This book provides the wisdom and practical advice of seven separate physicians who not only understand the most up-to-date science of sex but also bring to that science more than 200 years of collective experience in taking care of people seeking to make sex better.
Each of the following seven contributing authors actively practices medicine (not just talk about it) and have collectively cared for thousands of people both well and not well to help them find better sex and a better life…
1. Dr. Jean Luc Le Provost describes powerful but simple daily routines that can be used to improve overall health in such a way to specifically improve sexual wellness and pleasure.
2. Dr. Prabhat Soni uses his vast experience as a pulmonologist and sleep specialist to show you ways to optimize sleep and why poor sleep can kill your sex life. You need a functioning brain to have sex. But, just as importantly, the pituitary gland is literally attached to that brain, controls all the other glands, and is profoundly affected by sleep.
3. Dr. Cristyn Watkins discusses her personal battles and how out of those battles she became an expert in cellular therapies that improve sexual wellness from the level of tissue and histology. Healthy tissue makes for healthy, fully functioning genitalia.
4. Dr. Bill Song discusses a number of options to help increase the size of the penis—for improved confidence in men and enhanced pleasure for their lovers. Multiple modalities can be used. He helps you sort the options.
5. Dr. Dan Botha discusses extremely helpful new technology that helps with a more exact treatment of erectile dysfunction and of Peyronie’s disease. No more guessing where the problem is or if and how things might be improving after treatment.
6. Dr. Kimberly Evans describes how in her practice of gynecology she improves sexual wellness and pleasure by expertly micromanaging the hormones of women and their partners. Hormones affect the growth and function of everybody tissue; so there’s no finding your best sexual wellness without this step.
7. Dr. Ramesh Kumar draws from his decades of experience as a radiation oncologist to describe ways to recover sexual desire, health, and pleasure after cancer—especially after prostate cancer.
Dr. Charles Runels, as the producer of the book, and inventor of the Vampire Facelift®, O-Shot®, and P-Shot® procedures, uses his 30 plus years as a physician to build a utilitarian framework on which to organize the wisdom of the above seven authors with his description of systems analysis and how such analysis can be used to better understand orgasm—the Orgasm System.
Good sexual health, like good health in general, is not an event where you do one or two things occasionally and all is good for the rest of your life.
Wellness, sexual or otherwise, arises with the daily practice of certain behaviors combined with specific modern therapies when things are broken.
Charles Runels MD started out as small town internist with a passion for science, a drive to excel and a knack for marketing. His career has been shaped by a series of challenges.
Today his name is synonymous with the most popular platelet rich plasma (PRP) procedures in the specialties of cosmetic dermatology, gynecology and urology. But that’s only the tip of the iceberg.
Relax and enjoy the fascinating story of a talented entrepreneur.
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I was looking through the most recent research about stress incontinence, and saw this really important paper that came out of Adelaide, Australia from some of our colleagues down that way. Stress incontinence is really a severe problem that people don’t think about. They think about it more of as a hygiene problem. But when you have stress incontinence, it interferes with your life. You have trouble sleeping. It can make it difficult to exercise, so you have weight gain. You’re up in the night, trying to urinate, so you’re not as rested the next day. It interferes with your focus at work. So it can be a problem that really changes your life.
That’s the definition of stress incontinence, if it’s a hygiene problem or it interferes with your life. It’s pretty common. Close to half of the women that are 50 and up, and it’s 1 in 20 of women in their twenties, so it’s a really common problem. It’s worth looking at because all the things that have been tried are useful. Some women are able to help this with Kegels. The surgeries are still an important tool that should be used when necessary. The mid-urethral sling, 90% of people get good results with that, only 10% have problems or have it fail. But the problem is that, with the surgery, there is some risk to the nerves that are involved with sexual response. And of course diapers are a last resort.
So there’s this new thing called the O-Shot®, where you use plasma, PRP, to inject it in the right place. These authors, they combine the use of our O-Shot® with a laser. So the lasers usually go about the thickness of a business card, not much thicker than that. So it’s not a really deep laser, but it’s enough to cause some changes and improvement in the structure and the health of the tissue, especially when you combine it with our O-Shot®.
So let’s look at what happened. I think this summarizes it the best. If you look at this picture, in the beginning, at baseline, the people who participated, 62% percent of them were frequently bothered by their incontinence, and 37% were bothered daily. But by the time they finished the study, it was more that shifted quite dramatically, so that you can see that many of them were not bothered at all or occasionally, and only 10% were daily, where it was more like 100% were either daily or frequently in the beginning.
The fun thing about this procedure is that, the procedure being both the laser and combination with the O-Shot®, is that the downside is minimal so that if it doesn’t work, you can still go to surgery. But if it does work, and we’re seeing over 90% effectiveness with either the O-Shot® alone or combined with the laser, and when it works, you see great results, with the side effect of sex getting better.
So I think it’s worth discussing this research with your physician. If you want to find someone who’s expert at the O-Shot®, check out our list of providers on our directory, those who are actually licensed to perform the procedure under the standards that we’ve come up with. So check out the research, read it, and share it with your doctor.
This is a very important, extremely important article about the very difficult and heart-wrenching problem of how to help a woman become pregnant who is struggling with a particular form of infertility where the lining of the endometrial cavity is or the endometrium is too thin. If you think about it, and this was pointed out in the article, it’s really miraculous that a woman can have bleeding and shedding of the endometrium every month throughout her reproductive years without scarring. Any other tissue in the body would have trouble with scarring. But unfortunately, there are some women who do scar, it’s talked about in this study, is Asherman’s syndrome where intrauterine adhesions happen, which the miracle is that all women don’t have that as this bleeding and shedding takes place every month. Or then some people just seem to have somewhat genetic propensity to it. And then there is this lactobacillus-dominant endometrial microbiome that’s supposed to be happening and sometimes that happens to not be the case. There’s something other than lactobacillus dominating the endometrial microbiome.
And I know that there are those who poo-pooed the studies of putting yogurt in the vagina, but just as a sideline, it makes sense. There’s only two places I know of in nature where lactobacilli live, the woman’s vagina, the endometrial cavity and in yogurt. So unflavored yogurt, it really just does help change the flora and there are studies to support that. How many studies we need to make it a prescription accepted thing, I don’t know. But I know this, if there was a medicine that had the same sort of biological and logical reasoning for working and I had a patent behind it, you’d see ads about it on television. But anyway, that’s a sideline. The bottom line is that some people don’t have lactobacillus-dominant endometrial microbiome and some women do have scarring and some people do have thinning.
So there were two studies that are referenced in this article about using PRP, which is known in dentistry and known in wound healing, plastic surgery, orthopedics for 20 years. This is not new science in those arenas, but as pointed out here, it’s new to the arena of gynecologists. And you see gynecologist jumping up and down saying, “There’s no research to support this.” Well, this as in using PRP or platelet rich plasma to help women with urogynecological problems, it’s because they’ve lived in a bubble where this research hasn’t existed. If you read dental research or if you talk with dentists, orthopedists, they’ve quit debating about whether platelet rich plasma does anything. It’s not the magic cure-all be-all, but their discussions are on a deeper level about what does it do and what can we do with it and what can we not do with it.
Hence, you’re starting to see, as pointed out here, that there has been minimal investigations in date in gynecology about PRP, but minimal in relations to other domains or specialties like dentistry and orthopedics, but still a growing number. And hopefully in the next 10 years, it’s usually 20 years for a new idea to take effect, we’re 10 years in with the O-Shot®, so probably in the next 10 years it will become widely done. Just watch, it will happen.
So what’s happened is there’ve been two people published studies showing that infusing the uterine cavity or in bathing the endometrium with PRP helps rejuvenate the tissue to make it healthier, to enhance the probabilities of becoming pregnant for a woman with the problems that happen with endometrial thinning. So hence, this study to say, “Okay, we have those clinical reports. Let’s look on a cellular basis in vitro, in a culture, outside of the body with those cell types and see what happens with platelet rich plasma.”
So they use saline as a control. They use platelet rich plasma and platelet poor plasma, and they found that platelet rich plasma does enhance the growth of the right kind of tissue and migration of the right kind of cells to the right place for the same things you see in dentistry to prevent scarring and to grow healthier, more vascular tissue, which in theory would explain why they saw the effect in the two studies that were done to show that it may actually help women with this as a cause of their infertility. The other thing is that we have in vitro studies showing that PRP, which is what your body normally makes … It’s not some esoteric thing. When you scraped your knee as a child, PRP is what caused the scab and the healing and the regeneration of the skin. PRP’s what happens every time you have surgery or you have a wound. That’s how it heals. The platelets bring growth factors, the [inaudible 00:05:11] cascade happens and you recruit stem cells to the area and you grow new tissue.
It’s not a new idea. It’s been around since people have been wounded. When people fought in the middle ages with swords, the PRP healed the wound. So it’s not a new idea. The newness is, how can we take what’s already happening in the body and harness that to help people with disease. The other thing is because we know that’s part of the healing process, we have multiple studies showing that PRP has anti-microbial … It acts as an antibiotic. And it could be that’s another reason that’s happening, because it may help take care of the bad microbes and therefore help the good microbes or lactobacilli flourish.
That’s a reach for the explanation, but it’s in line. It’s not homeopathy or some weird idea from outer space. Homeopathy as not in nutrition as some people apply it, but homeopathy is one part in 10 million somehow make something happen, which doesn’t happen. So this is not homeopathy. This is a logical thing that’s backed up by every time you heal a wound and by 20 years of research in other arenas and now it’s finally becoming more commonly done. We’ve done it with the O-Shot® now for the past 10 years to help rejuvenate the tissue around the urethra. It doesn’t work in everybody, just like antibiotics don’t’ working in everybody. 5 to 10% of people in the hospital with pneumonia still die, even with antibiotics. 30% of the people in the intensive care unit with pneumonia still die even with antibiotics. But we don’t say antibiotics don’t work. They just don’t work all the time because sometimes a person, their milieu or their body’s not able to heal itself for whatever reason.
In the same way, maybe the problem isn’t the vagina. Maybe the problem with infertility is hormonal issues or low sperm count with a man. This isn’t the end-all, be-all, cure-all, but it’s a very intelligently designed way to help a woman who has endometrial thinning or scarring of the endometrium as a cause for her infertility and it should definitely be studied. The problem is, as we found with the O-Shot® procedure, funding is difficult because there’s no patent on blood, so yay for these investigators who had to do this out of their own pocket as we have had to done with the O-Shot®. I’ve spent over $300,000 just in a couple of years with research on the O-Shot®. More coming. We’ll spend another 100,000 this year. It’s funded by the physicians in our group, who by the way, should be giving money back and almost all of us do, if a patient isn’t happy.
You can’t be preying on people’s pocketbook if you’re not keeping their money, if they’re not happy. I started taking cash in 2003. I’ve never kept a penny of a patient who wasn’t happy. In that case, we’ve lost our money and we’ve lost our time and we’re very sorry the person isn’t well and we try to find something else to help them. Every procedure is with risk and without 100% guarantee. Every procedure has risk and every procedure is without 100% guarantee. So there’s a consent form with our procedure. If you have the O-Shot® or if you have PRP infused into your endometrium, you should read the consent form. You should understand that you don’t have to be treated at all. You certainly don’t have to be treated with PRP. You should make sure that someone in our group has agreed to use FDA devices that are designed to prepare platelet rich plasma to go back into the body.
If things don’t work well, you should discuss it with your physician and continue to demand that someone help you. Don’t give up. Sexual function is so important. It’s more than about pleasure. It’s about relationships. It’s about the psychology of feeling whole. It’s about even spiritual enlightenment. Hence, the ideas of chastity when it comes to spiritual enlightenment in many cultures and religions. Sexuality has to do with creativity and personality. So it’s not just about pleasure, it’s about part of the foundation. Emerson said it was the scaffolding of love, hence the scaffolding of our families to build. Maybe you don’t need a scaffolding after the empire is built, but it helps build the building of your relationship with your lover. So consider this talk with your physician about it. If your physician wants training, we have training. We have teachers around the world. We have over 2000 doctors in our group. We have people in over a dozen medical schools. We have ongoing research. Read it, think about it, talk with your doctor about it, and let’s push our tools for healing women.
It breaks my heart when, when it comes to sexual dysfunction, we keep offering women vibrators and lubes or psychological. Everything’s not in your head. If you have an endometrium that’s thin, that’s not in your head. That’s in your endometrium. If you have scarring from having a big baby that tore the vagina, that’s not in your head. Hence, the treatment is not psychological medicines that affect the brain. And there’s better treatments than just a lube and a vibrator. We have so much better science than we did. I hope that you’ll investigate. Read the science for yourself. Don’t just blindly listen to the naysayers. Usually, 20 years for a new procedure to take effect in medicine. Read the science. Talk with your doctor and take care of your body and value your sexuality. I hope this helps you or someone you love.
So stress incontinence is a really serious problem that can affect your life and in ways that are sometimes difficult to deal with it, both in your personal and your business life. It can make it difficult to focus at work. It makes it difficult to get through a meeting, difficult to travel without stopping, it wakes you up at night, it makes it hard to exercise because you might be leaking urine and you’re not sleeping well so it makes it hard to feel rested during the day so it’s a significant problem and a lot of research going on trying to find an in between.
The pills that you take can sometimes cause anticholinergics can cause trouble with constipation, trouble thinking and associated with dementia and surgery is a viable option but all of us would like to avoid surgery if we can. So here’s a really interesting study where they looked at successfully using autologous drive muscle STEM cells. Autologous muscle drives cells to grow, not STEM cells, but muscle drives cells to grow the bulk of the sphincter that helps a woman control her urine and actually it’s not a circumferential sphincter like a man, it’s more like a flap which makes it more difficult to hold urine and that flap is only a few cells thick so increasing the strength, just like you strengthen your bicep might help with that and that’s exactly what they showed; significant increase in sphincter volume as in a larger bicep muscle instead of larger sphincter volume or muscle to hold the urine in when compared with the placebo group.
So check this out. It’s not something that’s mainstream yet as far as being able to offer but you might want to talk with an alternative which does something similar which is using PRP. In the athletic committees have sometimes even banned platelet rich plasma because not only does it heal tissue, but can add sometimes strength to the muscle.
So it’s possible that one of the reasons our O-Shot is improving incontinence is because platelet rich plasma can increase the muscle strength as well as improve the health and the blood flow around the tissue. So a side effect could be improved sexuality response with orgasm or ability to have orgasm. So you might want to talk with your physician about this if they’re not a provider, there’s training on the website and we have a list of licensed providers on the website that are already trained, agreed to follow strict criteria and with the FDA approved devices.
It’s not for everybody but that’s who I would contact to find out more information about this or talk with your physician about becoming certified or licensed to do the procedure. Hope you find it helpful and you’ll share this idea with your physician or with someone who might be suffering with incontinence.
