column (e.g. in newspaper)
2026.08.02
What Is AlmaDuo? An Easy-to-Understand Explanation of Its Expected Effects, Benefits, and Drawbacks
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.
"Alma Duo" utilizes low-intensity extracorporeal shock wave therapy to improve blood flow in the genital area. It is used to treat conditions such as pain during intercourse and decreased lubrication in women, as well as erectile dysfunction (ED) in men.
It can be difficult to talk to others about sexual dysfunction, and many people hesitate, wondering, “Will the treatment be painful?” or “Can women receive treatment, too?”
At BIANCA CLINIC, we determine the appropriateness of treatment while respecting your privacy and by identifying not only your symptoms but also the underlying causes. In this article, we explain how Alma Duo works, the expected results, its benefits, and points to keep in mind from a doctor’s perspective.
What kind of treatment is Alma Duo?
AlmaDuo is a treatment that aims to improve sexual function by delivering low-intensity extracorporeal shock waves to stimulate physiological responses related to blood flow in the genital area.
Non-invasive treatment using low-intensity extracorporeal shock waves
Alma Duo is a sexual function treatment device that utilizes "LI-ESWT" (Low-Intensity Extracorporeal Shock Wave Therapy) technology. It delivers shock waves from outside the body to the genital area, stimulating tissues related to blood vessels and blood flow.
When you hear the term “shockwave,” you might imagine intense pain. However, this is a non-invasive procedure that does not damage the skin or mucous membranes; during the treatment, you may feel a sensation similar to being tapped lightly.
Since everyone experiences pain differently, please do not hesitate to tell your doctor if you have any concerns during your appointment.
We address sexual health concerns for both women and men
One of Alma Duo's distinctive features is that it is designed for both women and men.
For women, we aim to improve conditions such as pain during intercourse, decreased vaginal lubrication, difficulties achieving orgasm, and chronic pelvic pain by enhancing blood flow. For men, we apply shock waves to the area around the penis to treat erectile dysfunction (ED) related to blood flow.
However, sexual dysfunction is not always caused solely by poor blood flow. It can also result from a combination of factors, such as hormonal changes, gynecological or urological conditions, medications you are taking, psychological stress, and your relationship with your partner. It is important not to assume that AlmaDuo is the right treatment based on symptoms alone, but rather to identify the underlying cause; for this reason, Bianca Clinic places a strong emphasis on counseling.
During the consultation, we carefully explore the background of your concerns
Concerns about sexuality are very sensitive, and some people may take a long time to decide to seek medical care. At Bianca Clinic, we respect your privacy as we assess your symptoms, how they affect your daily life, and your medical history, and then recommend a treatment plan tailored to your individual needs.
A physician with expertise in gynecology and sexual function will conduct your consultation and will consider all options, including the possibility that tests or procedures other than AlmaDuo should be prioritized. Even if you haven’t yet decided to undergo treatment, we warmly welcome you to come in for a counseling session to help you sort through your concerns.
For more details on the treatment and the treatment schedule, please also check the Alma Duo treatment page.
▶Detailed Information on Alma Duo Treatments
What kind of results can I expect from Alma Duo?
AlmaDuo aims to improve conditions such as pain during intercourse and reduced lubrication in women, as well as erectile function in men, by promoting better blood flow to the genital area.
The main concerns that AlmaDuo aims to address are as follows:
- Pain During Sexual Intercourse in Women
- Decreased vaginal lubrication
- Concerns About Orgasms
- Pain in the pelvic area and vulva
- abdominal pressure urinary incontinence
- Concerns About Male Erectile Function and Erectile Duration
Pain During Intercourse and Decreased Lubrication in Women
Pain during intercourse and vaginal dryness can result from a variety of factors, including aging, changes in female hormones, inflammation, muscle tension, and psychological factors. AlmaDuo delivers low-intensity shock waves to the genital area to stimulate blood flow, aiming to alleviate concerns related to dryness and pain during intercourse.
Concerns About Orgasms and Sensations
Blood flow to the genital area is one of the factors involved in sexual response and sensation. AlmaDuo is also used to address concerns such as difficulty reaching orgasm or a feeling that sensation has decreased compared to before.
However, sexual satisfaction is not determined solely by physical responses. Please understand that factors such as your mental state, physical condition, and relationship with your partner also play a role, so the treatment alone may not resolve all your concerns.
Male ED and Erectile Function
There are various causes of erectile dysfunction (ED) in men, including vascular and neurological issues, lifestyle-related diseases, hormonal imbalances, medications, and psychological factors. AlmaDuo aims to improve erectile function related to blood flow by delivering energy to the penile shaft and penile arteries.
Depending on the results of your medical examination, you may be advised to take oral medication, make lifestyle changes, or seek care from a urologist or other specialist. If you have an underlying medical condition or if your symptoms have appeared suddenly, it is important to see a doctor first rather than deciding on a treatment on your own.
Results from Alma Duo vary from person to person. The doctor will adjust the number of treatment sessions and the intervals between them while monitoring your progress after each session.
What are the pros and cons of Alma Duo?
While AlmaDuo offers the advantage of not requiring incisions or injections, multiple visits to the clinic are necessary to achieve optimal results.
Benefits of AlmaDuo
- No incisions or injections are required
- Can address sexual health concerns in both women and men
- Each treatment session is relatively short
- The impact on daily life after treatment is minimal
AlmaDuo is a non-invasive procedure that does not require incisions in the skin or mucous membranes. It is an option to consider for those who wish to avoid incisions or injections when exploring treatment options.
The treatment typically takes about 15 to 20 minutes. After the treatment, you can usually go home right away, and in most cases, you can go about your daily routine without any special restrictions. However, the procedure may vary depending on your physical condition and the condition of the treatment area.
Disadvantages and Precautions of Alma Duo
- Treatment may not be completed in a single session.
- Results and duration may vary from person to person.
- May not be suitable depending on the cause of the symptoms
- Regular visits to the doctor will be necessary
The standard treatment plan consists of 6 sessions over 3 weeks, at a rate of twice a week. Depending on work or family commitments, some patients may find it burdensome to attend multiple appointments in a short period. If attending twice a week is difficult for you, we will consider an alternative schedule while monitoring your condition, so please feel free to discuss this with us.
Possible side effects include temporary pain, numbness, or a sensation of discomfort at the treatment site. In very rare cases, this discomfort may persist, but it usually subsides within a few days. If your symptoms persist or worsen, please contact the clinic.
In addition, you may not be able to receive treatment if there is a medical condition affecting the treatment area. Since concerns about sexual function may sometimes be caused by underlying medical conditions that require treatment, it is important to undergo a medical examination to determine your eligibility for treatment.
If you would like to know more about the post-treatment recovery process or whether this treatment is right for you, please consult with a doctor during your consultation.
Frequently Asked Questions
Here are answers to frequently asked questions about AlmaDuo, including its basic features and the number of treatment sessions required.
Q. How is AlmaDuo different from conventional shockwave therapy devices?
A. AlmaDuo utilizes a proprietary electrohydraulic applicator. It is designed to deliver short-pulse shock waves to a depth of up to 135 mm, and is characterized by its ability to treat both a wide area around the genital region and deeper tissues.
Q. What are AlmaDuo's main features?
A. Its primary function is to deliver low-intensity shock waves over a wide area or to deep tissues, thereby promoting improved blood flow in the genital area. Depending on the cause and severity of the symptoms, additional tests or treatments may be necessary.
Q. Can women also receive the Alma Duo treatment?
A. AlmaDuo is a treatment suitable for both women and men. For women, it is primarily intended to address issues such as pain during intercourse and reduced lubrication, while for men, it targets erectile dysfunction (ED) related to blood flow. A doctor will determine whether the treatment is appropriate for you after a medical examination.
Q. How long does each session last, and how many sessions are needed?
A. Treatment duration varies from person to person, but each session lasts about 15 to 20 minutes. The standard treatment plan consists of 6 sessions over 3 weeks, with treatments twice a week. The doctor will monitor your symptoms and post-treatment progress and adjust the number of sessions and the frequency as needed.
Q. Does the Alma Duo treatment hurt?
A. In most cases, the sensation is described as a light tapping or tapping-like sensation. However, the perception of pain varies from person to person, and temporary numbness or discomfort may occur.
Don't struggle with sexual dysfunction on your own—start by learning about AlmaDuo as an option
AlmaDuo is a non-invasive treatment that uses low-intensity extracorporeal shock waves to stimulate blood flow around the genital area, with the goal of improving sexual function. It addresses concerns in both women and men without the need for incisions or injections.
Concerns about sexual function may stem not only from physical causes but also from a complex interplay of hormonal and psychological factors. At BIANCA CLINIC, we listen to the background of your concerns regarding sexuality and intimate areas, and consider treatment options, including AlmaDuo.
Even if you find certain topics difficult to discuss, you don’t have to keep them to yourself. To find the approach that’s right for you, please start by scheduling a counseling session at BIANCA CLINIC.
