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2026.10.28
Who Is AlmaDuo Right For? An Explanation of Suitable Conditions, People It May Not Be Suitable For, and Precautions
After engaging in general obstetrics and gynecology practice, including infertility treatment, perinatal care, and other insured treatments, I decided to shift my career to free practice and gynecological aesthetics, with the hope of “supporting women to enjoy their life as a woman” after my own experience fighting against illness. Today, while still being involved in insured medical care as an obstetrician/gynecologist, I am facing women's health issues based on medical evidence through "real femtec" such as gynecologic plastic surgery, Vaginal Growth® injections, and vaginal hyaluronic acid injections, based on my deep anatomical knowledge and skills. We are a leading provider of gynecological services in Japan.
She is also committed to social activities related to the dissemination of sex education, HPV vaccine awareness, and the improvement of women's quality of life. He is also actively involved in educating the public about medical knowledge, such as writing Chapter 7, "Vaginal Hyaluronic Acid Injection," in his specialty book, "The Basics of Cosmetic Surgery," which is the first book he reads when he becomes a cosmetic surgeon.
Are you putting up with pain during intercourse or vaginal dryness, thinking, “It’s just part of getting older, so there’s nothing I can do about it”?
In fact, even if the symptoms are similar, the appropriate treatment varies depending on the cause.
"Alma Duo" addresses concerns regarding female sexual function by focusing on blood flow.
However, AlmaDuo isn't right for everyone. It's important to find out whether it's suitable for your specific concerns before undergoing treatment.
In this article, BIANCA CLINIC explains everything from the characteristics of people who are and aren’t suited for AlmaDuo to the pain and downtime during the procedure, as well as the number of treatment sessions required.
Who is Alma Duo best suited for?
AlmaDuo is a treatment option for individuals who have concerns about sexual function and believe that poor blood flow may be a contributing factor.
Issues such as pain during intercourse and changes in sexual response in women, as well as erectile dysfunction (ED) in men, are considered regardless of gender.
Its key feature is that it delivers shock waves from outside the body without requiring incisions or injections. It aims to improve sexual function by stimulating physiological responses related to blood flow.
However, even if the symptoms are the same, there may be more than one cause.
For example, even if a person experiences pain during intercourse, muscle tension and inflammation of the mucous membranes may be major contributing factors, rather than blood flow issues. Similarly, erectile dysfunction is influenced not only by blood vessels but also by nerves and hormones.
The important thing is not to base your decision solely on whether your symptoms match the description, but to consider whether AlmaDuo’s approach is suitable for your specific concerns.
An Explanation of the Characteristics of People Suited for Alma Duo, Broken Down by Gender
AlmaDuo is a treatment option considered for sexual dysfunction issues related to blood flow, such as pain during intercourse and vaginal dryness in women, and erectile dysfunction in men.
Let's take a look at exactly who this applies to.
Women who are concerned about pain or discomfort during intercourse
"I didn't used to have any problems, but now I feel pain during intercourse."
For women like that, Alma Duo can sometimes be an option.
In a study involving 61 women with dyspareunia, pain relief was observed in the group that received shockwave therapy. [1] Additionally, another study involving 32 women who experienced pain near the vaginal opening also reported pain relief. [2]
Although none of these studies specifically focus on AlmaDuo itself, they are reports that demonstrate the potential of shockwave therapy.
Women concerned about vaginal dryness or lack of moisture
AlmaDuo is also worth considering for women who have concerns such as “I’m more prone to dryness than before” or “I don’t get sufficiently lubricated even when I’m sexually aroused.”
Vaginal moisture depends not only on female hormones but also on blood flow in the surrounding tissues. Since Alma Duo is a treatment designed to improve blood flow, it is a viable option when changes in blood flow are contributing to a lack of moisture.
Women who are concerned about changes in their sexual sensitivity or response
For those who have noticed that they are less sensitive to sexual stimulation than before, or that their bodies don’t respond as readily even when aroused, AlmaDuo may be worth considering.
Sexual arousal is also related to blood flow to the clitoris and vulva. AlmaDuo takes an approach that focuses on this blood flow.
Men who are concerned about their ability to achieve or maintain an erection
AlmaDuo is also an option for men who are concerned that their erections aren't as firm as they used to be or that they can't maintain an erection during intercourse.
Adequate blood flow to the penis is essential for an erection. In particular, for erectile dysfunction (ED) related to vascular function, treatments that aim to improve blood flow using low-intensity shock waves are being considered.
People who prefer treatments that do not involve surgery or injections
For those who are hesitant about surgery or injections in sensitive areas, AlmaDuo is one option to consider.
AlmaDuo delivers shock waves from outside the body without making any incisions in the skin or mucous membranes. Generally, no anesthesia is required.
It should be noted that, in addition to blood flow, hormonal, neurological, and psychological factors are also involved in sexual dysfunction.
It’s not just a matter of whether the symptoms match—it’s also important to confirm whether AlmaDuo is suitable for treating the underlying cause. I believe that’s what really matters.
Situations in Which AlmaDuo May Not Be Suitable
AlmaDuo is not available to everyone who has concerns about sexual function.
Depending on the cause of your symptoms, a different treatment may be more appropriate, or we may need to postpone treatment based on your health condition.
People whose sexual dysfunction is caused by factors other than poor blood flow
If the primary causes are hormonal changes, nerve disorders, medications you are currently taking, or psychological factors, AlmaDuo alone may not be sufficient to achieve adequate improvement.
For example, if the vaginal mucosa is atrophying due to a decrease in female hormones, moisturizers or hormone therapy may be appropriate.
The important thing is not to assume that AlmaDuo is the only option, but to choose the method that best addresses the cause of the symptoms.
People who need to prioritize treatment for conditions such as infectious diseases and inflammation
If there is an infection or inflammation in the genital area, treatment of that condition takes priority.
If you experience severe pain during intercourse, abnormal bleeding, or a sudden change in symptoms, it is essential to first determine the cause.
In addition, individuals who are pregnant or have medical conditions in the treatment area may not be eligible for treatment. Please inform us during your consultation if you have any pre-existing medical conditions or are currently taking any medications.
How Many Alma Duo Treatments Should You Get? Estimated Number of Sessions and Visit Frequency
AlmaDuo is a treatment that aims to improve sexual function by delivering multiple sessions of light therapy in a short period of time.
At Bianca Clinic, our standard treatment plan consists of 6 sessions over 3 weeks, with sessions held twice a week.
Each session lasts about 15 to 20 minutes. Although the sessions are relatively short, you’ll need to visit the clinic several times over a certain period, so it’s a good idea to consider this when planning your work and daily schedule.
Please note that the way the effects manifest and how long they last vary from person to person, and there is no guarantee that you will see improvement after six sessions.
For information on how AlmaDuo works and the benefits you can expect, see “What Is AlmaDuo? An Explanation of Its Effects and Features"Please see that as well."
What to Check When Determining Suitability for Alma Duo at Bianca Clinic
"I experience pain during intercourse," "My erections aren't as strong as they used to be"
Even if the concerns are similar, the possible causes can vary depending on when the symptoms first appeared and in what situations they become a concern.
For example, in the case of pain during intercourse, is the pain at the entrance to the vagina or deeper inside? In the case of male erectile dysfunction (ED), is it difficult to achieve an erection, or is it difficult to maintain it? These distinctions are important clues to consider when planning treatment.
At Bianca Clinic, we carefully review the progression of your symptoms, your medical history, and any medications you are currently taking, while also taking the time to listen to what kind of changes you hope to achieve.
What I value most is not making taking the Alma Duo exam an end in itself.
It can be difficult to talk to others about concerns regarding sexual function. That’s exactly why I want you to feel comfortable discussing what you’re going through right now, so we can work together to find a solution that’s right for you.
Frequently Asked Questions About Who AlmaDuo Is Best For
Here are answers to common questions about AlmaDuo, such as age, pre-existing conditions, and how it interacts with other treatments.
Q. Who is Alma Duo recommended for?
A. This treatment is an option for people concerned about pain during intercourse, vaginal dryness, or changes in sexual sensitivity. It is particularly recommended when it is determined that improving blood flow would be beneficial.
Q. Are there any people who cannot receive Alma Duo treatment?
A. We may be unable to perform the treatment if you have symptoms that require priority treatment, such as infectious diseases or inflammation. If you are pregnant or have any abnormalities in the treatment area, you must first consult a doctor.
Q. Does Alma Duo hurt?
A. Although this treatment is relatively painless, you may feel a sensation similar to being tapped lightly. The level of pain varies from person to person, and you may experience temporary discomfort after the treatment.
Q. How long is the downtime for Alma Duo?
A. Generally, there is very little downtime. However, temporary numbness or discomfort may occur in the treated area, but these symptoms usually subside within a few days.
Q. Does Alma Duo work even after just one use?
A. We cannot guarantee results after a single treatment. At Bianca Clinic, we typically recommend a course of six treatments, but the number of treatments required and the timing of results vary from person to person.
If you'd like to find out if Alma Duo is right for you, visit BIANCA CLINIC.
It can be difficult to talk to others about sexual health concerns, such as pain during intercourse, vaginal dryness, or erectile dysfunction.
Alma Duo is a treatment that addresses these concerns by focusing on blood flow.
What I consider important is not deciding on a treatment based solely on age or symptoms, but understanding the current state of the body.
At BIANCA CLINIC, we discuss the treatments you need while listening to your concerns and wishes. If you’re wondering whether Alma Duo is right for you, please feel free to ask us during your consultation.
▶Check out the details of Alma Duo treatments
▶Try a consultation at BIANCA CLINIC
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