Bring spontaneity back. Alma Duo is a painless, 15-minute in-office shockwave treatment that restores natural function for men and sensation for women — no pills, no needles, no surgery, no downtime.


Alma Duo uses focused low-intensity extracorporeal shockwave therapy (LI-ESWT) — the gold-standard shockwave technology — to stimulate blood flow and prompt the body to build new micro-vessels in the treated tissue. For men, that means firmer, more spontaneous natural function without timing a pill. For women, improved sensation and arousal.
At Serene Med Spa in Barboursville, Alma Duo is performed by physicians in a private treatment room. A session takes 10–15 minutes: a lubricating gel is applied and the applicator is placed at five points for men or three for women. You’ll feel a light tapping and hear a soft snapping — that’s it. There is no anesthetic, no downtime, and no aftercare. The standard protocol is six sessions spaced two to three days apart over about three weeks; most patients notice improvement early in the series, with the best results after the sixth session. Clinical follow-up has shown benefits lasting a year or more. Duo addresses vascular causes, not psychological ones, and we’ll be candid at your consultation about whether it is the right fit. Individual results vary.
Erectile changes with age, diabetes, blood pressure, or cholesterol — the vascular causes Duo is built for.
Restore natural, spontaneous function instead of planning around a tablet.
Improve arousal, lubrication, and the ability to reach orgasm.
Support tissue blood flow and nerve responsiveness that change over time.
His-and-hers protocols on the same device; many couples treat together.
Men in their 40s and 50s who want to stay ahead of vascular decline; annual re-treatment available.
A private consultation with a physician to review your history, rule out contraindications, and confirm Duo is the right fit.
Lie back; gel is applied and the applicator is placed at the treatment points. Light tapping, a snapping sound, 10–15 minutes. No anesthetic.
No downtime — resume everything immediately. Improvement is often noticed within the first few sessions and builds through the series.
Six sessions over about three weeks. Some patients add a second series or an annual re-treatment to keep results going.
Sexual wellness deserves a physician, not a franchise. At Serene, Duo is performed under the supervision of our board-certified physicians, who can also pair it with PRP-based options or hormone optimization when that gives you a better result — discreetly, right here in Barboursville.
Book a ConsultationFor erectile function that has declined because of blood-flow (vascular) changes — the most common cause with age, diabetes, or heart-health issues. Focused shockwaves prompt new micro-vessel growth so natural, spontaneous function returns without pills or injections. Five treatment points, about 15 minutes, six sessions over three weeks. Results have been clinically documented to last a year or more.
For women who notice reduced sensation, arousal, or difficulty reaching orgasm. The same focused energy improves blood flow and nerve responsiveness in the treated tissue. Three treatment points, about 10 minutes, six sessions. Painless, needle-free, and nothing to recover from.
Duo uses focused low-intensity extracorporeal shockwave therapy (LI-ESWT), the technology studied in urology for over a decade, not the radial “acoustic wave” devices sold elsewhere.
Patients describe a light tapping and a snapping sound. No topical anesthetic, no needles, no downtime — you can go straight back to work.
Private treatment room, physician-led, and a consultation that stays between you and your doctor.
A non-invasive treatment for men and women that uses focused low-intensity shockwave pulses to improve blood flow in the treated tissue, restoring natural sexual function in men and sensation in women. It is registered with the FDA as a Class I medical device.
No. Alma Duo is completely painless — it feels like light tapping on the treatment area. No topical anesthetic is needed.
A series of six sessions spaced two to three days apart, about three weeks in total. You may notice results after the first treatment, improving with each session; optimal results appear after the sixth.
Clinical follow-up has documented benefits lasting at least one to two years after the series. A repeat series or annual maintenance session is available if you want to keep improving.
Pills and injections work for a few hours each time. Duo treats the underlying blood-flow problem so natural, spontaneous function returns — with no planning, no side effects, and no needles.
Anyone with a tumor or infection at the treatment area, a blood-clotting disorder, a pacemaker, a steroid injection in the past six weeks, or under age 18. Duo does not treat psychological or behavioral causes; we’ll discuss this at your consultation.
Yes. Consultations and treatments happen in a private room with a physician, and nothing about the treatment is visible afterward.
"Dr. Shweta Arora is skilled with fillers & Botox. She listens to your concerns and looks at your face to see what is needed! I look and feel 10 yrs younger after the first visit. She starts conservatively which is nice if it’s your first time. Love Serene Spa in Barboursville."
"Dr Arora is the best! So considerate and patient. Took the time to answer my many questions without trying to rush me out. Extremely thorough and knowledgeable. I recommend emphatically. He does not disappoint."
"Great service and great staff. Very helpful with any questions. I always leave feeling taken care of and looking my best."
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Individual results may vary. Photos of our own patients, shared with consent.
Located just off I-64 in Barboursville, Serene Med Spa welcomes patients seeking Alma Duo shockwave therapy from across Cabell, Wayne, Lincoln and Putnam counties in West Virginia, Lawrence County, Ohio, and Boyd & Greenup counties in Kentucky — including the communities below.
Monthly payment plans through Cherry and CareCredit, with 0% APR options for qualified patients. Applying with Cherry doesn’t affect your credit score.
How Easy Pay works ›Book a private Alma Duo consultation with our Barboursville physicians.
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A member of our team will reach out within one business day. Prefer not to wait? Book online now or call (304) 520-0461.