Clitoxin® right for you?

Likely a good fit

  • Difficulty reaching orgasm
  • Reduced clitoral sensitivity
  • Wanting to enhance pleasure
  • Have tried the O-Shot® and want to go further
  • No history of neuromuscular disease

We'll need to discuss

  • Neuromuscular conditions (myasthenia gravis, ALS)
  • Pregnancy or breastfeeding
  • Botulinum toxin injection within 3 months to any site
  • Aminoglycoside antibiotic use
  • Active infection at injection site

Clitoxin® can also be performed as a standalone procedure or combined with the O-Shot® at the same appointment for a comprehensive approach. Shannon will walk you through the options at your assessment.

Certified Provider — Verify Credentials

Verify Shannon's Clitoxin® certification on the official CMA provider directory.

Verify Certification →

Pricing

$1,250 + HST

Added to a P-Shot® or O-Shot® instead? +$1,000 + HST — that rate is available only as an add-on to those procedures.

This is a procedure price, not a per-unit rate. Genital neurotoxin is a different service from facial neurotoxin and is not priced the same way — the two prices are not comparable.

Book this directlyYou can book these online yourself. You do not need the complimentary coordinator appointment or a clinical assessment first, and returning patients do not need a new assessment — Jane collects the medical history and sends the preparation instructions either way.One treatment addresses the factors that treatment targets. Sexual function usually has more than one contributor, which is why we generally prefer a comprehensive program that works on several at once. Booking a single treatment is a perfectly reasonable choice — we just want you to know the difference.

Your symptom is where the conversation starts — not where the assessment ends.

Two people with the same complaint can need very different things. Sexual function is affected by blood flow, tissue health, pelvic-floor function, hormones and metabolic health, medications, sleep, stress and general health — and more than one of those is usually involved.

ProactiveThings work; you want to keep them working.
Early changeSomething shifted and did not shift back.
EstablishedA clear, persistent problem.
ComplexLongstanding, or layered with other health issues.

How much treatment, and in what order, is decided at your clinical assessment — not from a web page or a quiz. Age is part of the context, not the deciding factor. Individual treatments remain available. Read the full picture →

Part of these programs

Transparent by Design

What this costs

Clitoxin™
$1,250
With the O-Shot®
$2,250
Both treatments together.

These are our standard investment amounts for Clitoxin™.

Whether this treatment is right for you, and how much of it you need, is determined at your clinical assessment — not here, and not before we have met you. See our full pricing page for every standard investment amount.

Ready to understand your options?

Start with Complimentary Sexual Function Program Overview Appointment. No pressure, no commitment — just a real conversation about what's possible for you.

Book your Complimentary Program Overview Appointment — choose how you would like to meetIn PersonNiagara FallsPhoneFrom anywhereZoomPrivate videoThis conversation is optional. If you already know you are ready for a clinical assessment, book that directly — you do not need this conversation first, and you do not need our approval. Read Patient Reviews

Flexible Payment

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We really do work with our patients — money should never be the reason you don't feel amazing. Most programs can be split into manageable monthly payments through Beautifi, our primary healthcare-financing partner. Checking your options is a soft credit check that won't affect your score — no obligation.

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Individual results vary and are not guaranteed. Clitoxin® is an off-label application of botulinum toxin type A. All procedures are performed under medical delegation from our Medical Director. Full disclosure is provided at assessment.
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