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Alma Duo Improving Male & Female Sexual Wellness

Restore Blood Flow. Reconnect With Confidence.

Sexual wellness can change with age, hormonal shifts, circulation, stress and other health factors. Alma Duo is a non-invasive treatment for men and women that uses focused low-intensity extracorporeal shock wave therapy (LI-ESWT) to deliver gentle acoustic energy to targeted tissue.

Unlike treatments that rely on heat, needles or surgery, Duo uses focused acoustic waves designed to create a mechanical response within the tissue and support healthy vascular function and blood flow.

Treatments are comfortable, discreet and typically take approximately 15 minutes, with no anesthesia and no required downtime

Acoustic Waves Through Healthy Microvasculature

How Does

Alma Duo Work?

Healthy sexual function is closely connected to healthy circulation.

Alma Duo delivers low-intensity focused acoustic waves into targeted tissue. This mechanical stimulation is associated with biological processes involved in vascular signaling, tissue repair and angiogenesis—the formation of new blood vessels.

By supporting circulation in the treatment area, Duo is designed to address a vascular component of sexual function rather than simply providing a temporary effect.

A typical treatment series consists of:
6 treatments | Approximately 15 minutes each | Completed over 3 weeks

  • No needles.
  • No surgery.
  • No anesthesia.
  • No required recovery time.

Alma Duo for Men

A Non-Invasive Approach to Erectile & Sexual Wellness

For many men, changes in erectile function are associated with reduced vascular function and decreased blood flow.
Alma Duo uses focused LI-ESWT to target specific areas of penile tissue with the goal of supporting improved circulation and erectile function.

Treatment may be appropriate for men experiencing:

  • Changes in erection quality or firmness
  • Difficulty maintaining an erection
  • Reduced sexual performance
  • Age-related changes in sexual function
  • Erectile dysfunction with a vascular component
  • A desire for a non-invasive approach to sexual wellness

The Science Behind Duo for Men
Low-intensity shock wave therapy has been studied extensively for erectile dysfunction, particularly vasculogenic ED, in which impaired blood flow contributes to erectile difficulties.

In a randomized, sham-controlled clinical trial, men receiving low-intensity shock wave therapy experienced significantly greater improvement in Sexual Health Inventory for Men (SHIM) scores than the sham-treated group. At six months, 54.6% of participants achieved an improvement of at least five points in SHIM score, and 68% of men who began with lower erection-hardness scores improved to a score of 3 or greater.

Other randomized studies have also reported improvements in validated measures of erectile function, although study results have not been uniform and researchers continue to investigate which patients, treatment protocols and devices provide the greatest benefit.

Gloved Hand Blue Acoustic Waves

What is

Treatment Like?

The Duo applicator is placed over several targeted areas along the penis and its base. Acoustic energy is delivered through the skin without injections or incisions.

Most patients describe the treatment as comfortable.

  • Treatment time: Approximately 15 minutes
  • Typical series: 6 treatments over approximately 3 weeks
  • Anesthesia: None
  • Downtime: None required
  • Return to normal activity: Immediately
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Alma Duo for Women

Sexual Wellness Through Improved Circulation

Female sexual response is also strongly influenced by blood flow. Hormonal changes, aging, menopause and vascular changes may contribute to decreased genital blood flow and changes in sensitivity, arousal and sexual satisfaction.

Alma Duo offers women a completely non-invasive treatment designed to stimulate circulation within the external genital area.
Treatment may be appropriate for women experiencing:

  • Decreased arousal
  • Reduced sensitivity
  • Changes in orgasmic response
  • Age- or hormone-related changes in sexual function
  • Changes in sexual satisfaction
  • Certain forms of discomfort associated with sexual activity, following appropriate medical evaluation

What Does the Research Show?

Research into low-intensity shock wave therapy for female sexual health is newer and substantially less extensive than the research in men.

Clinical research has shown promising results in specific female sexual-pain conditions. For example, a randomized controlled trial involving women with vestibulodynia found improvements in pain during intercourse as well as Female Sexual Function Index scores following low-intensity shock wave treatment.

More research is needed to determine its effectiveness across the broader range of female sexual-function concerns.

  • Treatment time: Approximately 15 minutes
  • Typical series: 6 treatments over approximately 3 weeks
  • Anesthesia: None
  • Downtime: None required
  • Treatment: External and non-invasive
Acoustic Wave Healthy Microvasculature

How Does Duo

Work for Women?

Focused low-intensity acoustic energy is delivered externally to targeted areas around the vulva, including areas of the labia majora.

The treatment is designed to stimulate blood flow and vascular activity without needles, internal devices or surgery.

Because blood flow plays an important role in genital sensitivity and sexual response, improving vascular function may help support arousal and sexual experience in appropriately selected patients.

Partners sharing a thoughtful wellness conversation

Why Patients

Choose Alma Duo

Non-Invasive
No needles, incisions or surgery.
Quick Treatments
Appointments typically take approximately 15 minutes.
No Required Downtime
Patients can generally return to their normal daily activities immediately.
No Anesthesia
Treatment does not normally require numbing medication or anesthesia.
For Men & Women
Duo offers targeted protocols designed around male and female anatomy.
Focused on Vascular Function
Rather than relying on heat or tissue ablation, Duo uses focused acoustic energy to stimulate a biological response within the treatment area.

Alma Duo

Frequently Asked Questions

No. Despite sometimes being referred to as the “Duo laser,” Alma Duo does not use laser energy. It uses focused low-intensity extracorporeal shock wave therapy (LI-ESWT).

Treatment is generally described as comfortable and does not typically require topical numbing or anesthesia.

There is no required recovery period. Most patients can immediately return to their normal daily routine.

Approximately 15 minutes.

Alma’s standard protocol describes a series of six treatments performed over approximately three weeks. Your provider may recommend a different treatment plan based on your individual concerns and medical history.
Response varies from patient to patient. Because Duo is intended to stimulate a biological and vascular response rather than create a temporary mechanical effect, changes may develop progressively during and following the treatment series.

Duration varies based on the individual, underlying health and vascular factors. Published studies of low-intensity shock wave therapy for erectile dysfunction have demonstrated improvements persisting for several months in some patients. Maintenance treatment may be recommended based on individual response.

No. Sexual dysfunction can have vascular, hormonal, neurologic, medication-related and psychological causes, among others. A consultation is important to determine whether Duo is appropriate and whether additional medical evaluation or treatment should be considered.

A Note About the Science

Low-intensity extracorporeal shock wave therapy has a growing body of clinical research, particularly for male erectile dysfunction. Several randomized controlled trials have demonstrated improvements in validated erectile-function measures compared with sham treatment.

However, results across studies have varied. The American Urological Association’s erectile dysfunction guideline currently considers low-intensity extracorporeal shock wave therapy investigational for the treatment of erectile dysfunction.

Research regarding female sexual function is earlier-stage, and the evidence base is considerably smaller.

At Begin Anew, we believe patients should understand both the potential benefits and the limitations of emerging therapies. A personalized consultation helps determine whether Alma Duo is appropriate based on your symptoms, medical history and treatment goals.

Rediscover Your Sexual Wellness
Changes in sexual function are common—and they don’t have to be something you simply accept as part of getting older.

Schedule a confidential consultation at Begin Anew to learn whether Alma Duo may be appropriate for you.

Why Choose

Begin Anew Med Spa?

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Begin Anew Med Spa is a South Florida wellness and aesthetics practice dedicated to helping individuals pursue their personal health and aesthetic goals through a comprehensive, medically guided approach.

Our team of licensed medical professionals includes experienced aesthetic practitioners, injectors, and providers with backgrounds in internal medicine and preventative care. We incorporate modern technology, evidence-informed practices, and individualized treatment planning to support each patient’s unique needs.

At Begin Anew Med Spa, we believe feeling your best begins with thoughtful evaluation and personalized care. Our approach extends beyond cosmetic services to include advanced diagnostic testing and wellness assessments designed to better understand your overall health profile.

Treatment recommendations are based on clinical evaluation, laboratory findings when appropriate, and open discussion of your goals. Our services are intended to support well-being and aesthetic enhancement through medically supervised care.

We invite you to explore our services and schedule a consultation to learn more about options that may be appropriate for you.

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At Begin Anew, our team combines clinical expertise with a patient-centered approach to create individualized treatment plans tailored to your goals and overall health profile. Every recommendation starts with a comprehensive consultation and is guided by thoughtful medical evaluation and ongoing monitoring.

Schedule your consultation to explore personalized treatment options delivered with professional oversight and a commitment to safety. We look forward to helping you make confident, informed decisions about your wellness journey.

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