Then, using a very thin needle, the growth factors are injected the clitoris and into the upper vagina into an area most important for the sexual response, the O-Spot. I have been taking the product for over 30 days and not much of a change. I ordered another bottle to see if there is a difference at the 60 day mark. I am satisfied with this product and will continue to purchase monthly. I liked that is seemed to give me more energy, and increased stamina.