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Dr. Alexandra Runnels, MD - Board Certified OB-GYN in San Antonio, Texas

Dr. Alexandra Runnels, MD

Board Certified OB-GYN

San Antonio, Texas
NPI: 1225136013· License: L6610 (TX) verify
Industry payments (2025): $53 across 1 payment (what this means)
5(2 ratings)

In Dr. Alexandra Runnels's own words

How Dr. Alexandra Runnels describes their own approach, from their Instagram posts. Each statement links to the original.

Approach

  • Dr. Runnels educates patients about their hormones and develops individualized HRT plans tailored to their needs.
  • For patients with moderate to severe incontinence, Dr. Alexandra Runnels' practice often combines the device treatment with other procedures such as O-Shots, Thermiva radiofrequency vaginal treatment, and hormone balancing and optimization.
  • Dr. Alexandra Runnels' practice recommends the O-Shot to treat various conditions by stimulating collagen production and improving circulation, rather than just masking symptoms.

Specialization

  • Dr. Alexandra Runnels' practice treats patients who have previously been unsuccessfully treated for conditions that left them feeling hopeless.
  • Specializes in Regenerative Gynecology.
  • Focuses on Sexual Function.

Technique

  • Dr. Alexandra Runnels now uses a treatment that has helped many of her patients either be cured of their Lichen Sclerosus or significantly improve to the point of not needing steroids.
  • Dr. Alexandra Runnels' practice draws platelet-rich plasma (PRP) from a patient's own blood in the office on the same day and extracts growth factors from it.

Recovery guidance

  • Dr. Alexandra Runnels' practice advises that there is no real downtime after the O-Shot, allowing patients to return to their normal routine, including sexual activity, on the same day.
  • Dr. Alexandra Runnels' practice advises that patients will likely need yearly or every other year maintenance treatments.

Results

  • Dr. Alexandra Runnels' O-Shot procedure is effective in improving sexual function, leading to better orgasms, lubrication, and reduced pain, in addition to addressing incontinence.
  • The PRP treatment performed by Dr. Alexandra Runnels helps remodel scar tissue and results in the regrowth of tissue similar to native healthy skin and mucosa.

Statements are quoted or closely paraphrased from Dr. Alexandra Runnels's own public posts and are their claims, not NavMDs' medical advice. Doctors can correct or remove any item via their claimed profile or support [at] navmds.com.

About

Dr. Alexandra Runnels is a Board Certified OB-GYN practicing as a Concierge Gynecologist in San Antonio, Texas. Her practice, The Scarlett Phoenix, is dedicated to advancing women's sexual health through an evidence-based approach. Dr. Runnels believes women deserve accurate diagnosis and effective solutions, stating that orgasms should not be considered a luxury. She reassures patients that decreased sensitivity or connection doesn't mean something is wrong, but that the body may need different support. The practice prioritizes patient experience, offering individualized care where the patient's voice guides treatment, rather than outdated standards. She specializes in Regenerative Gynecology, Aesthetics, and Sexual Function. Dr. Runnels provides thorough education on hormones and develops individualized HRT plans. She addresses common issues like bladder leaks, emphasizing they should not dictate a person's life, and offers treatments like Emsella for stronger pelvic floor muscles and better bladder control. For conditions such as Lichen Sclerosus, she uses multiple modalities including PRP and hormones, which she finds can provide lasting relief and be more effective than typical steroid creams.

Connect with Dr. Alexandra Runnels on Social Media

SpecialtiesProceduresAverage CostReviewsIndustry PaymentsInsuranceLocationAffiliationsEducationFAQ

Specialties

  • Board Certified OB-GYN

Procedures & Services

Select a service to schedule an appointment · each is approximately 60 minutes

Average Cost of Surgery

Healthcare costs shouldn't be a mystery. Each figure below is the average of the total costs patients reported in their own published reviews of Dr. Alexandra Runnels, with the number of reports and the years they were written. Prices are not adjusted for inflation and are not a quote: your final cost is set at consultation and depends on your specific medical needs. How we calculate these prices

Botox

$200

1 patient report · 2019

Below typicalTypical in San Antonio: $290–$500 (median $400, 13 reports) compare ↗

Help us keep this data current and accurate. If you've had a procedure with Dr. Alexandra Runnels, please take a moment to contribute your cost information.

Questions, Answers, and Information Directly from Dr. Alexandra Runnels

Sourced directly from Dr. Alexandra Runnels's social posts and replies.

What is a VI Peel and what does it treat?
The VI Peel is a gentle chemical exfoliating treatment that helps reduce redness, smooth uneven tone, and bring your skin back to balance.
Source →
What is Vaginismus and how does Dr. Runnels treat it?
Vaginismus is an involuntary pelvic floor muscle response that can make intimacy, exams, or tampon use painful or practically impossible. It often involves various factors like muscular tension, tissue health, hormonal balance, and nervous system response. Dr. Runnels provides tailored treatment requiring a comprehensive, individualized approach, which may include pelvic floor therapy, hormone optimization, neuromodulation, and regenerative therapies.
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How does the O-Shot® work?
The O-Shot® helps your body by providing the necessary support to enable it to perform its designed functions, particularly in relation to sensitivity, ease, connection, and achieving orgasms.
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What is Endometrial Ablation and what are its outcomes?
Endometrial ablation is a quick outpatient procedure, often completed in under an hour, that removes or destroys the lining of the uterus. It is not a hysterectomy, birth control, or protection from STDs. It can treat heavy menstrual bleeding, irregular or prolonged periods, and severe PMS-related symptoms tied to bleeding. Patients experience minimal recovery time, with mild cramping or discharge afterwards. Outcomes vary: some women have much lighter periods, some no periods at all, and others still have periods but find them easier to manage.
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What is the Emsella treatment and what are its benefits?
The Emsella chair treatment is a 30-minute, non-invasive procedure that uses advanced electromagnetic energy to stimulate pelvic floor muscles, providing the equivalent of thousands of Kegels. Patients sit fully clothed, with no surgery, no downtime, and no awkward recovery. It results in stronger muscles, better bladder control, and increased confidence.
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What is Lichen Sclerosus and how does Dr. Runnels treat it?
Lichen sclerosus (LS) is a chronic, inflammatory skin disease of unknown cause that can affect any body part, but has a strong preference for the genitals. In adult women, it is normally incurable but improvable with treatment, and often gets progressively worse if not treated properly. Dr. Runnels treats LS with multiple modalities, including PRP (platelet rich plasma), O-shot, and hormones. She notes that strong topical steroids like Clobetasol might not be the best long-term solution as they can thin tissue and weaken the body's ability to tackle the underlying issue. Her treatments (PRP, O-shot, hormones) can provide lasting relief and can be even more effective than typical steroid creams.
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How does PRP (Platelet Rich Plasma) work?
PRP works by allowing the body to repair, regenerate, and restore itself.
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What is the Vampire Facelift® and what does it treat?
The Vampire Facelift® is a quick, low-risk, non-surgical alternative that combines instantaneous lift from Hyaluronic Acid Fillers with powerful rejuvenating growth factors from the patient's own blood. It can sculpt a more youthful appearing face while keeping natural shape, treating fine lines and wrinkles, uneven skin tone and texture, acne scars, hyperpigmentation, enlarged pores, and dark circles under the eye.
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Does Dr. Runnels offer consultations for Lichen Sclerosus symptoms?
Yes, the practice offers consultations for individuals experiencing Lichen Sclerosus symptoms.
Source →

From Dr. Alexandra Runnels's Instagram

@thescarlettphoenixmd →

Recent photos posted by @thescarlettphoenixmd, Dr. Alexandra Runnels's own Instagram account. Each image opens the original post on Instagram.

Images © Dr. Alexandra Runnels / @thescarlettphoenixmd, shown here with a link to the original post. Procedure labels are inferred from the post's caption and hashtags. If you are the account owner and want an image removed, contact support [at] navmds.com.

Technologies & brands Dr. Alexandra Runnels mentions

Devices, implants, injectables and products named in Dr. Alexandra Runnels's own posts and videos. A mention is not an endorsement; ask the office what they currently offer.

Wellness devicesO-Shot · 6EmSella · 2
InjectablesPRP · 8

Patient Experience

Dr. Alexandra Runnels Review Summary

5
Dr. Runnels has a perfect 5.0-star rating based on 2 patient reviews, indicating exceptional patient satisfaction.
Dr. Alexandra Runnels, MD - Board Certified OB-GYN in San Antonio, Texas

The Scarlett Phoenix

914 E Elmira St., Ste. 203, San Antonio, Texas

Book a Service Consultation

Each service is approximately 60 minutes.

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Industry Payments

Federal law (the Physician Payments Sunshine Act) requires drug and medical-device companies to report anything of value they give to a physician — consulting and speaking fees, research funding, travel, royalties, and even meals. Medicare publishes all of it in a public database called Open Payments. We show it here so you don't have to go looking for it.

Total received (2025)

$53

Payments

1

Compared to peers

Small

Dr. Alexandra Runnels received $53 across 1 payment in 2025. That is in the lower half for physicians here — totals this size are typically meals at sponsored talks. Most of it was categorised as food and beverage, and the largest single payer was REVANCE THERAPEUTICS, INC..

What this means for your care

  • A disclosed payment is a business relationship, not evidence of wrongdoing, and it says nothing on its own about the quality of your care.
  • Most payments are small. Across the physicians listed on NavMDs, the single most common category is food and beverage at industry-sponsored talks.
  • Larger consulting, speaking or royalty payments mean an ongoing financial relationship with a company whose products your doctor may use or recommend. That is worth knowing about, and it is reasonable to ask about.
  • A fair question to ask: “Do you have a financial relationship with the maker of the implant, filler or device you're recommending — and what alternatives did you consider?”

Source: CMS Open Payments, the federal database created by the Sunshine Act. View the full record on CMS Open Payments ↗

Insurance Information

Please contact Dr. Alexandra Runnels's office directly for information about accepted insurance plans.

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Location & Contact Information

The Scarlett Phoenix

914 E Elmira St., Ste. 203

San Antonio, Texas

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Office Information

Where does Dr. Alexandra Runnels practice?

Doctor's Office

The Scarlett Phoenix (Primary)

914 E Elmira St., Ste. 203, San Antonio, Texas

(2 reviews)

Hospital Affiliations

Hospital affiliations unknown

Do you know which hospitals Dr. Alexandra Runnels is affiliated with? This information helps patients understand where they might receive care.

Education & Experience

Certifications & Licenses

Board Certified Ob-gyn

Frequently Asked Questions

Can you make an appointment with Dr. Alexandra Runnels online?
The provided information does not specify whether online appointments can be made with Dr. Runnels. Contacting the clinic directly is recommended for appointment scheduling.
Does Dr. Alexandra Runnels offer telehealth?
The provided information does not indicate whether Dr. Runnels offers telehealth services. Contacting the clinic directly is recommended for inquiries about telehealth options.
What do patients have to say about Dr. Alexandra Runnels?
Patients praise Dr. Runnels for her expertise in labiaplasty, with one review specifically recommending her for this procedure. Another patient highlighted a positive experience with Botox treatments.
What areas of care does Dr. Alexandra Runnels cater to?
As a board-certified OB-GYN, Dr. Runnels provides comprehensive care for women's health, including obstetrics and gynecology. She also offers cosmetic procedures such as labiaplasty and Botox. Specializes in Regenerative Gynecology, Aesthetics, and Sexual Function, with an evidence-based approach dedicated to advancing women's sexual health. Dr. Runnels believes women deserve accurate diagnosis and effective solutions, and that orgasms should not be considered a luxury. She reassures patients that decreased sensitivity or connection doesn't mean something is wrong, but that the body may need different support. The Scarlett Phoenix prioritizes patient experience, offering individualized care not based on outdated standards, where the patient's voice guides treatment. Dr. Runnels provides thorough education on hormones and develops individualized HRT plans. She also addresses common issues like bladder leaks, emphasizing they should not dictate a person's life.