Cindy Barshop: Hey ladies, we’re here at The VSPOT, which is a women’s intimate health spa. And my name is Cindy Barshop and we’re here with renowned Dr. Carolyn Delucia, world renowned gynecologist. And we’re here to tell you the truth about women’s intimate health and vaginal rejuvenation. So first of all, vaginal rejuvenation is not saying, “I want a cute vagina.” It’s saying that we want more intimacy. We don’t want to suffer in silence with what? Let me just think of a few of the things, dryness, inability to orgasm, difficulty to orgasm, after you have a baby, some looseness, yes, that’s possible. It doesn’t pop back.
Carolyn Delucia: And losing urine.
Cindy Barshop: That was my big problem was the losing urine. So those are just a few of the things that we’re going to address. But why are we talking about it now? Because it’s super, super important to get the word out. We’re trying to educate people. And the most unbelievable way to educate people is the way Carolyn did it, is she put out a book, a simple, unbelievable, the greatest book about everything. Even your child should know. Well, not child, let’s say mid age, like after menstruation, to really find out. So just please Carolyn, tell us a little bit about it.
Carolyn Delucia: Thank you, Cindy. The book I wrote is called Ultimate Intimacy: The Revolutionary Science of Female Sexual Health. It’s available on amazon.com right now on an ebook. And the reason I wrote the book, as Cindy has mentioned, is that we have all been suffering. Women suffer every day. You may be suffering from not having comfortable intercourse with your partner and stopping from even being intimate because of pain, because of lack of pleasure. Why are we going through this when women have a solution? And there-
Cindy Barshop: Because there’s not enough information out there. That is the facts.
Carolyn Delucia: That’s right.
Cindy Barshop: And that’s why Carolyn came out with the book. Honestly, Carolyn, I even read through the book super quick and I was like, “Whoa, finally people have the truth. They have the options.” You know, what do I do for looseness?
Carolyn Delucia: Yeah, exactly. So in the whole book, we’ll go through what traditionally has been done, what the problem is, what solutions we have now, and what is to come in the future. There’s so much promising information out there for women and these conditions. Never having to go through those lonely times, when you’re sitting there wondering, “Do I even like my partner anymore? Is it me? Is something different?” And you torture and torment yourself.
Cindy Barshop: Is it in my head? I hate that. It always goes to women, it’s in your head. It’s horrible. It’s not.
Carolyn Delucia: It’s not. And there are ways to treat this. So the book goes through all of those topics. And my goal was to really educate women that there are solutions to everything we’re experiencing, and we provide them here at The VSPOT. But there are many other physicians, as well, and I give resources to that in the book.
Cindy Barshop: Let’s stop suffering in silence, ladies.
Carolyn Delucia: Yes.
Cindy Barshop: Excuse me. Let’s let our friends know that there are solutions out there and join together. It’s like the year of the woman. Yay.
Needed information about how to make things better…
Maureen McGrath: It’s been said if you never want to have sex again, get married. Sex is one of the most contentious issues in marriage today, second only to finances. There are many married couples that have not had sex for months, even years, and that’s okay as long as they’re okay with it and happily married. The problem arises when one person in the relationship wants sex and the other doesn’t. According to a national newspaper survey of approximately 10,000 respondents, mostly married men, 75% were satisfied in their relationship but more than 50% were dissatisfied with their sex lives. We’re having sex, don’t get me wrong, we’re just having sex at the wrong time and with the wrong people, I’ll get to that later.
We’re having sex before we get married, 10 years on average, so we are effectively in a long term relationship and potentially quite sexually bored before we even mess up the marital bed. That has its consequences. Most brides today do not have sex on their wedding nights, and 50% of men would not have married their spouse had they known their marriage was going to be sexless. So, everybody wants to know, just how much sex are married people having, whether they are in heterosexual relationships or same sex unions, you all want to know what’s going on at the Jones’? Well not much.
Only about 7% of married couples set the sheets ablaze. Most married couples have sex a little more than once a week for the first decade of their marriage, it decreases after that. So they have sex about 58 times a year, and 20% of marriages meet the criteria as a sexless marriage. That, defined by the experts, is sex less than 10 times a year. So why aren’t we having sex in our marriages? Well, there’s a little known chemical in the brain conveniently called PEA, or PEA. It’s responsible for the elation, the excitement and the euphoria that you feel when you meet somebody that you are sexually interested in.
It’s a fantastic feeling, this chemical is scourging through your blood vessels, you are so happy, that’s how powerful this little chemical is. What happens after two years, that chemical diminishes as does sexual frequency. That’s just about the time you might get married or might have conflict in your relationship and that is why communication is key to great sex. There’s another reason we’re not having sex in our relationships, that has to do with the sex education that we provide. I’d like to share a story about myself, when I was a teenager my mother came racing into my bedroom and she said, “Maureen, please tell me you have not allowed a boy to french kiss you!” She was feeling terrible that this sex education came a bit late, I was feeling horrifically guilty as an Irish catholic girl that I’d french kissed a number of boys by that stage.
We teach girls and women that sex is dirty and sex is bad or it’s overrated. We say, you’re just going to get a sexually transmitted infection anyway, or you might get pregnant! This whole fear based thing frightens women from enjoying sex and we never talk about pleasure with girls and women, or orgasm. In fact, some women say orgasm is not important and that the journey is just as good as the destination. I disagree. Of course. I’m the one who french kissed all the boys as an Irish catholic girl. It’s like getting on a train with your lover, and you are going to the most pleasurable place on the planet. You are so excited, you’re getting lubed up with all the free drinks they’re giving you, this is amazing. Just before you reach your destination, he gets off and you don’t. You get my point.
Now, the sex education we have for boys and men, that’s entirely different. It’s a global program, it’s free, it’s accessible to everybody and it’s known as internet pornography. Fantastic. It does nothing to teach men and boys about intimacy which is really important to men and boys, or how to make love to anybody, also we have a paucity of information about sexual health for our LGBTQI community and we need to add to that. Now marriage can rapidly go from holy matrimony to holy hell with the finances, the kids, the houses, the illness. You may have signed up for sickness and health but that was long before you’d ever witnessed a man cold, and how about that richer or poorer thing? Ladies we’re going to have to start going for richer.
Most women today are working inside and outside of the home. We’re doing the lion share of the housework because according to research, men don’t feel they’re that good at it. We’re bridging the gap between growing children and aging parents. We’re exhausted doing it all and never doing it, and when we are doing it, we’re checking our smartphones. 10% of people check their smartphones during sex. 35%immediately afterward. We are connected to the internet. We are connected to the internet and disconnected from our would be lovers. Maybe this is the reason that the most common sex position for married couples is doggy style. No, no, no. It’s not what you’re thinking. Get your minds out of the gutter.
This is the one where he’s on all fours and begs and she plays dead. I have a clinical practice where I see patients that have sexual disfunction and there are two questions that I ask everybody. The first one is, are you sexually active? That’s obvious. When I ask women they never say yes or no. Well, they never say yes. But they never say yes or no. They say; sometimes, sort of, I’m not sure, he is or they say “I’m married.” I say well that means no to me. They say yes you’re right, it is no. Most men complain that women never initiate sex. The reason for this is because once again the sex education we provide to women, women falsely believe that female sexual interest, desire, precedes sexual activity when in actuality, it is sexual activity that prompts sexual interest and desire. Sexual arousal emerges as a result of sexual activity.
So, you guys I know, intimacy is important to you. The most important question that reflects this that I receive from you is, “How much masturbation is too much masturbation?” So I just say as long as you can go to work, you should be fine. Then I realize, that that’s perhaps all that you’re doing at work. So I know intimacy is important, you want to come home and you want to make love to your wife if you’re in a heterosexual relationship, so after a long and quite possibly very hard day, you come home to a bit of chaos perhaps, you’ve just got sex on the mind and she says, “Did you remember the milk?” You’re like darn, the milk! I forgot the milk. Don’t beat yourselves up about it, if not for the milk we have Facebook, hormones, I’m feeling a little tired tonight, my stomachs sticking out I’m feeling kind of fat, can’t do it tonight, didn’t we have sex last month? You’re like, that was actually last year. You don’t get it. Literally, you don’t get it.
You’re like she’s amazing, she works in and outside of the home, she does a great job with the kids, she volunteers, she even has time for girls nights out. So, I brought a friend home after one such girls night out. As we approached her house, drove up she looked up to her bedroom window, saw that the lights were on and she said, “Donny’s waiting up for me, do me a favor, drive around the block a few times until the light goes out” I said listen, “You get in there and make love to your husband before somebody else does” Because that is one thing that will increase a woman’s sexual desire, when someone else wants her man. Still unconvinced she said, “I decided to extol the health and beauty benefits that sex has for a woman, a youthful glow, better sleep, wrinkle free skin. Keep driving” She said.
There is a device that will increase anybody’s sexual desire and that happens to be the Mercedes Benz 4MATIC convertible SL and it comes in 64 colors. If that doesn’t do it, the desire to have a baby will rev up any woman’s sex drive. The problem is, having that baby is likely to kill it along with any marital eroticism a couple may have had. A lot of people believe that motherhood and being sexual is incongruousness. John, John followed me on LinkedIn for two years before he mustered up the courage to make an appointment about his sexless marriage. He’d been married for seven years and they had never consummated the relationship. Their parents were pressuring them to have parents because they wanted grandchildren. When they came into my clinical practice, the second question that I ask everybody that enters my clinical practice most unfortunately is, “Have you ever experienced sexual abuse or unwanted sexual advances as a child?”
This was the first time this gentle man had learned that his wife had experienced sexual abuse as a six year old at the hands of her best friend’s father. She thought sex was dirty, she hated sex, we need a worldwide moratorium on ending sexual violence on our children, boys and girls, because it happens to both. Healing from sexual abuse takes a lifetime. Ella had lived a lifetime. A widow, she said she wasn’t sexually active but she hoped to be. I thought, fantastic! Somebody is going to have sex here, but she said, “The problem Maureen is that these old guys can’t get it up anymore” I said well Ella, you might have to go for a younger guy. She said, “What’s younger when you’re 84? 70?” Yes some of you are saying.
The hard truth is that men in their 30s and 40s may experience erectile dysfunction. Ella is going to have to go for a millennial. So you’re all probably thinking, “What’s the big deal, why treat my erectile dysfunction?” Well I liken the penis to a plane, if a pilot can’t get the plane up in the air, and keep the plane in the air for the entire trip, there’s probably a problem with the engine. So if you can’t get your penis up and keep it up for the entire sexual experience, there’s likely a problem with your engine. That’s your heart. Erectile dysfunction is the canary in the coal mine and it may signify cardiovascular disease. It may also indicate diabetes. These two medical conditions in addition to low testosterone, stress, substance use and abuse, excessive alcohol consumption, unresolved conflict, financial issues, all of those may contribute to low sexual desire and you may end up in a sexless marriage.
George presented to my clinical practice at age 40, he decided to settle down. He was marrying a beautiful and accomplished woman in a few months. There’s only one problem, George was gay. George could not bear to tell his family that he was gay because he felt it would have shamed the entire family. I said, “George, you’re going to end up in a sexless marriage!” He said, “Tell me something I don’t know!” George said to me his plan was this, “Well, when my parents die I’m then going to divorce this woman and I’m going to marry the man that I love” And I said, “George, you are not thinking straight.” Sex is the barometer of the state of affairs in a marriage. People who live in sexless marriages report feeling frustrated, unloved, undesirable, unattractive and the worst of all, lonely.
Loneliness has been shown to increase vascular resistance and elevate blood pressure and lead to an early death. You’re more likely to die from loneliness than you are from obesity or excessive alcohol consumption. When I educate women and I say, “If you’re not having sex with your husband, someone else may” They get upset and they say that I’m blaming women for men’s bad behavior when in actuality I’m doing a community service. You see, men in sexless marriages cheat to remain in that marriage in general. Women cheat to leave a sexless marriage. Women cheat too, nobody ever thinks we do but we’re just sneakier about it, we just don’t get caught or socialize very differently, this is one thing we have on you guys. Women cheat with other men and women cheat with other women.
Technology has made cheating accessible for everybody, from the politician to the stay at home parent, that quick swipe right can lead to an online passionate love affair. From texting to sexting to secret phone conversations. The more two people communicate online, the more likely an in-person encounter will occur, but you can always blame your genes. The gene DN4N has been isolated in cheaters and the sexless marriage, just the environment to turn on that gene. It’s based on a system of pleasure and reward. The stakes are high, the rewards substantial. It is the perfect cocktail to turn that love drug back on, PEA and the cycle begins again. Historically, marriage was not based on mutual love but rather it was an institution to acquire of all things in laws, property and physical labor. At the turn of the 20th century, in America, egalitarian ideals and the emerging Hollywood movie industry burdened marriages with promising romantic love forever.
Now we’re living forever, fantastic, congratulations, you get to have sex with the same person for the rest of your life. The second most common question that I hear from patients is, “When does sex end?” Well a 44 year old asked me, he said, ” When does sex end Maureen, 65?” I answered him this way, a 22 year old asked me, “When does sex end Maureen, 35?” Everybody’s older until you get there. I’m here to tell you that sex never ends. If you’re healthy, you can have a great sex life well into your 80s and 90s. Sex is good for you, sex is healthy, yet sex is shrouded in shame. In the ancient aristocracies, the wealthy men had courtesans for pleasure and concubines for quick sex. The way we’re going, computers will be our concubines, internet pornography our mistress of the day. Technology is fast replacing human connection at high speed.
So how do you rev up the sexless marriage?
Sex is about blood flow, sexercise. Every day you want to have a daily workout. It increases your agility, your stamina, women will experience more sexual sensation when blood is flowing to the genitalia. It also helps to treat erectile dysfunction.
Pay more attention to your spouse than you do your smartphone.
Spend more time in your bedrooms than you do your boardrooms or your bedrooms are going to become bored rooms.
Deal with your marital issues.
Go to sleep in the same bed at the same time and don’t bring anything or anyone into your marriage except for a great sex toy and a darn good sex therapist.
You must establish guidelines that govern those moments when you are struck by someone’s attractiveness outside of your marriage, but don’t think for a second that you have to have sex with the same person for the rest of your life. That’s not what I mean. In your mind, that is. Fantasy is key. Your brain is your largest sex organ, and one more thing.
I would like to leave you all off with a bang. Settle all marital arguments in the bedroom, naked.
Needed information about how to make things better…
Maureen McGrath: It’s been said if you never want to have sex again, get married. Sex is one of the most contentious issues in marriage today, second only to finances. There are many married couples that have not had sex for months, even years, and that’s okay as long as they’re okay with it and happily married. The problem arises when one person in the relationship wants sex and the other doesn’t. According to a national newspaper survey of approximately 10,000 respondents, mostly married men, 75% were satisfied in their relationship but more than 50% were dissatisfied with their sex lives. We’re having sex, don’t get me wrong, we’re just having sex at the wrong time and with the wrong people, I’ll get to that later.
We’re having sex before we get married, 10 years on average, so we are effectively in a long term relationship and potentially quite sexually bored before we even mess up the marital bed. That has its consequences. Most brides today do not have sex on their wedding nights, and 50% of men would not have married their spouse had they known their marriage was going to be sexless. So, everybody wants to know, just how much sex are married people having, whether they are in heterosexual relationships or same sex unions, you all want to know what’s going on at the Jones’? Well not much.
Only about 7% of married couples set the sheets ablaze. Most married couples have sex a little more than once a week for the first decade of their marriage, it decreases after that. So they have sex about 58 times a year, and 20% of marriages meet the criteria as a sexless marriage. That, defined by the experts, is sex less than 10 times a year. So why aren’t we having sex in our marriages? Well, there’s a little known chemical in the brain conveniently called PEA, or PEA. It’s responsible for the elation, the excitement and the euphoria that you feel when you meet somebody that you are sexually interested in.
It’s a fantastic feeling, this chemical is scourging through your blood vessels, you are so happy, that’s how powerful this little chemical is. What happens after two years, that chemical diminishes as does sexual frequency. That’s just about the time you might get married or might have conflict in your relationship and that is why communication is key to great sex. There’s another reason we’re not having sex in our relationships, that has to do with the sex education that we provide. I’d like to share a story about myself, when I was a teenager my mother came racing into my bedroom and she said, “Maureen, please tell me you have not allowed a boy to french kiss you!” She was feeling terrible that this sex education came a bit late, I was feeling horrifically guilty as an Irish catholic girl that I’d french kissed a number of boys by that stage.
We teach girls and women that sex is dirty and sex is bad or it’s overrated. We say, you’re just going to get a sexually transmitted infection anyway, or you might get pregnant! This whole fear based thing frightens women from enjoying sex and we never talk about pleasure with girls and women, or orgasm. In fact, some women say orgasm is not important and that the journey is just as good as the destination. I disagree. Of course. I’m the one who french kissed all the boys as an Irish catholic girl. It’s like getting on a train with your lover, and you are going to the most pleasurable place on the planet. You are so excited, you’re getting lubed up with all the free drinks they’re giving you, this is amazing. Just before you reach your destination, he gets off and you don’t. You get my point.
Now, the sex education we have for boys and men, that’s entirely different. It’s a global program, it’s free, it’s accessible to everybody and it’s known as internet pornography. Fantastic. It does nothing to teach men and boys about intimacy which is really important to men and boys, or how to make love to anybody, also we have a paucity of information about sexual health for our LGBTQI community and we need to add to that. Now marriage can rapidly go from holy matrimony to holy hell with the finances, the kids, the houses, the illness. You may have signed up for sickness and health but that was long before you’d ever witnessed a man cold, and how about that richer or poorer thing? Ladies we’re going to have to start going for richer.
Most women today are working inside and outside of the home. We’re doing the lion share of the housework because according to research, men don’t feel they’re that good at it. We’re bridging the gap between growing children and aging parents. We’re exhausted doing it all and never doing it, and when we are doing it, we’re checking our smartphones. 10% of people check their smartphones during sex. 35% immediately afterward. We are connected to the internet. We are connected to the internet and disconnected from our would be lovers. Maybe this is the reason that the most common sex position for married couples is doggy style. No, no, no. It’s not what you’re thinking. Get your minds out of the gutter.
This is the one where he’s on all fours and begs and she plays dead. I have a clinical practice where I see patients that have sexual disfunction and there are two questions that I ask everybody. The first one is, are you sexually active? That’s obvious. When I ask women they never say yes or no. Well, they never say yes. But they never say yes or no. They say; sometimes, sort of, I’m not sure, he is or they say “I’m married.” I say well that means no to me. They say yes you’re right, it is no. Most men complain that women never initiate sex. The reason for this is because once again the sex education we provide to women, women falsely believe that female sexual interest, desire, precedes sexual activity when in actuality, it is sexual activity that prompts sexual interest and desire. Sexual arousal emerges as a result of sexual activity.
So, you guys I know, intimacy is important to you. The most important question that reflects this that I receive from you is, “How much masturbation is too much masturbation?” So I just say as long as you can go to work, you should be fine. Then I realize, that that’s perhaps all that you’re doing at work. So I know intimacy is important, you want to come home and you want to make love to your wife if you’re in a heterosexual relationship, so after a long and quite possibly very hard day, you come home to a bit of chaos perhaps, you’ve just got sex on the mind and she says, “Did you remember the milk?” You’re like darn, the milk! I forgot the milk. Don’t beat yourselves up about it, if not for the milk we have Facebook, hormones, I’m feeling a little tired tonight, my stomachs sticking out I’m feeling kind of fat, can’t do it tonight, didn’t we have sex last month? You’re like, that was actually last year. You don’t get it. Literally, you don’t get it.
You’re like she’s amazing, she works in and outside of the home, she does a great job with the kids, she volunteers, she even has time for girls nights out. So, I brought a friend home after one such girls night out. As we approached her house, drove up she looked up to her bedroom window, saw that the lights were on and she said, “Donny’s waiting up for me, do me a favor, drive around the block a few times until the light goes out” I said listen, “You get in there and make love to your husband before somebody else does” Because that is one thing that will increase a woman’s sexual desire, when someone else wants her man. Still unconvinced she said, “I decided to extol the health and beauty benefits that sex has for a woman, a youthful glow, better sleep, wrinkle free skin. Keep driving” She said.
There is a device that will increase anybody’s sexual desire and that happens to be the Mercedes Benz 4MATIC convertible SL and it comes in 64 colors. If that doesn’t do it, the desire to have a baby will rev up any woman’s sex drive. The problem is, having that baby is likely to kill it along with any marital eroticism a couple may have had. A lot of people believe that motherhood and being sexual is incongruousness. John, John followed me on LinkedIn for two years before he mustered up the courage to make an appointment about his sexless marriage. He’d been married for seven years and they had never consummated the relationship. Their parents were pressuring them to have parents because they wanted grandchildren. When they came into my clinical practice, the second question that I ask everybody that enters my clinical practice most unfortunately is, “Have you ever experienced sexual abuse or unwanted sexual advances as a child?”
This was the first time this gentle man had learned that his wife had experienced sexual abuse as a six year old at the hands of her best friend’s father. She thought sex was dirty, she hated sex, we need a worldwide moratorium on ending sexual violence on our children, boys and girls, because it happens to both. Healing from sexual abuse takes a lifetime. Ella had lived a lifetime. A widow, she said she wasn’t sexually active but she hoped to be. I thought, fantastic! Somebody is going to have sex here, but she said, “The problem Maureen is that these old guys can’t get it up anymore” I said well Ella, you might have to go for a younger guy. She said, “What’s younger when you’re 84? 70?” Yes some of you are saying.
The hard truth is that men in their 30s and 40s may experience erectile dysfunction. Ella is going to have to go for a millennial. So you’re all probably thinking, “What’s the big deal, why treat my erectile dysfunction?” Well I liken the penis to a plane, if a pilot can’t get the plane up in the air, and keep the plane in the air for the entire trip, there’s probably a problem with the engine. So if you can’t get your penis up and keep it up for the entire sexual experience, there’s likely a problem with your engine. That’s your heart. Erectile dysfunction is the canary in the coal mine and it may signify cardiovascular disease. It may also indicate diabetes. These two medical conditions in addition to low testosterone, stress, substance use and abuse, excessive alcohol consumption, unresolved conflict, financial issues, all of those may contribute to low sexual desire and you may end up in a sexless marriage.
George presented to my clinical practice at age 40, he decided to settle down. He was marrying a beautiful and accomplished woman in a few months. There’s only one problem, George was gay. George could not bear to tell his family that he was gay because he felt it would have shamed the entire family. I said, “George, you’re going to end up in a sexless marriage!” He said, “Tell me something I don’t know!” George said to me his plan was this, “Well, when my parents die I’m then going to divorce this woman and I’m going to marry the man that I love” And I said, “George, you are not thinking straight.” Sex is the barometer of the state of affairs in a marriage. People who live in sexless marriages report feeling frustrated, unloved, undesirable, unattractive and the worst of all, lonely.
Loneliness has been shown to increase vascular resistance and elevate blood pressure and lead to an early death. You’re more likely to die from loneliness than you are from obesity or excessive alcohol consumption. When I educate women and I say, “If you’re not having sex with your husband, someone else may” They get upset and they say that I’m blaming women for men’s bad behavior when in actuality I’m doing a community service. You see, men in sexless marriages cheat to remain in that marriage in general. Women cheat to leave a sexless marriage. Women cheat too, nobody ever thinks we do but we’re just sneakier about it, we just don’t get caught or socialize very differently, this is one thing we have on you guys. Women cheat with other men and women cheat with other women.
Technology has made cheating accessible for everybody, from the politician to the stay at home parent, that quick swipe right can lead to an online passionate love affair. From texting to sexting to secret phone conversations. The more two people communicate online, the more likely an in-person encounter will occur, but you can always blame your genes. The gene DN4N has been isolated in cheaters and the sexless marriage, just the environment to turn on that gene. It’s based on a system of pleasure and reward. The stakes are high, the rewards substantial. It is the perfect cocktail to turn that love drug back on, PEA and the cycle begins again. Historically, marriage was not based on mutual love but rather it was an institution to acquire of all things in laws, property and physical labor. At the turn of the 20th century, in America, egalitarian ideals and the emerging Hollywood movie industry burdened marriages with promising romantic love forever.
Now we’re living forever, fantastic, congratulations, you get to have sex with the same person for the rest of your life. The second most common question that I hear from patients is, “When does sex end?” Well a 44 year old asked me, he said, ” When does sex end Maureen, 65?” I answered him this way, a 22 year old asked me, “When does sex end Maureen, 35?” Everybody’s older until you get there. I’m here to tell you that sex never ends. If you’re healthy, you can have a great sex life well into your 80s and 90s. Sex is good for you, sex is healthy, yet sex is shrouded in shame. In the ancient aristocracies, the wealthy men had courtesans for pleasure and concubines for quick sex. The way we’re going, computers will be our concubines, internet pornography our mistress of the day. Technology is fast replacing human connection at high speed.
So how do you rev up the sexless marriage? Sex is about blood flow, sexercise. Every day you want to have a daily workout. It increases your agility, your stamina, women will experience more sexual sensation when blood is flowing to the genitalia. It also helps to treat erectile dysfunction. Also get help for any of the sexual dysfunctions you may have, vaginal dryness, it’s an issue that happens to women who are on the oral contraceptive pill, who are breastfeeding, perimenopausal, postmenopausal and there are treatments for you. Pay more attention to your spouse than you do your smartphone. Spend more time in your bedrooms than you do your boardrooms or your bedrooms are going to become bored rooms. Deal with your marital issues.
Go to sleep in the same bed at the same time and don’t bring anything or anyone into your marriage except for a great sex toy and a darn good sex therapist. You must establish guidelines that govern those moments when you are struck by someone’s attractiveness outside of your marriage, but don’t think for a second that you have to have sex with the same person for the rest of your life. That’s not what I mean. In your mind, that is. Fantasy is key. Your brain is your largest sex organ, and one more thing. I would like to leave you all off with a bang. Settle all marital arguments in the bedroom, naked.
Dr. Marco Pelosi III: Our next speaker is probably best described as the Michael Jordan of platelet rich plasma, Dr. Charles Runels from Alabama, that pioneered the O-Shot® [Orgasm Shot®], the Vampire [Face]lift®, the P-Shot® [Priapus Shot®], and he’s taken all the abuse and he’s given the world some very, very useful procedures for everyone. He’s going to talk about the studies he did and the studies done in platelet rich plasma in regards to sexual function. Dr. Runels, it’s a pleasure to have you here.
I’m going to go through a whirlwind look at research that’s been done where people have used PRP to help with sex. Much of the research has been done by the people in our group, and I’ve described many of them in this room who have done this research. It’s a for-profit organization, but we pay for research, we pay for education, we pay for marketing for our providers. Just to echo what you just heard, sex is much more than about just having fun. Rainer Maria Rilke said it’s just so correlated to the creative experience that it’s affecting how we do our work, how you do your presentation, and how – of course – relationships and families.
I want to echo that sentiment, and remind us that back in 1980, if you look in ‘Urology’ – this was ‘Urology’ 1980 – the most common cause for erectile dysfunction was thought to be 85% psychogenic. Here’s a quote from ‘Urology’ where urologists were encouraged to become counselors, because most of erectile dysfunction was thought to be psychogenic. Of course, I’m echoing the penis stuff because if you take a penis and shrink it and unzip it, that becomes a clitoris. I’m thinking most of the research will eventually apply to that. Certainly, our attitude is applying because we’re back in the … We’re not, I’m preaching to the choir, but many of our colleagues are back in the 1980’s and saying the main thing we have for sexuality for women is counseling.
My thinking that perhaps, as you guys do, some of the pathology that applies to the penis may apply to the clitoris, and maybe some of these women are suffering from actual genital histopathology, not just psychogenic problems. We have this one FDA approved drug now for female sexual dysfunction that’s a psych drug, flibanserin. It’s a useful drug, but obviously, we need much more and maybe we should think in terms of systems, like we do for the rest of the body.
Platelet Rich Plasma.
Obviously, this is not a new idea. This is from, this month, over 9,000 papers indexed in PubMed about platelet rich plasma. Our orthopedic colleagues, our dentist, our facial plastic surgeons have worked with this, and all we have to do is take their ideas and then hopefully people in this room will extend what I’m about to show you and just take those ideas and adapt them to the genital space. Here’s some of the growth factors we know about. There are many more. They have these effects. These are good things for the genitalia. Down-regulating autoimmune response, proliferation of fibroblasts, new angiogenesis, the adipocytes enlarge and multiply – think labia majora, collagen production, neurogenesis and maybe some glandular function.
There’s never, in all those 9,000 papers, I still cannot find one serious side effect. No granulomas, no serious infection. PRP is what your body makes to heal when you do your surgeries and help prevent infection. Obviously, there are always certain things that can happen, bruising and such, but if you have a serious life-threatening complication from PRP, you will have the first recorded in all of that 9,000 plus papers. That’s a nice thing.
We have commercially available methods for preparing it, within 5 or 10 minutes of the bedside, and the devices are FDA approved. So you guys don’t get confused, obviously the FDA does not approve your procedures. That’s a doctor business. They don’t approve blood that belongs to you, just like your spit and your saliva and your skin. They tried, at one time, to control eggs and the gynecologists said, “Hell no.” So they don’t control eggs and they don’t control blood, but you should use an FDA approved device if you do this [approved for preparation of PRP to go back into the body].
Autoimmune Disease
Here’s some of the ideas about down-regulating autoimmune response. We have split-scalp studies showing that PRP helps alopecia areata better than triamcinolone. More hair growth that comes in thicker. Here’s rat studies looking at rheumatoid arthritis. What do we have in the genital space? We have lichens sclerosus. We did some before and after pictures where you use stem cells mixed with PRP, and before and after pictures show improvement. Of course, that’s two variables because you have stem cells and you have the PRP.
We took the same idea and just used PRP. Andrew Goldstein worked with me on this, and we had two blinded dermatopathologists. The protocol was biopsy, PRP, wait six weeks later, another PRP injection, and then six weeks after that, another biopsy. Two blinded dermatopathologists out of George Washington University did not know the before or the after. We showed statistical improvement in both the histology and symptomatology. Here’s our histology. You can see obviously, that’s the same magnification and we’re showing decreased hyperkeratosis. That’s obviously healthier tissue. A layperson could tell that’s better. Of course if you look at the gross pictures, lady on the left as you guys know, she has pain wearing her blue jeans. The lady on the right is back to making love to her husband. They’ve invited me into their close Facebook groups and I saw a post a few months ago. Quote says, “I was sitting next to my husband, whom I love, last night. I was afraid to hold his hand because I was afraid he would become aroused and I’m bleeding and hurting today.” That’s what you guys are helping.
We published that in ‘Lower Genital Tract Disease’. We extended it because it worked. We published this past January in the journal of the American Academy of Dermatology. You have some science to go do this now.
One of our providers, Kathleen Posey, who’s a gynecologist out of New Orleans, took this idea and then she said, “Let’s do some dissection in the office”, and she presented this in Argentina, published it in the same journal ‘Lower Genital Tract Disease’. Here’s one of her patients, where you can introduce [inaudible 00:06:44]. It had been 12 years since she had had sexual intercourse, penis and vagina intercourse, with her loving husband … 12 years. She was being followed by a dermatologist on high dose clobetasol. Kathleen dissected it out in the office and then injected PRP … 8 weeks later, she’s having comfortable sex with her husband. She’s now 3 years out. She’s had to be treated with PRP, not repeat surgery … PRP now, 2 other times a year apart to maintain that result. She now has a series of 60 or so patients that she’s now going to publish with similar results, where she’s dissecting out – as you guys know how to do – treating the [inaudible 00:07:27], but then following that with PRP injections to help the healing and decease the autoimmune response.
That same doctor, Casabona, repeated his study with lichen sclerosus in men [BXO], and showed with just PRP alone … This study of 45 men with repeat treatments … It is cumulative, 2 to 10 treatments, the same thing. All of them stopped their steroids. None of them started back. Only one went on to have circumcision.
Peyronie’s
Peyronie’s disease, another autoimmune disease … This came out this month out of Wake Forest, where they took men and they followed their results with Peyronie’s disease. Not only did their Peyronie’s improve statistically, but they also improved their erectile dysfunction by 5 on that scale of 5 to 25 that the urologists use. For some reason, thankfully, they threw in one woman just for good measure, and showed that it helped her incontinence. They just tucked that in as an aftermath.
Ronald Virag, as you guys know as the legendary vascular surgeon who was first to present the idea of intracavernosal injections for erectile dysfunction, out of Paris. His big thing now is PRP for Peyronie’s. He just published a study where he showed that this is comparing PRP with Xiapex, which is a $50,000 series of injections, FDA approved version of collagenase. He showed that PRP works better with few side effects. There’s a risk of about 1 in 30, that actually go from a bent pencil to a fractured pencil and a limp noodle. You don’t see that with PRP. You see the side effect is the erectile function improves. He showed the same thing, actually, in his studies that erectile dysfunction improves by an average of about 7 on that 5 to 25 point scale.
Wound Healing/Scar Resolution
Let’s think about the [inaudible 00:09:29] literature. Look at this, there’s so much of this out there. This is looking at post-operative adhesions, lots of studies looking at scarring with microneedling and PRP. This is a split-face study comparing PRP with microneedling verus PRP … Excuse me, microneedling with saline or Vitamin C serum and split-faced studies in PRP wins. Dr. Sclafani did some studies in the cosmetic space looking at increased collagen production and fibroblast activity, and never a neoplasia documented. People worry about that. This is not indiscriminate blindness blind growth. You don’t worry about carcinogenesis when you do surgery and it’s the same PRP that’s causing healing. There’s actually some helpful immune processes that go on, that you could argue actually might help prevent cancer. I’m not going to make that argument but it might need to be made one day.
If you look further, here’s a wound healing study looking at reepithelialized exposed bone and tendon of the foot and ankle. When I took that and applied, this is a hypertrophic scar that was a year old from cortisone, and then using PRP and Juvederm or HA filler, this is a few days later, a month later, and that’s a year later. Now, take that and think, “How could I use that in the genitourinary space?” Doing that anecdotally, we have many of the members of our group are seeing help with episiotomy scars or dyspareunia, pelvic foreplay instead of injecting that pelvic floor tenderness with triamcinolone. Physiatrist for the past ten years has been using PRP, your sports medicine doctors. Now, when you palpate it, consider injecting with PRP instead. Dyspareunia from mesh and that unknown dyspareunia, we’re seeing this is where we need you guys to help extend the research. The science is there that it should help and it seems to be helping. Not 100%, but about 80% in people with dyspareunia.
Mesh Pain
Here is a look at a gentleman who did … He took the mesh out and then he patched the hole with a gel form of PRP and showed benefit. We’re finding anecdotally – no one’s done this study yet, here’s another one for you to pick up … I’m giving you low hanging fruit. We’re seeing anecdotally that if you inject in the distribution of the pudendal nerve, which seems to be inflamed in some women with mesh pain, that their pain will frequently go from 9 out of 10 down to 1 or 2 out of 10, without even taking the mesh out. Just another place where we need some research done.
Interstitial Cystitis
Here, we have rat studies looking at inflammation. Let’s think about this one. Here’s a rat study where they modeled cystitis and we are seeing in chronic interstitial cystitis without even infiltrating the bladder, just infiltrating in the periurethral space, some of our women are getting better. I’ve had two separate urologists call me and say, “Charles, I can’t believe it. I was doing this and expecting not this to happen. I have these patients now who have had chronic interstitial cystitis pain for years, and it’s gone.” Not 1005 but finding out who’s going to respond and who’s not and why, there’s a lot of variables that need to be thought about that you guys will hopefully do the research.
Penis Growth
Here’s a study that came out in the ‘Journal of Sexual Medicine’, where a guy took … the [inaudible 00:12:51] men who have an erection of 3 inches or less and then he treated them with PRP, combined with a pump, and showed that if you repeated it every time you did it, it grew by about 7 millimeters. I’ve always thought if I could give you a guarantee half an inch to an inch with anything, I’d get my picture on a postage stamp. I don’t have that yet, but I can tell you that we’re seeing about 60% of the time we do this procedure, men will see some sort of growth.
If you look at the neovascular space, there was a study out of Southern California that was published in the ‘Journal of Sexual Medicine’ where they transferred adipocyte stem cells to the penis of diabetic rats. They showed new endothelial cell growth and increased nitric oxide activity in the dorsal nerve. Would that be helpful in the clitoris? Probably, but the interesting thing is the adipocyte-derived stem cells were attacked and they died. The postulate was the improvement was from the growth factors.
Penile Rehabilitation and Erectile Dysfunction
I have seen what [inaudible 00:13:52] have seen in that when you inject this in the penis, erectile function goes up on the average of about 5 to 7 per injection. Think about nerve repair. We have rat studies modeling prostrate surgery, showing that the nerves improved with PRP and so we have, again, another clear place where we need studies if you add this now to the usual protocol for rehabilitating the penis post-prostate surgery … would you see benefit? We have seen that in some of our patients who are a year or two out who failed the rehabilitation part of that. Would that help your patients who have, say, numbness and decreased function from riding their bikes too much, or trauma? I don’t know, but it’s worth thinking about and publishing research about.
In thinking about where to put this, where we do our O-Shot, when we do PRP to the anterior vaginal wall, we’re putting it as distal from the bladder as possible. We found that it works better. We’re essentially making a liquid sling. Think infiltrating and getting ready to put in the mesh. That’s what we’re doing. Very simple, only we’re using a material that has never caused a granuloma ever. Doing that, frequently our patients will have their incontinence go away that day from the actual liquid and as it’s replaced with new tissue, it never recurs. Usually, you’ll have to repeat the procedure at a year or two out depending on the etiology. Sometimes it lasts longer.
The interesting idea is what might be happening with those [inaudible 00:15:21]. They become more active, and does that help with sexual function? The other place we put it is in the actual corpus cavernosum of the clitoris. We use [inaudible 00:15:29] ultrasound visualization and see it flow down into the body of the clitoris by the pubic ramus and the wave form goes to what you see in a flaccid penis to what you see in an erect penis.
Improved Orgasm & Libido in Women
That’s my time, almost done. Just 30 more seconds. Here’s a pilot study we did where we showed that in women with female sexual distress, that it dropped by an average of 10 and female sexual function went up by 5 when you do what I just showed you. Here’s a study that Dr. Neto, who may be here, published where he looked at incontinence and sexual function down in Brazil and showed that 94% of the people loved it. The question here is how would you combine it with your energy source? It works great in the face if you do laser and follow it with PRP … better results, faster healing. Is it going to … We need people to help us work out the algorithms. Not everybody has laxity, but when you have something, when do you use which treatment and when do you combine it with PRP? We need those answers, because I don’t have them yet. This is possible helps.
I am done. Thank you very much for having me. I put all these references at that website, if you want to go download them. Thank you. You guys have a wonderful conference.
Dr. Marco Pelosi III: Thank you Charles. Beautiful
Olivia: Are we good? Are we going? Hey guys! Olivia here with another episode of Distractify Live or Daily Dose of Useful Distraction. I’m here with Cindy Barshop who you might recognize from the Real Housewives of New York City, but we’re here for an entirely different reason. She’s the founder of VSPOT Medispa. Did I get that right?
Cindy Barshop: Correct.
Olivia: VSPOT Medispa.
Cindy Barshop: The fountain of youth for your vagina.
Olivia: The fountain of youth for your vagina. We’re here to talk about vaginas. Woo!
Cindy Barshop: Woo hoo!
Olivia: I guess why did you start this?
Cindy Barshop: I started it because of my own personal problem and I really believe in sexuality and feeling good about yourself. This whole place is, sorry men, not for you, but it’s about women-
Olivia: Sorry, Michael.
Cindy Barshop: And feeling good about yourself, having orgasms just, like a man does. As you get older, and I’m not talking that much older. Not my age older, but like 35 older. Lubrication, tightening. If you had a baby, it gets a little smaller. Friction. It’s all about the women enjoying sex more, which is good for you guys, too, because then we want it more.
Olivia: Women watching and men that are watching, please ask your questions, like and share this video on Facebook. We want everyone to get their questions out there about sexual health, about vaginal rejuvenation, and then we have a little fun thing that we did today that we could talk about.
Cindy Barshop: Okay, good.
Olivia: First of all, let me just say why are vaginas and sex such a taboo subject to talk about and why are you okay with talking about it?
Cindy Barshop: I’m here to make sure other women talk about that because the more we talk about it, the more we could get it out there for everybody. It’s not a taboo subject. Feeling good about yourself? That should not be taboo. And taking care of yourself right now by doing the femilift and all these different treatments, you’re making yourself feel good and healthy. It’s like doing a million kegels. How many years have they talked about kegels? Even my grandmother-
Olivia: My mom taught me about kegeling when I was, like, 15.
Cindy Barshop: The whole world doesn’t know how to kegel, but now-
Olivia: Kegeling is important.
Cindy Barshop: Kegeling’s important. Okay, but you could do one million kegels in one minute with this treatment. Oo, ding.
Olivia: Oops. You mentioned the femilift.
Cindy Barshop: Mm-hmm (affirmative).
Olivia: You do this at the Medispa.
Cindy Barshop: Yes.
Olivia: Tell everyone what the femilift is.
Cindy Barshop: Basically, what I was talking about before is it’s actually regenerating tissue to make it healthy inside your body. It’s like doing the 50 million kegels in five minutes. If you have any problem with dryness, which you may say, “Oh, I’m fine,” but you could be better. If there’s anything with, “Oops, I peed in my pants because I laughed so much.”
Olivia: It happens.
Cindy Barshop: Which is very normal. And if you want to get a little more friction when you’re in the bedroom, you come in. No pain, no downtime, no risk.
Olivia: Really nice. Then, something that we both shared in today.
Cindy Barshop: [crosstalk 00:02:43] I gave you what?
Olivia: I received an orgasm today, and so did you.
Cindy Barshop: Yes, I did. We did it together.
Olivia: Yeah, we did it together. If you go to Distractify Snapchat, I documented my entire experience and Cindy’s experience with the O Shot. Talk about what the O Shot is.
Cindy Barshop: Okay. A lot of times women orgasm, but it takes a long time to orgasm or none of us orgasm while we’re having sex. We have to kind of a little rubbing here and there. With this, it allows you to orgasm quickly, but not too quickly, and allows you to kind of intensify it, and then there’s some women who really don’t have great orgasms. Basically, what we’re doing is we’re taking your own blood, platelet rich plasma.
Olivia: Right here.
Cindy Barshop: How come I didn’t get a bandaid?
Olivia: You must’ve [crosstalk 00:03:26].
Cindy Barshop: Anyway, straight from there. It’s injected into the hood, which we learned today.
Olivia: The hood.
Cindy Barshop: And the g-spot, and it actually pushes it out. It’s all good.
Olivia: There’s no pain involved, which I experienced today. I thought it was important to get the shot myself to talk about it and make sure that everyone knows it’s not a lie. There’s no pain involved. I felt nothing. I felt pressure, but normal pressure.
Cindy Barshop: You know I had no pain.
Olivia: Yeah.
Cindy Barshop: I have the world renowned gynecologist, Dr. Caroline Delucia.
Olivia: Okay.
Cindy Barshop: She is a specialist in women’s sexual health. Show your face, please.
Olivia: Come in here, say hi to everyone.
Cindy Barshop: Hi. She just did the [crosstalk 00:04:04].
Dr. Delucia: Hi.
Cindy Barshop: She did it with us.
Olivia: She’s been really busy today with our vaginas.
Cindy Barshop: And everybody else’s.
Olivia: Thank you.
Dr. Delucia: My pleasure.
Olivia: If you have any questions, make sure to ask, ladies, about VSPOT, about the O Shot. There’s probably a lot of frequently asked questions that you get all the time.
Cindy Barshop: Yeah, there’s tons of them. One, does it hurt, or am I going to be orgasming when I’m walking? No, you’re not. Is it healthy, is there any downside, or any risk? There’s no risk. You’re using your own blood, but I will tell you this. Make sure you go to a gynecologist to get it done who’s been certified by Dr. Delucia because she trains everybody. It makes a difference. You’re not going to go to a, I don’t know, any doctor club. This is what I get sometimes. Can I say this?
Olivia: Yeah.
Cindy Barshop: How much is it? Really? How much is it? We’re talking about the best in the world.
Olivia: The best ever. How much is it?
Cindy Barshop: Too much for you, then. For the O Shot, it’s 2500.
Olivia: It’s totally worth it. I already love it. I already love it, so I’m gonna keep everyone posted and tell everyone what I think of my experience with the O Shot.
Cindy Barshop: Good, you should.
Olivia: I guess what stages of life do you see women in here?
Dr. Delucia: All stages.
Olivia: All stages?
Dr. Delucia: Absolutely. Someone young like yourself who just wants good to be better, and there’s no harm in that. Really it just magnifies the pleasure that you can derive from [crosstalk 00:05:30].
Cindy Barshop: A lot of moms.
Dr. Delucia: A lot of moms.
Cindy Barshop: Lots of moms. That’s a big thing. Mostly it’s either your age who like the better sex, unless there’s a little problem and they don’t lubricate enough.
Olivia: Yeah.
Cindy Barshop: Well, not even looking for more. Increased desire increases relationships, I think. You have no choice
Olivia: I feel like men are probably a really big fan of this, as well.
Cindy Barshop: Of course.
Olivia: It helps relationships.
Cindy Barshop: The pleasure. Wait a minute-
Dr. Delucia: Exactly.
Cindy Barshop: Think about taking the pill. Every guy out there, you should buy your girlfriend an orgasm in a box for the holidays. You know why?
Olivia: I received an orgasm today and I know a lot of men would probably like it if their women also experienced an orgasm.
Cindy Barshop: It takes the pressure off.
Olivia: It’s a lot less pressure.
Cindy Barshop: A lot less work. It feels better for the woman.
Olivia: You guys, ask your questions about vaginas. We’re here to talk about vaginas. How many times can I say vagina in one video?
Cindy Barshop: Never enough.
Olivia: Please like and share this if you’re interested in vaginas or if you’re interested in what VSPOT is doing. How can people find VSPOT/-
Cindy Barshop: They can just go online. VSPOT Medi, M-E-D-I, Spa, S-P-A, or call, or call!
Olivia: Call.
Cindy Barshop: Call 1-800. Wait, I don’t even know. 408-VSPOT. That’s it?
Olivia: Oh, I have it. Here.
Cindy Barshop: Oh right.
Olivia: We’ll put it on the comments section below with the website, since no one can remember a random phone number. I do want to say I don’t want women to come here because they feel like they are not good enough in bed or this is their problem.
Cindy Barshop: Thank you for bringing it up. It’s about empowering women. It’s about empowering women to take control of your life and your sexuality to make sure you feel good. There’s no reason. How many times, let’s be honest, we’re like, “Oh, you’re great.” That’s the truth. How many times … Have you ever done it, said, “You’re great,”?
Olivia: Yeah.
Cindy Barshop: No, everybody’s gonna be great. But then, there’s also-
Olivia: Everyone’s so great.
Cindy Barshop: I know, but then everyone’s gonna be good. It’s gonna be like, “Oh.” No, no. The other thing is we really do help women, especially moms who’ve gone through the child birth. Nothing bounces back. This is simple, it’s painless, it’s not surgery. This technology has caught up right now. We don’t have to kegel anymore. I’m not saying don’t exercise, but take care of something that’s so important in your life.
Dr. Delucia: Absolutely.
Olivia: I’m kegeling right now.
Cindy Barshop: You don’t have to kegel anymore.
Olivia: Well, I am, just-
Dr. Delucia: Just because it’s fun because it feels really good right now.
Olivia: Can you tell? Random question. I’m comparing my vagina, the surgery … Not the surgery, the procedure that I just did, like I’m a vampire and I just sucked my blood into my vagina.
Dr. Delucia: Yes.
Olivia: That’s kind of … I’m trying to put it into non medical terms for people.
Dr. Delucia: The vampire vagina.
Olivia: The vampire vagina.
Cindy Barshop: The guy who started it, right? With the vampire facial. It’s the same idea.
Dr. Delucia: That’s right, Dr. Charles Runels. Yeah.
Cindy Barshop: You’re taking your own blood and you’re putting it in your vagina.
Dr. Delucia: Yes.
Cindy Barshop: I like that, the VSPOT Vampire Vagina.
Olivia: Vampire Vagina. What kind of testimonials have you heard from women who have come in and gotten either the femilift, or the O spot?
Cindy Barshop: Can I say [inaudible 00:08:30]?
Dr. Delucia: Please.
Cindy Barshop: I have to tell you, this is one of the best businesses I’ve ever been in because it makes me feel good when they come back and they basically say, “You changed my life.” If you can’t have sex, and you’re not lubricated enough, and you’re not orgasming, and now you are, think about it. It really, really makes you feel good.
Dr. Delucia: Absolutely. The whole thing about these procedures is that it’s away of women being able to voice their desires in their own female sexual health to improve their participation in intimacy. I think that we all should enjoy it, and we shouldn’t have to fake it, and we should be able to really feel fantastic. When that happens, everyone’s happier in that moment.
Olivia: Yes.
Cindy Barshop: I’ll say one thing.
Olivia: Yeah, what?
Cindy Barshop: I did it, right, for incontinence because I used to pee a little in my pants.
Olivia: She pees, she pees.
Cindy Barshop: Think about this. Just think about a scenario. I couldn’t wear a skirt when I went out, I couldn’t wear silk because, oops, how embarrassing is that. When I worked out, I had to wear a pad.
Olivia: I almost told a really embarrassing story of my mom’s just now, but I’m gonna keep it locked, but it involved peeing. [crosstalk 00:09:38]
Cindy Barshop: As you get older, peeing doesn’t seem like the same thing. After you have a baby-
Olivia: Michael, stop.
Cindy Barshop: When you have parents who are older, all you do is talk about what comes out of the body.
Olivia: It’s always, it’s always.
Cindy Barshop: Thank god we’re only on the pee level.
Olivia: Reminder, we’re at VSPOT Medispa. I’ve along with Cindy, the founder, just got the O Shot and I’ve had five orgasms just sitting here. Just kidding, but it is national chocolate chip cookie day and I might eat a cookie and, whoop, there it goes. Okay.
Cindy Barshop: Who’s going to be eating the cookie? Where are you gonna put the cookie? I didn’t mean it … I did mean it like that.
Olivia: In my vagina. Okay. Will there ever be a P Shot for men?
Dr. Delucia: There is a P Shot for men.
Olivia: Michael!
Dr. Delucia: It’s called the Priapus Shot and it works miraculously. Again, we draw blood, we spin it down, we take the platelet rich plasma, and we inject it directly into the penis, painlessly at that.
Olivia: Painlessly.
Dr. Delucia: Once again, it works on erectile tissue. It’s for magnifying erections, making them stronger, better, more durable, things like that. They can help men with premature ejaculation and just the effectiveness of their erection.
Olivia: This is amazing.
Dr. Delucia: It’s fantastic.
Olivia: If anyone has any questions for these professionals or just [inaudible 00:10:58] now, I’d be happy to answer from a personal perspective. If not, we have rapid fire coming on.
Cindy Barshop: What’s rapid fire?
Olivia: Rapid fire is my favorite part, and I think everyone’s favorite part. Don’t take this too serious, okay? Let’s have fun.
Cindy Barshop: Okay, go.
Olivia: We’re gonna have fun. Okay. You can both answer, whatever. Favorite sex position?
Cindy Barshop: 69.
Olivia: 69?
Dr. Delucia: Mine?
Olivia: Yes.
Dr. Delucia: Probably me on top.
Olivia: You on top? Woo! Yes, queens. I like it from behind. Your least favorite sex position?
Cindy Barshop: Blow jobs. That’s embarrassing.
Dr. Delucia: Is that a sex position?
Olivia: I-
Cindy Barshop: I don’t know. I was just thinking about sex, what comes to my head first. That’s what came to it.
Olivia: Blow jobs. She doesn’t like them.
Cindy Barshop: I’m not into.
Olivia: If they had the P Shot maybe, though.
Cindy Barshop: Yeah.
Olivia: Maybe then. Least favorite, okay we did that. Favorite type of vibrator or do you like vibrators?
Cindy Barshop: I’m beginning to love vibrators.
Olivia: Yeah?
Cindy Barshop: I have [inaudible 00:11:57]. Honestly, [inaudible 00:12:01]. It looks like the [inaudible 00:12:02]. I wish I had it.
Olivia: Where is it?
Cindy Barshop: It’s in the other room.
Olivia: Okay.
Cindy Barshop: Wait, this is the coolest thing. We actually had this vibrator [inaudible 00:12:11]. It’s to help with urinary incontinence, but it also has a rabbit on it. Then, it has this micro current. I’m telling you, I orgasm internally with it.
Olivia: Really?
Cindy Barshop: I’ll give you one.
Olivia: I’ll take one. I want to [inaudible 00:12:24].
Dr. Delucia: I took one.
Olivia: Woo! Best piece of advice for women struggling to orgasm besides getting-
Cindy Barshop: Besides getting the shot? I would say kegel, use a lot of vibrators, and know where your spot is.
Dr. Delucia: Yeah, learn your own body. I think that’s the biggest thing is don’t be shy in exploring and experimenting. I think that women need to be comfortable to do that. Once they figure that out, they can guide their partner in doing the same.
Olivia: Yes.
Cindy Barshop: Let’s not make a joke of it. I don’t believe in the whole mirror thing, look in a mirror and all that. I don’t believe in that.
Dr. Delucia: Oh no.
Olivia: I’ve never done that.
Cindy Barshop: Okay, good.
Olivia: That’s not … yeah. Estimate how many orgasms have you faked in your lifetime.
Cindy Barshop: Oh, god. I mean, I can’t count it.
Olivia: Like, I can’t. It’s so many.
Cindy Barshop: No, I’ve pretty much faked it with everybody I’ve been with at one point.
Olivia: Could you win an Emmy for your-
Cindy Barshop: No.
Olivia: Can you fake one right now?
Dr. Delucia: Cindy Barshop faking an orgasm.
Olivia: Cindy Barshop fakes an orgasm on Facebook Live.
Dr. Delucia: I suck at that.
Cindy Barshop: Come on, come on. Imagine you’re fucking some [inaudible 00:13:36].
Olivia: Alright, alright. It’s the shot, it’s the shot. We’re getting [crosstalk 00:13:42].
Cindy Barshop: [crosstalk 00:13:43] in this?
Olivia: Yeah, we do it all the time.
Cindy Barshop: Okay.
Olivia: True or false … Oh, actually we already did that. True or false, woman on top is the best way to orgasm.
Dr. Delucia: Yes, it is.
Cindy Barshop: Really?
Olivia: Yes.
Dr. Delucia: Yes.
Olivia: Okay.
Dr. Delucia: Yeah, because we’re in control. We can control the depth of penetration, plus the amount of friction necessary. That’s why.
Cindy Barshop: Really?
Dr. Delucia: Absolutely.
Olivia: Everyone out there, ladies, let’s try living on top tonight, huh?
Dr. Delucia: If you haven’t tried it, it’s liberating.
Olivia: Okay, this is true or false and I hate this kind of stereotype. If her vagina is loose, she’s been around the block.
Cindy Barshop: False.
Dr. Delucia: Absolutely false. Absolutely false. No. There is no correlation and there’s no way to tell. Looseness. Matter of fact, a woman who’s truly aroused will be pretty loose. That just means maybe he’s doing his job.
Olivia: Good job dudes, but don’t judge her if it’s loose.
Dr. Delucia: Exactly, exactly.
Olivia: Just take pride, take pride.
Dr. Delucia: Enjoy it, enjoy it. Exactly.
Olivia: Okay, last true or false. Your vagina looks the same for your whole life.
Dr. Delucia: Absolutely false.
Cindy Barshop: False.
Olivia: False.
Dr. Delucia: False.
Cindy Barshop: Sorry.
Dr. Delucia: We go through changes. Does our face look the same throughout our entire life?
Olivia: Certainly not.
Dr. Delucia: Therefore, it helps … And do men’s genitalia look the same their whole life?
Olivia: No.
Cindy Barshop: No.
Dr. Delucia: Neither does [crosstalk 00:14:58].
Cindy Barshop: But we can make it look pretty without surgery.
Dr. Delucia: Absolutely, we can-
Cindy Barshop: [crosstalk 00:15:01] the surgery.
Dr. Delucia: Yeah.
Olivia: Okay, this is a question for you. You don’t have to answer. Will you be showing up on the Real Housewives of New York.
Cindy Barshop: I don’t know.
Dr. Delucia: She doesn’t know.
Cindy Barshop: You mean this year?
Olivia: Whenever.
Cindy Barshop: I think I’m on it next week.
Olivia: Okay, well everyone [inaudible 00:15:17].
Cindy Barshop: [inaudible 00:15:19].
Olivia: I was a big fan and then I met her and I was like, “You’re the coolest human being alive.” Is there anything I forgot about VSPOT?
Cindy Barshop: No, I think she covered it. I love you. I think you’re awesome.
Olivia: I love you guys.
Cindy Barshop: I think you’re fun.
Olivia: I love vaginas.
Dr. Delucia: I think [crosstalk 00:15:34].
Olivia: I think we should do-
Cindy Barshop: Wait a minute, you love vaginas and-
Olivia: I mean-
Cindy Barshop: Lets clarify the line vagina.
Olivia: I love the fact that we are empowering women to love their vaginas.
Dr. Delucia: Yes!
Olivia: That was what I meant to say.
Dr. Delucia: I think that’s wonderful.
Olivia: We’re going to put the link to your website and the phone number in the comments section. Ladies, if you are too shy to comment or whatever, this is in New York City where?
Cindy Barshop: Call and we can answer all your questions. Honestly, this should feel good and comfortable.
Olivia: Yeah.
Cindy Barshop: I would pretty much answer the phone 50% of the time, so you could get me and we’ll talk about it.
Olivia: Maybe I’ll be here getting something else.
Cindy Barshop: We’re always together.
Olivia: Because I love coming to you.
Cindy Barshop: We’ve become BFFs.
Olivia: Yeah. Oh my gosh, I got my O Shot today and it was the best experience, pain free, and amazing. Loved it and I can’t wait to have some orgasms while I’m eating cookies today because it might happen. [inaudible 00:16:30] have an orgasm today.
Dr. Delucia: Cookie day?
Olivia: Today, I might. Go follow on Snapchat @distractify because I’m going to be live snapping the Drake and Future concert. We’ll be back tomorrow at 2:30-
Krystie P. Lennox He is an expert in [inaudible 00:00:02] class that sold out very quickly. Those of you [inaudible 00:00:16] I’m sure you’ll learn tons. Dr. Runels, to you.
Charles Runels: Thank you. So thank you guys for having me. Leonardo da Vinci said that he wanted to do miracles. And I think that if you are careful about selecting your patients, you can come close to doing miracles with PRP. And I think we might as well face it, if we wanted to make money, we could take half the energy and do real estate or something. But most of the people in this room, we’re here because we want to do miracles.
I have a couple of things, disclaimers, I have a couple of non-profits, no companies making money, although we’ve been offered some interesting money to put our brand names on different devices. We do have a group though, and much of what I’m telling you today comes from that group. I’ve become more of a note taker. We’ve published 2 papers so far this year, and 2 more that were approved this month. We’re in 50 countries now; this slide has gone up a lot just in the past couple of months. Many of the ideas that I’m giving you are from the people in our group. Many of whom are in this room, so my hat’s off to them.
Facial aesthetics. You heard some interesting ideas yesterday about shape, and I think it’s worth noting that some mathematicians have thought about shape. Leonardo da Vinci, Richard Feynman, actually 5 Jewish scientists won Nobel Prizes this year. Richard Feynman was a physicist who won 2 Nobel Prizes, and he was also interested in beauty. This is one of his notebooks where you see him sketching women on the same page where he’s doing math, and he had … If you go to the internet, these are all his sketches. Here’s another mathematician, Dr. [Marcourt 00:02:24] who was a bridge engineer and became an oral surgeon, and he did that topographic map. Lots of measurements about shape.
Here’s the guy for whom the movie The Elephant Man was made, and you can see that that shape would not be attractive no matter what color or texture. But the Blue Man Group, you can see even though they look like they’re made of plastic, and they’re blue, they would still be attractive because of the shape. So you heard a lot about shape yesterday, and when it comes to fillers, or HA fillers, I think there’s nothing that beats an HA when it comes to shape.
A lot of people who are disheartened by platelet-rich plasma, it was because they were trying to make platelet-rich plasma change shape. On the other hand, if you know how to combine it, you can do some amazing things with shape if you combine the HA with the PRP. To me this is the perfect candidate for an HA filler. You can see that she has loss of volume in the cheeks, she’s got some drooping. This is with an HA filler alone, this is no PRP, this is just an HA. Here’s HA done the wrong way. Chasing nasolabial folds and that’s me trying to correct it. So a lot of people tried to use, 8 years ago when I first started using PRP, a lot of people were trying to use it as a standalone, like an HA, and it will not work if you do it that way.
On the other hand, combined it can do … Literally do some miracles. So what is the technology all about? I mean what exactly is it? I know a lot of you are doing this. This is just a picture of a test tube full of blood. If you just let it sit there, and do nothing to it, eventually it would settle as like a sediment, like if you put sand and dirt in water and just let it settle, with the heaviest settling to the bottom first. And the centrifuge just makes that go faster. So the red cells are the heaviest, they’re at the bottom, and then that little pink thing in the center there is called the buffy coat, where most of the platelets live.
Now most of this technology evolved out of trying to heal hard to heal wounds. Dentists trying to heal a wound where someone had radiation for throat cancer. An orthopedic surgeon trying to heal tissue of the knee, where there’s almost no blood flow and cartilage. That’s where most of this technology came and a lot of the reason that the urologists, the gynecologists, and the facial plastic surgeons didn’t really have to look at it, because it’s a very vascular space, so there’s not really a need to try to work on hard to heal tissue because it’s not hard to heal. The devices that we are using were developed over the past 15 years by the dentists and orthopedic surgeons, and were just rebranded and repurposed for facial aesthetics and for the [inaudible 00:05:12] space, when we started figuring out that they worked in those areas.
So sort of an interesting opportunity in time if you think about it. Back in the 80s, as an example, the gynecologists were all using endoscopic surgery, but the general surgeons were not. The gynecologists were very proficient at doing hysterectomy endoscopically, and the general surgeons were still filleting people open to take out a gallbladder. And the first person to really teach how to take out a gallbladder endoscopically was a gynecologist. Something similar is happening now, in that you have a huge body of research that’s been published over the past 15 years about how to use platelet-rich plasma, but it’s mostly been looked at by orthopedic surgeons and dentists. And you are in opportunity, I think, to now take that research and apply it in these spaces. I’ll get to some of the research we’re doing, but first a couple of ideas about how it happens, and what about the FDA.
I hear this a lot, “Is this procedure FDA-approved?” And you may have patients who ask you that, about PRPs are FDA approved. The FDA does not govern your hair, your urine, your skin, or your blood. It’s the Food and Drug Administration. You can also call it the Food, Drug, and Device Administration, and I’m glad we have the FDA, but they do not govern your blood. However, they should be governing, and they do, the devices that are used to prepare blood to go back into the body. So if you’re doing these procedures, the correct answer is that the FDA does not govern your blood, but that’s a procedure. Just like if you were suturing a wound, the suture material is a device that must be approved by the FDA. But the FDA has nothing to do with how you suture and tie a knot when you’re sewing up a wound. In the same way, the FDA should and does govern the devices that process blood to go back into the body, but once that blood is in your hand, that’s your business, and the FDA is never going to have anything to say about that.
On the other hand, it’s called minimal manipulation. So if you take a piece of skin from one part of your body and you transplant it to the other, that’s your skin, FDA has nothing to do with it. Same thing if you harvest an egg for implantation. But if you do a lot to the tissue, the FDA says, “No, this is no longer tissue, it’s a drug,” and they’ve been warning us for the past 5 years that, “We’re going to start cracking down on the stem cell clinics, because stem cells are a drug.” So just be careful, if you’re doing or advertising stem cell work, you probably need to have that under the umbrella of the Institutional Review Board, because the FDA now counts that as a drug. But they specifically do not count platelet-rich plasma as a drug.
There’s lots of PRP systems out there, and they all have to do with just the best way to get those platelets, because again this was developed with the idea of getting as many growth factors as you can into a tiny space. For example a surgical wound in the jaw, or in the knee, where you want a lot of growth factors in a small space. We don’t really know what the absolute best therapeutic concentration is for easy to heal tissues. In the joint space, the research seems to indicate that somewhere around 5 times concentration of whole blood works the best. Honestly, I’m not so sure that whole blood has platelets in it. When you do surgery, when you do a biopsy, you don’t have to go use the centrifuge. The same process, the [inaudible 00:08:52] cascade, the growth factors caused that wound to heal. So 1 to 1, the same concentration that is whole blood, that’s all you need to heal a surgical wound.
I’m not so sure that wouldn’t work with the face. We don’t know. But there’s 2 basic kinds of kits. There’s a single centrifuge, like a gel kit, and there’s a double centrifuge. The orthopedic surgeons would tell you, “You need a double centrifuge and 5 time concentration,” but we don’t know yet what we need for the face, and the [inaudible 00:09:27] space. Always laugh when people say, “Well there’s no research to back this up.” If you just go to PubMed and put in “platelet-rich plasma,” there’s 9,000 papers that have been published. Just 1 of the manufacturers, and there are over 20 of them that are FDA approved, just 1 of them sold over a million tubes last year alone. Do you really need to do, if you show wound healing, and fibroblast activity, and [inaudible 00:09:53] in the foot, do you need to go repeat that research for the arm and ear and the genitals? Maybe you do. But maybe, at least for some indications, you don’t.
Section 1 of 5 [00:00:00 – 00:10:04]
Section 2 of 5 [00:10:00 – 00:20:04](NOTE: speaker names may be different in each section)
Charles Runels: But maybe, for the least some indications, you don’t. And so we are publishing studies specifically for the genitalia and the face, but it’s laughable to me when people say there’s no research to back up what we’re doing. Here’s some of the growth factors. The other thing that people often get worried about is well, growth, is it indiscriminate? Like throwing fertilizer on your lawn and you’re gonna grow bad horrible things like neoplasia? Or is it more intelligent? I think it’s more intelligent because, if you think about what you’re doing, these growth factors were … They’re made to heal a wound. So it makes sense that it would help fight infection, that it might help fight foreign bodies and nurture healthy tissues versus unhealthy tissue. And indeed, in all of those 9,000 plus papers, there’s never been one neoplasia documented, there’s never been one serious side effect documented, except in one case where it was injected into the eye, where they had a retinal detachment. So no one do a shot anywhere near the eyeball.
And if you had a serious side effect, you would literally have the first one known to mankind. So although it doesn’t cure everything, this is something that can change lives and you never lose sleep over it. You’re not going to cause blindness, necrosis. You’re literally injecting what the body would use to heal itself if you did injury.
IG [inaudible 00:11:34], as a matter of fact, is what we use to document and measure acromegaly, that’s one of the growth factors that are released. And people who have acromegaly, or high growth hormone levels, like Tony Robbins and these big guys. They have 25% less cancer than in the general population. So you could make the case that perhaps it’s even protective for neoplasia.
So here’s some of the things that PRP does. Collagen production, fiberglass neo angiogenesis, neurogenesis. Stefani did some nice work with some gel tubes back in 2010, 2011. Published quite a bit showing fiberglass activity and [inaudible 00:12:13] proliferation and not just numbers, but enlargement of fat cells, which makes it intense, right? What’s the easiest thing to grow in you body? It’s fatty tissue. And fat cells just go crazy with this. Which, if you think about it, that’s helpful, because if you had fat in the cheek or the breast, you might be able to make those fat cells, enlarge and multiply and have a nice cosmetic effect. And indeed, I’ll show you some pictures shortly, where that is true.
Now this is just an example of we do have double blind placebo randomized control studies in different parts of the body. Here’s one with [dis 00:12:48] disease. Here’s one where Stefani injected the back of the arm and biopsied and demonstrated all these tissue types generating healthy tissue. But here’s two studies that are particularly interesting to what we’re doing. In these studies, they had people who had exposed bone and tendon or the foot and ankle, from trauma. So the skin has been torn away. You’re trying to regrow the skin.
And in one group, they had a layer cake, where you had an HA, like a Juvederm, but orthopedic version of it. And then you had on top of that, PRP. And the other group just got the HA covering. And they looked to see who could grow the skin back. And the people who had the layer cake, which is what we do when we do it in the face if we’re trying to change shape, and HA followed by PRP, you do your best work with an HA filler and then polish that odd with platelet rich plasma, that’s what they did. And the people who got that layer cake more easily and quickly grew back healthy tissue to cover the exposed bone and tendon.
So here’s an example of a scar that I treated. You can see this woman had, the year before I did this, she had a cortisone injection in the ankle. This was little college woman who was embarrassed to wear a dress to sorority functions because she had cortisone that caused atrophy of the skin. And if you look carefully, there’s to hypopigmented scars. One of them is where she was cleated playing soccer. And then when it didn’t heal properly, she went to the dermatologist who biopsied it. And the dermatologist said, “Yes, this is atrophy from cortisone. There’s nothing I can do.” And then six months after that, so a year after the cortisone, she was a friend of one of my sons and asked me if I would treat her ankle. So she came in and you can see it goes all the way up the leg. And so I put one CC of an HA filler there, and five CC’s of PRP. So you can still see the needle marks. This is a few days later. This is a month later. This is a year later.
It’s now been seven years since I’ve treated this woman’s ankle. She’s an insurance salesman now. I bought some insurance from her to pay her back for me showing her ankle around the world. And it still looks like this. So when people ask you, “How long does this last?” Well, the answer is, if the edeology is gone, it’s permanent. You do not have to go spin blood and do a centrifuge to keep a surgical wound from dehiscing, so if you have an operation and you suture a wound together, when it grows back together, it’s there permanently. On the other hand, if the edeology is still present, then it will need to be repeated. For example, with we use PRP for a woman who has dyspareunia, she has dryness and painful intercourse because she cannot be on estrogens and she’s had breast cancer. This is the balm. That’s an easy treatment for us. And she will get lubricate and she will love you for it and you will change her life. But she’ll have to have a repeated treatment in about a year because the edeology is still there.
When you treat a woman, however, who’s had an episiotomy scar and has severe pain after she tore after she delivered a child, you will also change her life and she will love you for it. And I have people that I’ve treated like that six, seven years ago and they are still comfortable because they haven’t delivered another 10 pound baby. With the face, however, age still goes on, as you guys know. We can’t freeze people in time. So when you do this with the face, they’re probably going to want … They’ll still want their Botox, they’ll still want their everything you do to maintain the face, the creams and everything else and they’ll probably want this procedure done again in a year and a half to two years, just because of age. But the tissue that grows there is permanent.
This is what you can do with one syringe of a filler. The fillers last longer and it’s like it polishes off your work. This is one syringe of filler and five CC’s of PRP. So you have an effect that is I think more natural, in some ways more dramatic than you can do by using larger volumes of filler. The other thing if you think about that ankle, it’s growing based on the genetic code. When you use your filler, it’s what you’re seeing. It’s your eye. But you cannot make an abnormal shape with PRP because the shape that grows is dictated by the genetic code. So it’s a really nice combination where you make some structure with your filler, but then let the genetic code polish off the structure you’ve made to create a really nice natural shape, which of course is what your patients want. They want younger and they want natural.
Micro needling has been more well known. As you guys know, we have a name that we use to help promote that. We’re all over the news. This time of the year is a great time to start to join our group because people love talking about us around Halloween. I won’t say the name, but you guys know it. So if you use micro needling … Split face studies have been done for scarring and for just rejuvenation and anti aging type effects. Comparing micro needling with platelet rich plasma versus micro needling with vitamin C, micro needling with platelet rich plasma compared to micro needling with saline, and the PRP wins. Multiple studies. Those are two examples. And the same thing with the hair. That treating alopecia areata, treating hair loss. Most women will get all their hair back. Men will get about 30 to 40 percent of their hair back. And those studies have been done over and over now. So much has come out in the past couple of years.
So let’s switch to the sex part. I hope that the women in this room become angry. You have reasons to be angry. If you’re not angry when I finish this next part, I don’t know. Maybe you’re not listening. Because you should be very angry with what I’m about to tell you next. So before I get to that, the people … I can see several people in our group in this room, and they will tell you that this becomes some of the most rewarding things that you will ever do in medicine. If you think about it, even when you’re doing the face, you’re really a love doctor, is what you are. Because why do you need your face. You relate to the people you love. You relate to the people you work with.
If someone throws a baseball at you, you cover your face and your genitals because those are sacred and the reason they’re sacred, it’s because that’s how we relate to our lovers. And Emerson called sex and beauty the scaffolding of love. This is me before I shaved my head. And those are my three sons. That kind of hair, [inaudible 00:19:46] about sex just doesn’t work. This was more conservative. But this was me as an internist with my three boys. And the reason I give you that picture is so that you can see, this is not sex for pleasure, although pleasure’s wonderful. This is sex for relation-
Section 2 of 5 [00:10:00 – 00:20:04]
Section 3 of 5 [00:20:00 – 00:30:04](NOTE: speaker names may be different in each section)
Charles Runels: – for pleasure, although pleasure is wonderful. This is sex for relationships. When sex doesn’t work, then babies live down the street and they go back and forth and people get divorced and the ripple effect goes throughout the community. People are married for 40 years and they’re soulmates, but they can’t connect like they did when they were younger and it puts a strain. This is not just about pleasure. I’ve been amazed and the people in our group have been amazed at how grateful people are when you do these procedures and you save the relationships.
It’s not just about sex. Real key talked about the creative experience being related to the sexual function. I have many women that I’ve treated who say, “Why should men have all the fun?” I don’t even want a lover. I don’t want a woman lover. I don’t want a man lover, but I have sex with myself. My sexual function gives me energy and creativity. It makes me a better salesperson. It helps me sleep better at night. It makes me less depressed, so it’s okay to love yourself. This is not just about even the relationships with another person. It’s about relationships with your creativity. Sex is so all encompassing.
Now, this is the part that I hope makes you angry. In 1980, who knows what was thought to be the most common cause of erectile dysfunction. This should shock you. I’m 58 so I remember this. In 1980, the most common cause of erectile dysfunction, this is from urology in 1980, and I’ll blow that up where you can read it, most instances of acquired impotence are psychogenic. It was thought to be 85%.
Urologists in particular were confronted with genital problems and may be best suited as therapists. It wasn’t until we accidentally discovered that Viagra got a lot of these guys well who we thought it was all in their head that we figured out it’s not 85% psychogenic, it’s 85% neurovascular. I think it’s useful to remember how not smart we were. Imagine being one of these guys where your erection won’t work and you’re trying to keep your marriage together and somebody’s sending you home telling you it’s all in your head. Okay?
This is the part that should make you angry. Female sexual dysfunction, what are we telling people? Education, counseling, psychotherapy. We finally got the first drug approved to help women with sexual function and it’s a psych drug. You have to become a teetotaler to use it. It’s basically a spinoff of a serotonin dopamine Prozac sort of drug. We’re taking it every day the average is one extra sexual encounter per month. It’s just for libido. Nothing for painful intercourse or trouble with orgasm.
What I’m about to show you, I have no intention to tell you that this is some magic shot. I still think you have to think about endocrinology and relationships and surgical problems like ovarian cysts and cervical cancer and all that. I also want to propose to you that the penis is physically and embryologically like a small … the clitoris is very much like a penis and that maybe it may also have things that can go wrong vascular and neurologically.
To tell a woman that it’s all psychogenic who has pain because she delivered a 12 pound baby and ripped her vagina is criminal in my opinion, or at least should make you angry. That goes on every day, “Oh, here’s a little lidocaine cream. Go home baby. It’s all right.” I’ve had so many gynecologists tell me they do not want to talk about sex. Research bares it out, even though 40% of women will have sexual problems. They’ll only have the conversation 14% of the time, and if they bring up the subject, the doctor will change the subject after the first question. Now, if you’re not angry you should just go have lunch because that should make you very angry.
I don’t claim to have all the answers, but I claim to have a tool that I think is useful and I’m about to show you the research that shows that it’s useful. I hope that some of you guys will jump in on this revolution. Now, the sex revolution of the 1960’s was it’s okay for a woman to have sex. I’m from Alabama, so I’m from the Bible Belt. The 1960’s I can remember as a child all the ladies carrying their New Testament around. Now, they all carry their 50 Shades of Gray around. Okay? Which is a good thing because now the new sex revolution, and this was a cover of a Newsweek magazine article about the time 50 Shades came out, is that now it’s okay for women to want to have good sex. You don’t have to put up with bad sex. We are part of that revolution.
Now, we just went through this. The reason I show you those pictures again is the idea that maybe if there’s a genetic code and you put platelet rich plasma there and the tissue grows back to recreate tissue the way it was genetically intended to happen, maybe that might happen around the urogenital space and create something nice.
First, let me show you what happens with the breast. I’m not trying to give you something that would take the place of implants, but look what we can do. This was a woman who had two separate surgeries. First, to get implants at a major university in a big city from an amazing surgeon, but this just happens. You see where she has a little double bubble there? The cleavage is a little bit apart, so she had it repeated. This is beautiful surgery, but it’s a nuisance, so she had to wear that blue bathing suit right there to cover up that little double bubble. I took two syringes of Juvederm, filled in that little double bubble.
Now, remember the ankle? What happened there? This is six months later. By the way, she looked like that immediately, but I’m showing you the six month view and the bathing suit she wears now so you can see that just like with that ankle, it’s not going away because she recreated tissue to fill in that double bubble. I treated both breasts, so it also brought the cleavage.
Anybody in here think you might have a patient that would like you to do that for them? They love it and they can go … I’ve treated Playboy Bunnies that shot, one shot three weeks after doing this. She could have shot the same day with a little makeup. I’ve treated women that went straight from my office to the swimming pool. People love this procedure. Not as a replacement for implants, but for a touch up for women who’ve got a little nuisance defect or for a woman who’s not really wanting implants, she’s just wanting a touch up to make her breasts more like they were 5 or 10 years ago.
As far as the safety of that, here’s some studies showing the platelet rich mixed with fat helps the fat survive. Most surgeons are now mixing fats with platelet rich plasma before they put it in the breast and we have multiple studies showing … I’d just as soon buy that, but there’s two different really long-term studies looking at what happens with re-biopsy rates and cancer rates when you put fat in the breast trying to reconstruct post-breast cancer.
The trend is towards less cancer. It wasn’t statistically significant. There was no increase in biopsy rates. No increase in recurrence of breast cancer. The trend was towards less, which makes sense if you buy the idea that platelet rich plasma is somehow helps fight infection, fight abnormal tissue. I’m not claiming this is an inoculation against breast cancer, but I think 20, 30 years from now someone is going to do some long-term study that shows that perhaps it decreases the chances.
This is another woman that I treated. That’s day one. I use a combination of HA with PRP. I wound up using three Juvederm syringes and about 15 ccs of PRP. These are saline implants that are about 15 years old and that’s 8 weeks after that procedure. Remember how easy fat grows and remember my ankle? This was a combination of fertilizing fat and using an HA filler to help correct, and her husband calls me up belated because he doesn’t have to suffer with her through another surgery.
As far as the genitalia itself, imagine this woman walks into your office. She’s got that callus because she has to use a vibrator that’s like a jackhammer and it takes her an hour to have an orgasm. The reason is her ex-husband abused her and the genitalia, the anus and the vagina, and left her with so much scar tissue it hurts to have intercourse with a man. She feels unlovable. All of her hormones are normal. Multiple gynecologists. What can she do?
She saw me on her lunch hour. I gave her platelet rich plasma into that callus and into the scarring that she had. I didn’t think of the idea that PRP helps scarring. We’ve known it for 10 years. It’s just a new idea to it treats scars in the vagina. People are afraid for some reason to go down there, but that has collagen and blood flow just like your arm or your face. Six months later she was engaged to a high school sweetheart for something that took me 30 minutes on the lunch hour after she had suffered for years.
These have been reorganized recently, but these are the description of female sexual dysfunction. As I mentioned, we only have one approved drug by the FDA to help these problems. It’s only for arousal and desire. Nothing for orgasmic disorder. The treatment for pain is lidocaine cream and-
Section 3 of 5 [00:20:00 – 00:30:04]
Section 4 of 5 [00:30:00 – 00:40:04](NOTE: speaker names may be different in each section)
Charles Runels: … [inaudible 00:30:00] cream and anti-depressants. It’s really aggravating.
Now when it comes to incontinence, who in here would put Radiance in the mouth? Nobody, right? Because it links to granuloma. But there’s an FDA approved version of calcium ascorbate crystals called Coaptite to inject around the urethra, approved by the FDA for urinary incontinence. And as you might expect, one in 40 women get the granuloma, that has to be surgically removed, because it causes obstruction. But it does work, and it’s approved because it does work. There has never been a documented granuloma from PRP. So, I didn’t think of the idea to inject something around the urethra that you can use a little 27-gauge needle, and I promise you, if you learn it the way I teach it to you, they will tell you it hurts less than Botox.
People think the vagina is sensitive. You can literally make a laceration on the vagina without numbing cream. All the sensation is on the other side, where the clitoris drapes down around the vagina and the urethra. That was Doctor Grafenberg’s big idea. Doctor G. for the G-Spot, that all the stimulation is happening on the other side of the vagina. So, you can do these injections with almost no pain, usually zero pain and have dramatic effects on –
This is just some of the research showing the granulomas that happen when you use the calcium ascorbate crystals.
But, you can do this without fear of granulomas and sure, it does not work all the time, but it does work in a young woman who’s leaking because she’s exercising or because she had a baby, and she’s dripping a bit enough to where it bothers her at work and keeps her from doing aerobics. We get over 80-percent efficacy and even if it doesn’t work, these ladies are usually very grateful that you have offered them something non-surgical before they went for a mid-urethral sling or had to take anticholinergic or a diaper. So they’ll love you when you do this.
These are all the other things. All those still stay there. Kegels. They all still there. There’s still a need for slings. But, in between physical therapies and anticholinergic, that’s a big jump. Something that makes you feel stupid and constipated, you might want to try a 10-minute shot before you jump to that step. We get lots of press.
This is a cartoon of an urethra up on top, and the reason I put this here, I want to see where we put this injection when we’re treating incontinence. It’s like a liquid sling. Where you see a green material there, that’s a cartoon of the skins glands and the periurethral glands. It’s literally like the prostate gland of a man, but a man ejaculates once the fluid comes from the prostate gland.
And women who ejaculate, we have ultrasound studies and physiological studies. The fluid that comes from that, if you gave it to a pathologist, she would not be able to tell the difference between that and prostate fluid. It tests positive for PSA. It’s not like the goal is to have all women ejaculating, but when you put the injection right there, you will have women who will tell you their orgasms become…they use words that sound like some infomercial. They’re exploding and thunder and all sorts of things.
I can read you a text I got yesterday about this. It’s amazing and women in their 60s becoming ejaculatory. Wasn’t their goal to do that, but their orgasms become amazing. And I think part of what’s happening is that we are making that tissue there wake up. So, the space most distant from the bladder between the vagina and urethra, that’s where we do the injection. Simple little technique. Don’t even need a speculum. Takes five minutes.
Now this is the clitoris. Most people when they think of the clitoris, they think about the part that you can see. But, you can see it drapes down around the vagina, and we have ultrasound studies that showing that when we inject the platelet rich plasma, which travels like saline, it’s aqueous, we can see it going down into corpus cavernosi, bilaterally. And even the weigh form changes to what you see in a flaccid penis to what you see in an erect penis. It wakes it up.
Now, we have studies. This is one that was posted in the Journal of Sexual Medicine, showing that when you do an MRI of women who can easily have an orgasm and when you do MRIs with women who have difficulty with orgasm, the women who easily have orgasm tend to have a clitoris that’s larger and closer to the vagina.
It’s kind of odd thing to think about but when men and women have sex, they’re basically rubbing penises together. Or you can say they’re both rubbing clitorises together, however you want to look at it. But, it’s the same structure. It’s just like a penis that you unzipped when you think about the clitoris. And so it makes sense that if it’s closer to the vagina, then it’s more easily to have the orgasm. But the conclusion of the study was, “Well we know this, but we don’t know what to do about it.” I’m telling you there may be something to do about it. Because when you inject the clitoris with PRP, it wakes up.
Because one of the studies we did when we looked at female sexual function index, the female sexual distress score, and all the ranks improved. Satisfaction, which is another thing that I hope makes you angry. Satisfaction did not always improve. But this is the interesting thing about drugs in men verses drugs in women. If you went to approve a drug for a man that gets…of course we have over 20 FDA devices and drugs for men. Now I just told you we have one for women. Does that make you angry? It should make you angry. If it doesn’t, just go have lunch.
Men have over 20. Women have one. And the one women have is a psych drug, but to prove, we’ll say you want to get a drug approved for a man. All you have to do is to prove that it makes his penis hard. Boom. You can say. If you want to approve a drug for women, you have to approve that not only that said libido goes up, orgasms improve. You have to prove that she’s more satisfied. That’s not the same thing. For example, one of the ladies I treated became less satisfied, even though her orgasms improved because she said her lover couldn’t keep up with her anymore. So, if that were a drug, it would have been disproved because she became less satisfied. So, hopefully that’s making you angry.
It sounds cool to say that we will have a couple thousand providers in 50 countries, but there’s 35,000 gynecologists in the United States alone and there’s another 30,000 urologists. There’s 200,000 primary care providers, including nurse practitioners and MDs, and we have 2,000 worldwide. That’s nothing.
The average time to adopt a new procedure is 20 years. The first heart cath done in the 1940s. So the fact you’re even listening to me makes you know you’re a doctor. It takes 10 years to do the research. 10 years for people to adopt it. We’re eight years in, and now, the first year we publish one study. This year, by the end of the year, we’ll have five studies published this year alone. And so, the research is taking off and now is the time to jump in.
Again, I don’t claim that these procedures are magic shots. You still have to think, “these are the hormones I think about when I think about a woman’s sexuality”. I want to know about her prolactin, her DHA, her testosterone. All these things. So, you don’t quit thinking about this. On the other hand, it sort of aggravates me when I have a sex therapist want to therapy and counsel someone out of their dyspareunia when they have a [inaudible 00:37:51] up there that I can treat.
So, this is a young woman and I’ve just treated one side so you can see. I get a lot of flack from people sometimes, saying, “well you should just let women let their vagina be whatever it is,” and that’s okay. But what if we said the same thing about the face? When people say “Well, you should just age gracefully.” always go back up and would you say that about your house? Would you not paint it? Not wash it? Not mop the floors? Are you just gonna let it age gracefully? If you have the right to take care of your home and your face, it is okay to take care of your labia. And so, this is just taking some platelet rich plasma and half a syringe of an HA filler and just treating one of the labia majora and it just wakes up and looks happier. Who wouldn’t want that?
And I’m not going to show you my more dramatic cases. This is a woman in her mid-30s. When you do it to a woman in her 60s or 70s, we know sometimes they look in the mirror and start sobbing, because “Oh! That’s what I used to see when I was 30.” So, that’s just something else.
Now, there’s a lot of devices out there. Lasers, radio frequency, and it’s not a new idea. When you do the face, we’ve known for 10 years, when you do a laser, you follow it with platelet rich plasma, you get a more rapid healing and get a better result. So, the same thing happens with the vagina and all the luminaries who are doing research with the different lasers and radio frequency devices, they will tell you that if you follow it with platelet rich plasma, you get a better result. I don’t use the words, “tighter vagina” or because [inaudible 00:39:28]. Maybe it needs to be tighter. Maybe it needs to be more – maybe she’s married to King Kong. I don’t know.
And there are quite a few people who, due to surgery or because of some sort of disease process, they use dilators. So, not everyone needs a device, but I would say to you before you buy a device, consider doing it like you do at your facial practice. You start with your injectables, and when that part of your practice is going, then you buy the device. You don’t the device and let it sit there and eat up your bank account while you look for patients. So, in the same way, once you get to where you’re doing these procedures…
Section 4 of 5 [00:30:00 – 00:40:04]
Section 5 of 5 [00:40:00 – 00:58:28](NOTE: speaker names may be different in each section)
Charles Runels: … patients. So in the same way once you get to where you’re doing these procedures, then you go buy the device and some of them will benefit by using that along with your platelet rich plasma. So we published a paper this year in the Journal of the American Academy of Dermatology. I’m very proud of that article because until we published this, there was really nothing out there for women with blackened sclerosis other than [inaudible 00:40:26] which leaves them with a 10 percent chance of squamous cell carcinoma. Now that may sound rare to you, blackened sclerosis, but it’s about one in 80 women and also goes undiagnosed and I’m showing you this eczema because imagine that’s your labia because that’s what it looks like, and these ladies because of our research have let me into their closed Facebook groups and the stories are just heart wrenching.
One woman posted I was rocking because it attacks prepubescent girls and it eats their labia away and by the time they reach puberty their labia is gone. So one woman’s post how she was rocking her 12 year old and her 12 year old’s crying and she doesn’t know what to tell her. Another one posted she’s sitting there on the couch with her husband whom she loves and has been married to for 20 years. They’re watching television, get the picture? They’re sitting on the couch. She loves the man, and she wants to hold his hand, but she doesn’t because she’s afraid he’ll become aroused because that’s what her vagina looks like, and she’s hurting and bleeding and does not want to have to tell him no. Can you imagine the loneliness? And that’s out there, and they’re not going to talk about it with you if you’re their best friend because they’re embarrassed by it.
But anyway, so this is eczema, the same autoimmune process, both processes are autoimmune, and this woman was treated with PRP by one of our gynecologists and that’s six weeks later, and she was disabled from that eczema, okay? So anyway, we published first in the Journal of Lower Genital Tract Disease. Andrew Goldstein spearheaded this research for us, and then we published again in the Journal of American Academy of Dermatology. This had already been done with stem cells, but most of the stem cell studies, the stem cells have to be in something, and they’re usually in PRP. So it’s really two variables. So we just skipped the stem cells and did it with platelet rich plasma by itself, and we showed benefit. These are biopsies from our patients and this is the same magnification, so you can see the hyperkeratosis, the paleness, the sclerosis, and this is after platelet rich plasma.
So that’s what the pathology looks like, but this is what it looks like when you go to the bathroom, those ulcerative type sclerotic bleeding, cracking, painful lesions and that’s what you see six weeks later. So that’s a little article that we published, and this is, we had two [inaudible 00:42:54] pathologists who looked at it and told us it was better. This is what it looks like long term. This lady, you could put about half of your thumb in that space that used to be her vagina and she had not had sex with her adoring husband for seven years. You can’t pull her clitoral hood back but it’s under all that scarring. Normally if you release that, it would be back like that within a couple of months because of the active lichen sclerosus, but if you, in this study, and Kathleen Posey’s one of our gynecologists who just presented this down at a big meeting in Argentina and this series will be published, actually it’s already out online but it’ll be in one of the journals this upcoming month. She dissected this out in the office, injected with PRP and that’s eight weeks later.
This woman is now two years out and still having comfortable sex with her husband. She had not had sex with her husband for seven years and was being treated with high dose clobetasol, high dose cortico-steroids and still had that scarring like that. Now, if you’re not a gynecologist you couldn’t do the surgery, but you could treat the lesions in people who did not have that hood phimosis and they will love you for it and they will come from everywhere. So, I have 17 minutes. Let me get to the men side. So, John Grisham has a rule. He says he will never write a book that would embarrass his mother. So, Priapus to this being the Greek god of fertility is from, and spelled with a lower case letter is the synonym for penis, so that’s why I call this the priapus shot so that I don’t embarrass mothers and grandmothers out there. Sort of code for penis shot. This was the research that first kind of alerted me to it. This is from Urology 2003.
If you’re using Viagra and Cialis or a penile implant or every one of the 20 something devices and drugs that are approved to treat erectile dysfunction, if you’re using one of those, you might be making the penis hard but you’re not correcting the underlining etiology, and so this article was just bringing up the idea 2003 that neovascularization was shown in animal models and maybe it might help in people. So, 2010, this article came out where they took diabetic rats and they used stem cells, adipocyte derived stem cells, injected the penis of that rats and then they harvested the penis. You can see why they wouldn’t have men volunteering for this, but they harvested the penis and they demonstrated that increased nitrate oxide activity in the dorsal nerve and new endothelial growth which means a harder, bigger penis. Now, women, I think God sort of plays a bad joke on us because let’s think about the normal progression. You get married at 20 or 30 or whatever and you have your soul mate and sex works. Now, the woman delivers a few children and her vagina’s growing and the average man by the time he reaches 65, half of his endothelium goes away, so his penis is shrinking and her vagina is growing.
It’s just a bad joke, isn’t it? But when they come in as a couple and we inject the penis on the man, it’s almost like, it is a romantic thing. They’ve been married 40 years, they’re going on vacation. You inject his penis. Then he sits at the head of the bed while you inject her vagina and they’re like little teenagers and you get a text a week later how they’re rediscovering their bodies because they work different and they feel different. So they get to keep the soul mate and get new genitals. It’s really very touching.
But anyway, in this study, they documented that but the stem cells were tagged and they died, and so they postulated it was the growth factors as in the PRP that caused the growth. So that’s what encouraged me to sort of try this thing out first on my own penis and then other patients and now we’ve published. A study came out of India, one of our providers in India treating men who had smaller almost micropenis, three inches, showing that he could demonstrate growth, and for Peyronie’s disease which is the equivalent of dyspareunia in women, we have a crooked penis that hurts. So Dr. Varag who is the Parisian urologist who came up with TriMix, now his focus is on looking at what platelet rich plasma will do for a crooked penis which looks like that. So this is the equivalent of a woman who hurts. The man loves his wife, but he knows if he gets an erection it’s not going to fit into her vagina and it hurts and basically he feels like he’s out of commission, and the treatment for that is surgery which can leave you impotent and with a shorter penis and it can recur because it’s autoimmune.
You can cut out that scar tissue and next year you can have it back. Well, there’s a new FDA drug out called Zyflex that costs 50,000 dollars for a series and Dr. Varag has a study, he’s already published one but he has another one that should be out soon, I saw him present in Venice that shows that PRP works better with fewer side effects than Zyflex. So you will see that research published soon, and this is a procedure that takes you ten minutes in your office. This is the study that he, the first study he demonstrated that PRP works for Peyronie’s disease. We combine it with a penis pump which also helps Peyronie’s disease, and we get some of the hard cases for the urologists are our easy cases. Here’s two rat studies that came out showing that PRP helps regrow the nerve in a penis. Where would you need that? In men who have prostate surgery. So there’s a whole protocol about penile rehabilitation post-prostate surgery.
You think there are a few of those men out there, trying to get their penis to come back after they’ve had, there’s just so many of these men, and many of them have gone through this protocol but when we go back through it, which is a, basically you keep, it’s just a glorified water balloon so you keep the penis stretched out until it recovers blood flow, and then you add a daily low dose Cialis, but when we add the PRP to that protocol, I’m having men that are a year or two years out when it didn’t work and now six months later they’re back able to have sexual relations with their wife of 50 years. So really, really moving stories, and it’s just using, injecting into the penis platelet rich plasma just like, it’s easier than the face. It’s just right there to look at. You go into the corpus cavernosum with your needle and into the glans penis and get amazing results.
Just like with a face, you can combine it with devices like the shockwave therapies. So you do shockwave to the penis and PRP afterwards, and get a synergy that’s like crazy, so once you get to where you’re doing two or three of these a week, you add in the shockwave therapy and you get even better results and a really nice cash flow and a lot of healthy patients. So, I have ten minutes left. I think I’m going to stop there. Can we take questions or should …
Speaker 2: [inaudible 00:50:21]
Charles Runels: So that’ll give us time for questions. Before I take questions just let me say we have a booth here and your money’s no good, but we’re giving away stuff. We give away research. We give away free training on [inaudible 00:50:35] because I know if I just showed you one of the videos to how to do the O-shot or the vagina shot that’d be 20 minutes of a video but we’re giving away a chance to see those things and of course if you stay in our group then we might ask you for money but we let you look at everything and so go pick up, if nothing else, a free t-shirt. Okay. So, and that’s where you can go online and get access to a lot of things for free. So, it’s okay to take questions?
Speaker 2: [inaudible 00:51:03].
Speaker 3: I think I have a loud voice. I don’t know. Can everybody hear me?
Speaker 2: [inaudible 00:51:23].
Speaker 3: Okay. So, when you said [inaudible 00:51:26] when you do [inaudible 00:51:28] then do you do micro-needling or are you going to PRP with injecting …
Charles Runels: So that’s a good question. So, if you want to, a lot of people tried PRP back eight years ago when I first started playing with it, and then sort of threw it aside because people said use it like Juvena. It doesn’t work like a filler if you inject it subdermally. You get new collagen, but it’s like your putting new upholstery but you’re not changing the shape of the mattress. So if you want color, texture, the picture you see of Kardashian, she was pregnant when she had that done. PRP is very safe, but so micro-needling with PRP topically would help color, texture, but if you want shape then that would be going in subdermally with your HA of choice, doing your best work and then going subdermally with PRP behind it to polish off that work similar to what you saw with the breast and the ankle. Does that make sense? So the facelift would be subdermally, the facial, so frankly speaking what happens when a patient comes in if they have acne scars, I may use a filler as you saw those beautiful photographs yesterday in the lectures to expand it and make it better and then you put PRP subdermally and then micro-needling and PRP topically on top of that.
So use a combination of tools based on what you’re seeing.
Speaker 3: So you’re saying both, micro-needling and …
Charles Runels: Depending on what I’m seeing. If someone came in like yourself who has a nice color, texture already but wanted a little touch up with the shape, then I may not do micro-needling. I may just do subdermally with the HA and the PRP, where if you were complaining of crepe papering under the eyes and some acne scars, I may just do micro-needling with PRP topically, so it’s kind of based on what you’re seeing.
Speaker 2: [inaudible 00:53:19] question. Okay, so [inaudible 00:53:22]. So I have a question.
Charles Runels: Okay.
Speaker 2: If you [inaudible 00:53:31] tear troughs, how much [inaudible 00:53:35]?
Charles Runels: Oh, yeah. Yeah. Thanks for asking that. So I’m doing a experiment with my face. I’m not sure if it shows up here, but I have a little trick that I do where I take a small [inaudible 00:53:46] of an HA and mix it with a larger [inaudible 00:53:49] of PRP and make a little emulsion and using that, you can use it, it’ll flow in the tear trough like water but you don’t have to worry about a Tyndall effect and you don’t have to worry about causing too much unsightly lumpiness that you get if you’re not careful with an HA. So, that’s what I’m using in the tear troughs.
Speaker 2: [inaudible 00:54:15].
Charles Runels: Yeah. So it’s okay to use brand names. Yeah. So, with that ankle picture that I showed you, that was Juvena multiplus, one cc with five ccs of PRP on top of it. What I found is that when you put the PRP, well you saw it. That ankle’s now eight years out and still looks like that, so that combination is very dramatic. If you go to the wound care and it lasts longer. So if you go to the wound care literature, you see that using an HA with a PRP overlay sort of layer cake with amazing results. It just hasn’t been published as far as I know in the facial aesthetics literature. I’ve been all about the sex. That’s where our group spends about 200,000 a year on research and like I said we’ll have five papers published this year because there are so many things out for the face already, but nothing. Are you angry yet? Hopefully you’re angry. You should be angry when you leave here. That part makes me angry that women have one drug for sex and it’s a site drug. So that’s where my resources have gone.
Speaker 2: So we’re going to take [inaudible 00:55:30].
Speaker 4: [inaudible 00:55:32].
Charles Runels: Have I treated children with lichen sclerosus? Was that the question? I’m sorry. I couldn’t hear.
Speaker 4: Have you treated children with lichen sclerosus [inaudible 00:55:50]?
Charles Runels: So I personally have not, but we have gynecologists in the group who have treated children and they’re usually in the nine to 11 year age group. Because it’s PRP, there’s really, there’s nothing dangerous about your own platelets, and so there’s no contraindication to treating a child with platelet rich plasma.
Speaker 4: [inaudible 00:56:21]? [inaudible 00:56:33] versus platelet rich plasma?
Charles Runels: Oh, yeah. Yeah. So, I like when sales people play with words and I have, did your dad ever tell you jokes you wish you could forget? So my dad told me about this woman who just, in high school, that just had sex twice, once with the football team and once with the basketball team, so you kind of have to know what people mean and I know people throw around the platelet rich fibrin matrix and say oh, that’s, this one’s not good because it has red cells or this one has a different kind of white cells, and all the sales people are confusing everybody, and this one makes fibrin matrix and this one just makes PRP. When you do surgery if you just stop and use your common sense, when someone does surgery or you scraped your knee as a child nobody had to sort out the different types of white cells, you just grew new skin. And it’s the same process. It’s the thrombin cascade is growth factors from the platelets and then it’s recruitment of [inaudible 00:57:30] stem cells that migrate from the bone marrow and regrow healthy tissue, and it happens with platelets.
Now, as far as the matrix goes there is a kit that’s out there that comes with a little calcium chloride. We activate the platelet rich plasma and it turns to a matrix in your syringe, and I sometimes do that. I just buy calcium chloride as a vial and add a few drops and I do that as part of the process, but when you inject platelet rich plasma into the tissue as soon as it contacts the collagen it turns to platelet rich fibrin matrix. So you can’t use it without making that matrix and if somebody kind of plays the semantics game with you, although it’s technically true that only one kit comes with the calcium, to make the matrix in the syringe. We’re all making it every time you inject platelet rich plasma into the tissue.
The following textbook describes multiple techniques (surgical and non-surgical) to restore the labia and the vagina to that individual woman’s younger place….
1. Medications that may interfere
2. Surgical causes of problems with orgasm
3. Why gynecologists may avoid talking about sex.
4. The best treatments for depression that won’t interfere with orgasm
5. Does hysterectomy interfere with orgasm.
6. Medical causes of problems with orgasm.
Transcript…
Dr. Amy Brenner, MD, FACOG Talks About Orgasm
Charles Runels: So I’m honored to be talking with Dr. Amy Brenner, who’s an amazing gynecologist whom I met about a year ago, coming up on a year. She lectures around the world. She is stationed … Or her office is based near Cincinnati. Tell us about your practice and then let’s … You know, this whole interview we’re celebrating Orgasm Day. But before we get to that, just tell us more about you and your practice.
Dr. Amy Brenner: Sure. I’ve been a practicing gynecologist for 15 years and about five years ago, I decided to focus on gynecology. I still practice traditional gynecology and do surgery and have a large hormone practice with bioidentical hormones and medi-spa and currently cool flow team and we use functional medicine and started offering PRP procedures such as the O-shot and P-shot and the empire procedure, about a year ago.
Charles Runels: Beautiful. And you have physicians working there with you right? I just want people to understand that you’re a hard core gynecologist. You have a new surgeon gynecologist working with you, you have a family practitioner physician who helps you with some of the hormone part of your practice, plus you have… Tell me more about what goes on in your office. I want people to understand how busy you are.
Dr. Amy Brenner: Sure. Well, busy place. There’s about 45 people that come to work every day. I have a gynecologist who also did additional training in GYN surgery and then a fellowship in minimally invasive gynecology. I have a family practice physician who also does aesthetics and focuses on integrated medicine and bioidentical hormones. Then four nurse practitioners that do the routine GYN care and pap smears and FPD management and just typical gynecology and their main focus is also on hormones as well. Then we have three aestheticians and two wellness counselors.
Charles Runels: That’s just amazing. Now that people understand that this is not… you’re not just someone who read about orgasms yesterday, and you have literally thousands of women who come through your office and you have… I mean most people if they had 45 cars in their parking lot that would be a busy day, that’s just your staff. So I have a lot of respect for your ideas and your experience in gynecology and I know you came and I shared some ideas about the O-shot and that’s worked well for you. But before we talk about that, just talk with me about orgasms in general. Maybe, let’s start with why you think they might be important or maybe they’re not important. Just what do you hear women say about orgasms?
Dr. Amy Brenner: Sure. I mean being a gynecologist for 15 years, I’ll be honest, up until about five years ago, when people would talk to me about their problems with libido or just any sexual problems, my only answer was you should go on a date with your husband. That’s all I had in my toolbox. I know traditional gynecologists still feel like that and maybe think that [Addie 00:03:38] is their only alternative. About five years ago when I started with hormones, women came out of the woodwork which is why I feel like we’ve been so successful in such a short period of time, in Cincinnati, of doing something that really not a lot of people were doing. I’ve heard it over and over that people say that their sex life now is better at 40 from the tools that we’ve been able to give them from before.
Issues with libido and sexuality is something that me personally seeing patients here at least 10 times a day. So multiply that by seven providers and that’s a lot of women who are talking about issues with sexuality on a daily basis.
Charles Runels: Talk more about, because as you know I did research in that area as well, and it always surprised me how many women would come to me and say, “Well, the doctor told me all hormones are normal.” And they would’ve come from a very expert, well respected gynecologist, but who just thought a little bit differently about how to measure acute hormones. I don’t think I was smarter than somebody, but as you know there’s different schools of thought. Tell me, does that happen in your office with new patients and what’s the difference between thinking the way you do now and the way you thought say six, or seven, eight years ago?
Dr. Amy Brenner: So first of all, that conversation happens every day, which is again, why I think we have a lot of patients because we don’t feel like that. We hear all the time, “My doctor said that I’m fine and there’s nothing to do.”
Charles Runels: Yes.
Dr. Amy Brenner: That’s what I used to tell people too. I think it’s because in OB/GYN there’s a lot of education going on by drug reps rather than doctors seeking out their own answers. Up until five years ago I didn’t think there was a problem with birth control pills of SSRIs or sleeping pills, let alone what it does to your sex life.
Charles Runels: So talk to me… back to the sex part and the orgasm part, before we get into the details of the way you think about the hormones, the different medicines, because you just mentioned SSRIs, which to interpret for some of our people, so you’re referring to some of the anti-depressants. Before we get into the details, tell me more about some of the things that you hear women tell you about how orgasm problems, however you want to define that, interfere with their life. Either difficulty having one or can’t have one.
Dr. Amy Brenner: Well, I think just women’s sex life and their libido and their relationship with their significant other is a huge part of their relationship. I hear from patients who’s life goes better when their sex life is better. They get along better with their significant other, just life is better when people are having good sex.
Charles Runels: Isn’t that interesting. I have people tell me that they’re not as… they sleep better, they think better, their work goes better. Do you hear those things? Can you elaborate on that or am I making that up?
Dr. Amy Brenner: I think that the patients that are coming in, it’s more of the negatives of things aren’t as good because I’m not having good sex. Or I don’t want to have sex or sex is painful. It can create controversy in a marriage. It can create disappointment and frustration. I’m hearing more of the these are the negative things than that type of thing, of what’s missing and please help me because it’s not good.
Charles Runels: And then after they get well, what do these women tell you that’s different about their life?
Dr. Amy Brenner: They may tell me I’m the best doctor ever.
Charles Runels: Because what’s happening in their life. I know they love you.
Dr. Amy Brenner: Because we helped them and we’re willing to look outside of the box when their other doctor may have said that’s just part of getting old and that’s just how it is.
Charles Runels: So when you say you helped them, specifically, what do they say is better about their life because their sex is better? I think you sort of said it already with relationships, but can you expand on that? Can you think of a story of someone, something someone told you about what happened with their life?
Dr. Amy Brenner: Well, I think I told you about this one patient that always comes to mind of… as a couple, I treated both the husband and the wife. Her exact words were, “You’re the only person that’s helped me. I haven’t had good sex and we’ve basically had a sex-less marriage just until you helped me because I was having pain with sex and it became this vicious circle of I had pain and I didn’t want to have sex and it didn’t feel good so I never did it. And it created emotional distance with my husband.” With some things we did with hormones and the O-shot for her and the P-shot for him, basically they rekindled things and things were better than ever.
Charles Runels: So when you say rekindled, tell me more what that looks like in their house. What did it look like?
Dr. Amy Brenner: Well I guess for them it’s not really rekindled, it was just started to begin with, because she basically said they had a sex-less marriage because of issues with pain.
Charles Runels: So now they’re having intimacy and they’re happier together.
Dr. Amy Brenner: Going to Cancun with just the two of them.
Charles Runels: Oh fun.
Dr. Amy Brenner: You know the story.
Charles Runels: That sounds happy. That’s rewarding isn’t it? Tell me about, if a woman were to say to you, or if a woman were to say to another woman, because I see this on the blogs a lot, shouldn’t worry about that because you’re just trying to please your husband. What would you say to that? You’re just trying to please a man. It shouldn’t bother you that you can’t have an orgasm. You should just be happy. And, let’s face it, there becomes this thing– one of my favorite stories is the Velveteen Rabbit. So, you reach this place where you’re 100 years old or you’re 80 years old or something, although people have sex at that age, but you can reach a place where a love relationship goes without sex. On the other hand, the five-year giving up, was you see it on the blogs and you hear women tell other women, even some therapists telling women that you shouldn’t worry about it because you’re just trying to please a man. If you’re happy without sex, just be happy. Does that resonate or am I just making that up? You ever see those comments on the blogs?
Dr. Brenner: I guess– I don’t know. In my practice, I’m not really seeing that–
Dr. Runels: I know it’s not the way you think but I see it in some of the sex therapist comments.
Dr. Brenner: Yeah, I would say that, that’s not what I’m seeing from my patients. My patients want to have good sex. So I’m not really seeing–
Dr. Runels: For their own self.
Speaker 2: — that.
Dr. Runels: That’s what I’m looking for.
Speaker 2: And if they were saying that, I would say that there’s a lot of health benefits to having an orgasm a day. I think I heard somewhere that you should have an orgasm a day to keep the doctor away rather than an apple a day. So–
Dr. Runels: Yeah, I do think it helps mental health. Well, I know there is this idea in my feeling from what I’ve been able to observe in people have been together a long time, often times, the man wants the woman to be well just because he loves her and she doesn’t feel whole. Not to please him, but she wants her body to function. And so I know that’s the way you think but I see some judgment going sometimes against women who are trying to make things better.
So anyway, so let’s talk about if you were talking to a woman who wanted orgasms to be better or just can’t have an orgasm and you were looking at her medications for things that might be throwing her off, what medicines would you be very suspicious could be causing the problem? And, again, I don’t want anybody stopping their medicine just for watching this video, but yet they maybe haven’t asked for a physician about changing something and this could prompt them to ask their doctor when they go. So what medicines would you worry about interfering with sex?
Speaker 2: The two most common things are anti-depressants. I find it really hard for women to have a good sexual experience for either from libido or orgasms when people are taking anti-depressants. And so I think there’s a lot of other options that can help with mood other than anti-depressants. So in our practice, [inaudible 00:12:53] can start talking about what we’re going to do to treat people. I like to get people to talk about other alternatives to anti-depressants. And then the other are synthetic hormones like birth control pills or synthetic progestins.
Dr. Runels: Yes. So birth control pills are going to drop testosterone levels, right? Which are going to, even in a young woman. It’s not a [inaudible 00:13:17]. It’s just a thing that will happen. It’s going to drop because that’s how it works, right? So there’s this feedback loop to drop [inaudible 00:13:25] testosterone falls, and so that is the thing that will happen and has an effect on women and we know it’s a thing that’s going to happen. So that’s going to affect the libido. Tell me, so if you had an anti-depressant, which anti-depressant would you think would be least likely to interfere? So if someone’s takin an anti-depressant–
Speaker 2: If someone has to take an anti-depressant, we like to switch them over to Wellbutrin.
Dr. Runels: Yes. Yeah, I never asked you that question before so I was seeing if you could [inaudible 00:13:56] it. Absolutely. It’s the one that is least likely to interfere [inaudible 00:14:01]. Of course testosterone can act as an [inaudible 00:14:04] as a– it helps depression when you correct low levels. So you know, I just wanted to–
Speaker 2: The next couple of other ones, like if somebody’s taking chronic pain pills I think that can suppress testosterone and or things like tamoxifen if somebody has had breast cancer, or– those are some other things that can negatively affect.
Dr. Runels: Yeah. So the narcotics populates the [inaudible 00:14:33]so there is less stimulation to make testosterone as well. So let’s say that they have their medicines with them. You’ve gotten them the best you can get them. Tell me some other things that you would do to improve orgasms as a physician. I don’t want to discount, we both realize that relationships, sex therapy, family therapy can be extremely huge. And is much underused, but still thinking as a physician with procedures and medicines at your disposal, what other ideas would you have to make things better? So you have testosterone, what else?
Speaker 2: So first I just want to look at other things in their medical history, like other physical or anatomical things that could interfere with orgasm or stimulation or things like that. So anything that causes atrophy or loss of estrogen in the vagina and vulva can make sex painful and painful is certainly not enjoyable. So any kind of hormone deficiency that can cause atrophy or any kind of scarring in the vagina either from prior procedures, hysterectomy, child birth, or even other medical problems that can cause scarring in the vulva, lichen sclerosus or other more rare skin diseases that can interfere with the anatomy and–
Dr. Runels: So you, along those lines, you’ve treated some of these painful conditions with the O Shot is that correct or no?
Speaker 2: That is correct. Or no?
Dr. Runels: So tell us some stories, tell us what you’ve seen. How do you think it might be healthy? Explain it as a scientist, what you’ve seen and what you think has happened when you’ve done this?
Speaker 2: So I’ll just tell you about our most recent lichen sclerosus patient, who had decades of itching, and vulvar pain, and she periodically used a topical steroid, and I think periodically is she didn’t find it was really helpful so she wasn’t really compliant with it because she really didn’t notice that it made a big difference for her.
Dr. Runels: Let me stop you for just a second right there. I just want people to stop and think about that for a second. A decade of itching, and burning, and an uncomfortable genitalia. Just stop and think about how miserable, I mean I would be angry. I can tell you as a child I used to always get chiggers because I live in the south where it’s like being in the swamp. We played in the forest and my little genitals would just be swollen and scratchy and it was just the most miserable, miserable thing, and so the last thing that someone like that would want to do is have sexual relations and it’s horrible isn’t it? So tell me, so you’re thinking of a particular person who had this [inaudible 00:17:59]for a decade. I’m sorry, so I just wanted people think about that.
Speaker 2: Yeah. Most women can relate to having a yeast infection, that’s miserable and you usually have that for a day before you get cured.
Dr. Runels: Yeah.
Speaker 2: So this was feeling like that every day, so she wasn’t looking to make her sex life better, she just wanted– that wasn’t even part of the discussion. She just wanted not to be itchy and in pain every day, so, but when I talked to her about sex, no, I don’t even think like that. So recently I treated her with the O Shot and PRP to the vulva and within a month she’s not itchy anymore.
Dr. Runels: Oh wow, that’s so beautiful, and you know we just. I think I’ve told you already, but last week we had our research paper that was accepted by the Journal for the American Academy of Dermatology, so that will be out this year. Probably within a month or so, so I’m excited about that. About lichen sclerosus, so hopefully more people will know how to do what you’re doing, and we’ve talked about you and you’re at such an expert level and so busy, you haven’t had time, but I’m hoping you can give a speech to [inaudible 00:19:20]. I see you as being an excellent teacher. So tell me more about, have you treated anyone who had scarring from childbirth or from surgical procedures with the O Shot or not?
Speaker 2: You know, just that couple I was telling you is, she just had a long history of just painful sex that we didn’t really have a good anatomical reason why. She didn’t have atrophy, she didn’t have a cirrhosis, she never had a hysterectomy, but she had pain and it did get better for her.
Dr. Runels: What did that do for her? Is she married?
Dr. Amy Brenner: Yeah, that’s the lady I told you about that’s now going on to Mexico.
Dr. Runels: Oh, that’s going to Cancun. Isn’t that wonderful?
Dr. Brenner: Yeah.
Dr. Runels: I’ve had several of our doctors tell me, because we’ve both with life and death sort of situations. Not sort of. Truly. You’re a surgeon. [inaudible 00:20:21] Delivering a child can be life and death, but bad things happen and [inaudible 00:20:26] for 12 years, but I have found that patching up these relationships and giving people their sexuality back is as rewarding or more so than anything I’ve ever done in medicine. Are you feeling that, or am I making that up for [inaudible 00:20:40]? I mean, do you find that very rewarding?
Amy Brenner: No, [inaudible 00:20:45] when you bring couples back together sexually.
Dr. Runels: It’s wonderful, isn’t it?
Amy Brenner: It just makes their relationship better, it makes their [inaudible 00:20:55] better, and when it’s broken it’s just not the same.
Dr. Runels: Yeah. All right, so another thing I want to talk with you as a scientist. So there is still a debate about whether female ejaculation is a thing or not. Actually, when I went to medical school, I was there at UAB in Birmingham and we’d had a two month class on sex, and guess what the first day was shown to us? A movie of a woman ejaculate, and our teacher who was a Ph.D. teaching our class said, “I do not want anyone leaving this medical school thinking that female ejaculation is not a reality.”
I didn’t really think that much about it, but since we’ve been doing the O-Shot, I’ve had more women tell me they’re experiencing it, written about it, thought more deeply about it actually before the O-Shot [inaudible 00:21:51]. Tell me what you think. First of all, is it a thing? Second of all, is it a thing, what do you think is causing it, and do you think the shot makes it more likely to happen? I mean, talk to me. I mean, I know that’s sort of a … Maybe you don’t want to talk about it, but because it’s getting …
Okay, let me stop right here. Let’s change the subject for just a second. Do you know any gynecologists that do not want to talk about sex?
Amy Brenner: That do not want to talk about sex? Most gynecologists [crosstalk 00:22:24] [inaudible 00:22:26].
Dr. Runels: Yeah, it’s most of them. Yeah, I was setting you up for that.
Amy Brenner: Because they don’t know what to do about it, so …
Dr. Runels: Most of them don’t want to talk about it, do they?
Amy Brenner: No.
Dr. Runels: And so I want to brag on you for now for just a second, because I can tell that question is getting close to your edge, but I want to brag on you about this for a second because you are comfortable and being very brave, because I know that the majority of gynecologists are, first, they’re afraid to talk about sex because they’re not comfortable with their own sexuality. Number two, they don’t understand how to treat sexual problems. Even though they might be amazing gynecologists, it wasn’t part of their curriculum and new ideas have come along, and so they’re not sure what to say. They’re not comfortable saying it. So I just want to double brag on the fact that you’re being very brave, not only just embracing these ideas. You’re helping to think about them.
I’ve never asked you to think openly in public about this phenomenon, so if you want to decline the question, you can. But if you want to tackle it as a scientist, tell me what you think about it. And talk not as if you’re talking to me. Talk as if you’re talking to a woman who’s wondering, “Is this a thing? Is it worth thinking about? Would the shot help me, and if so, tell me more about how to think about it.”
Amy Brenner: Well, I don’t think doctors are taught about sex, let alone female ejaculation, so I think that’s an advanced topic.
Dr. Runels: And they’re not getting the basics down.
Amy Brenner: Yeah. That’s for the experts to talk about.
Dr. Runels: Well, maybe we should just skip it. We’ll skip it. Let’s see, what else can we talk about? You tell me. What else have you seen in the area of sexuality that on a daily basis you find frustrating, that you wish more women knew about? So you mentioned the hormone piece of it. Anything else along those lines? Maybe with relationships or medicine, any piece of it?
Amy Brenner: I think I’ve talked to you about this before. I think using the O-Shot and PRP for incontinence and dryness is just a chip shot. It’s so easy, because there’s not a lot of other factors that go into that. Either you notice that your dryness improves or it doesn’t, and so using PRP and the O-Shot to treat those medical problems that, again, is something … That conversation I have multiple times a day about treatment options for incontinence and treating for vaginal dryness, and it’s so easy to treat those.
But I think it is a little bit more tricky to talk about sex and what goes into a good sex life and good orgasm, because although the O-Shot helps with the physical part with blood flow and nerves, there’s just so many other components to that.
Dr. Runels: Yeah. I’m glad you brought that up, because we don’t get everybody well, do we? What do you think is the most difficult problem to treat? I have an idea, but what do you think is really difficult to treat?
Amy Brenner: Well, just last week I saw somebody for a follow-up for the O-Shot and the first words out of her mouth were, “I don’t think it works.” And I’m like, “Okay, well, tell me more about that, because I know we’re also wanting to help incontinence.” And she’s like, “Oh, yeah, that’s better. I don’t need the oxybutynin anymore. I don’t even leak at all.” And she’s like, “And the dryness is better, but I’ve never been able to have a orgasm with my husband and I still can’t.”
Dr. Runels: Yeah.
Dr. Brenner: That part is out of my control.
Dr. Runels: Yes. What’s the lab rate on that [inaudible 00:26:29]? Because that is one of the things. Although it happens, the women who have difficulty having orgasm with their lover’s penis inside of them … We don’t have control over the lover, do we? What he knows or she knows about her lover’s anatomy, how they’re sensitive to it, and so we can’t control that piece, can we?
Dr. Brenner: No.
Dr. Runels: But it does happen. But that’s hard. I think the other one is the woman who’s never had an orgasm in her life. I think it’s more difficult to figure out how to help that one. There is this system. I like to keep reminding people there’s an orgasm system. It involves everything you just said. The relationship, the lover, the lover’s anatomy and understanding of her body, hormones. Tell me some more of the surgical things that you would think about from the surgeon that might cause problems when you have your surgeon hat on with sex.
Dr. Brenner: Yeah, I mean, certainly when somebody has a surgical menopause, that instantly takes their hormones to zero, so-
Dr. Runels: So if they have their ovaries taken out.
Dr. Brenner: Yeah, or even just a shortened vagina that can lead to pain with sex. Radiation for cancer, that can interfere with things, or even just childbirth and vaginal lacerations. I’ve seen women with scar tissue that … Sometimes I examine them and I don’t even know how they’re having sex, let alone it’s enjoyable, so I don’t even know how they’re doing it.
Dr. Runels: Okay.
Amy Brenner: Trauma. I mean, it’s rare, but …
Dr. Runels: What about ovarian cysts or fibroids? Do those interfere very much, because I’m not a surgeon, so I have [inaudible 00:28:28].
Dr. Brenner: [inaudible 00:28:31] pain.
Dr. Runels: Yeah, I’ve seen pain. I’m a big believer in surgery, actually. I think it’s a natural treatment. I always tell women, “Well, after you pass about 35, I can probably do your hormones better than your ovaries can. And if you get them out, we don’t have to keep worrying about ovarian cancer, and that one goes off the radar. And if you have a hysterectomy, we can quit thinking about cervical cancer.” Although some women argue that the cervix has something to do with orgasm. What are your thoughts on that? ‘Cause I’m still making up my mind on that.
Dr. Brenner: Yeah. I think that when you read about physiologically what happens to it when women get aroused and what happens with orgasm, certainly that’s described, but that hasn’t been my experience of women saying that everything changed when you take their cervix out. I do like to take women’s cervix out when I do a hysterectomy because if you leave it in place, then 20 to 30 percent of the time, they still have bleeding. That’s another physical [inaudible 00:29:37] that can interfere with sex, too. Somebody’s bleeding all the time, they don’t … It’s embarrassing. It’s messy and …
Dr. Runels: It’s like they’re still having their period.
Dr. Brenner: Yeah.
Dr. Runels: If you’re gonna have a hysterectomy, why still put up with a menstrual period? I’m with you.
Dr. Brenner: Right. I mean, most people don’t want to have a gynecological exam when they’re bleeding, let alone be intimate with somebody when they’re bleeding, so if somebody’s bleeding for seven days out of the month, then you’re like, “Okay, well, I’m not doing it that week, and this week I might have PMS,” so you’re down to … Bleeding issues can also interfere, just ’cause … embarrassing, and people don’t like that.
Dr. Runels: Well, I see your sweet baby walking by, so I’m gonna let you go, but before I do I wanted to thank you. I consider you one of the top GYNs on the planet, and I consider myself blessed to know you and work with you and share ideas with you. Anything else you want to say about the celebration of Orgasm Day, or just anything else about what we’re doing before you take off?
Dr. Brenner: Yeah. Everybody should have an orgasm on Orgasm Day.
Dr. Runels: That sounds fun. Okay, Doctor Brenner. You have a wonderful day. Bye-bye.
Vampire Facelift® & O-Shot® with Marketing
May 20, 2017 in Houston, Texas
Combine the principles of Leonardo with the latest science to produce the most beautiful results with Botox, Fillers, and blood-derived growth factors.
6-Hours, Observational Workshop with Live Model
Even though the techniques and ideas behind this workshop involve concentration and focus, the teaching is done in a relaxed and casual way. You will be treated with respect and honor and courtesy while learning from me.
A way of thinking about the HA filler as a sculpting tool that works as a scaffolding for stem cells called into the area by the PRP
A way of using the PRP in combination with the HA that allows you to do more advanced work around the eye in a safe way (and other danger zones) and allows you to make 1 or 2 syringes of HA do the work of 4 or 5 syringes (for a more natural look with even more benefit than the HA alone).
How to do the O-Shot® [assumes able to do a comfortable pelvic exam] which is rapidly growing in popularity (presently getting more internet traffic than the Vampire Facelift®)
How to use the O-Shot® procedure to treat urinary incontinence, dyspareunia, dryness, anorgasmia, & lichen sclerosus (here’s one of the research papers (click) we did demonstrating effectiveness of the O-Shot® methods for lichen sclerosus).
How to look at the face and identify the most beautiful and the most distracting parts of the face and then talk comfortably with the patient about what can be done.
How to create beautiful mouths (and never make duck mouths or bird beaks). Here you learn to apply the proportions as described by Leonardo da Vinci–how to translate art into medical practice.
H0w to market the procedures in a way that enhances your reputation for almost no money.
Live Model and didactic from 9am-4 pm
Before After
Notice that you see injection marks in the cheek and not in the naso-labial folds. By augmenting the cheeks, I was able to pull out the nasolabial folds while creating a higher, more glamorous “cheek bone.”
Also, notice that she has a gull shaped brow (in the after photo) from the filler before the botox I gave her even had time to work.
This woman only asked me to treat the naso-labial folds by injecting those and did not even notice or know that I could treat all the rest:
1) straighten and narrow the nose,
2) augment the cheeks,
3) augment the brow,
4) straighten her mouth,
5) take the tired out of her eyes by filling the tear troughs, and
6) finally, as a side-effect of all the rest, make her naso-labial folds disappear.
When you leave my course, you will have the knowledge to do all of the above, and to become the best injector in your town.
Guarantee: If you do not feel like you will more than pay for this course within 30 days of your arrival home, you can walk out at the end of the first day and get a full refund. Only 20 attendees will be allowed.
SOLD OUT
A portion of attendance fees used for further research.
Register Here for Workshop. Houston. May 20 (click)<–
IMPORTANT: I only accept a small number of people to these courses so that I will be able to give as much attention as possible to each person and carefully coach them. The computer will automatically shut down registration after the quota is reached.
Membership at the Cellular Medicine Association and attendance at this course qualifies you for listing at VampireFacelift.com and gives you access to review videos in the members-only section of the CMA. If you continue to use the trademarked names (Vampire Facelift®, O-Shot®, etc.)–there’s a monthly licensing fee for each procedure that starts 3 months after the class…this fee can be cancelled at anytime.
No video or audio recording is allowed during these events. This is cosmetic work, not the healing of horrific disease, so I have no ethical reasons to facilitate the easy broadcasting of these ideas and techniques. These are very valuable and closely guarded techniques.
I’d be honored to meet you soon and to help you serve your patients better and find more joy and art and financial reward in your cosmetic practice.
Guarantee: If you do not feel like you will more than pay for this course within 30 days of your arrival home, you can walk out at noon and get a full refund.
Workshop is $2,497
SOLD OUT
Only 20 providers will be allowed (strict).
A portion of attendance fees used for further research.
Register Here for Workshop. Houston. May 20, 2017 (click)<–
Venue
Integrated Aesthetics
5061 Farm to Market 2920
Spring, TX 77388
Nearest Airport: Houston, TX. (IAH or HOU)
All attendees must be registered…the marketing portion of these workshops is VERY valuable. Providers should be registered as a provider & marketing people/business people registered as business people.
Dr Charles Runels, (the “Orgasm Doctor”) explains a “4-Step Treatment for Anorgasmia”…
Results May Vary. Discuss with Your Private Physician. Educational Only. Not a Substitute for Seeing a Physician...
Transcription of the Video …
Hello. I’m Charles Runels. I’m a physician who has for over the past 25 years taken care of over 10,000 women, and I’m here to talk to you about what I consider to be a very serious, very disturbing problem that some women suffer with. Around one in 10 called anorgasmia, or anorgasmic. An as in no orgasm.So you might think, well, no orgasm. Not a big deal. You just don’t get that pleasure, but you still have the pleasure of relationships, and you still have the pleasure of sex.
The problem is that research shows, and what I have seen, not just the research, but when I see women crying in front of me, saying, “I want, I love my husband dearly. My lover, he’s my lover, he’s my best friend, and we want to experience an orgasm together, but I’ve never had an orgasm in my life. I cannot have an orgasm, ever. Can’t have one.”
And that is really bothersome. It’s not just bothersome because they’re lacking the pleasure. They want that experience, and research shows that sexual dysfunction to the point to where it’s distressing the woman, it makes her feel broken. Even though she might have a healthy body, she might be brilliant with her career, a wonderful wife and mother, still, that’s a part of her psychology, part of her physical thing that’s broken. It’s like, it’s an analogy, if you have a car, everything’s perfect, but one window won’t roll down. And that one thing is broken, and so the rest of the car is great, but that part is not working properly.
So maybe not a good analogy, but still, if you have a part of your psychology that’s that important, and it’s not just the pleasure part. We know that when people have an orgasm, there’s a bond that takes place. There’s an opening. There’s even one research study that shows that men who are on a ship, as a, in the Navy, who are exposed only to men, by having an orgasm, some of them become … They start having sex with men because that’s all that’s available, and by having orgasms with a man, they then become attracted to that man. There’s a bonding that happens with an orgasm.
Whatever is presented to you when you have an orgasm, because there’s this release of oxytocin and all these things happening with prolactin, and who knows what-all, because the pituitary gland makes over 200 hormones. 200. So when you go to your doctor, and they measure six or seven or eight or even 10 hormones, we’re still really in kindergarten about what’s going on here when there’s sexual attraction, when there’s sexual arousal, when there’s an orgasm.
This is not the end of the world, but no orgasm is something to be taken very, very seriously. So what are the treatments for it. First of all, it is helpful to have at least an understanding. So a sex therapist, a sex educator, there’s a wide variety of skillset and understanding here, and so this can be helpful.
There’s a … What I’ve seen with my patients and with my own personal life is that once a woman has an orgasm, it’s sort of like if you go to the forest, and you see a path, if people are walking down the same area, the path becomes smooth. But before there’s a path, it might be difficult to walk in an area where there’s no path.
We now know there are neurological pathways that are associated with an orgasm, and what I’ve seen is that once a woman finds that, and she breaks through the brush of what’s limiting her from having an orgasm, then the path becomes more open, and it becomes so much easier to have the second and the third, and by the time she’s had several orgasms, it becomes easier and easier and easier. But getting to that first orgasm can be very frustrating. And to make it even more frustrating, trying to get there seems to limit the ability to get there.
So there needs to be a letting go and a surrender, which doesn’t sound politically correct, but it has to be a surrender of the woman’s body to the process of her body functioning in that way. Try to imagine urinating and trying to keep from urinating at the same time. It’s another bodily function. To urinate or to defecate, you have to let it go. And again, it may not be the most glamorous analogy, but you can’t let go and hold back at the same time.
Now a woman can drive herself mad trying to figure out how to let go and trying to get there at the same time, but that’s where a therapist and certain exercises and educational processes that can be done with the woman and her lover that we aren’t born knowing. These specialists are trained to help in that arena, and I highly recommend that you consider consulting with one who is licensed in this area. Not just some person, but someone who’s properly trained and licensed.
Now, so how can we break through and get to that path. Another thing that’s very, very important, and like I said, I’ve done research in this area. Over 25 years of taking care of women, and embarrassingly, too many lovers, and what I can tell you is that from seeing all this that it’s very, very difficult for a woman to have arousal or orgasm without a hormone. And you might think it might be estrogen or progesterone. It’s not. The main hormone for orgasm is without a doubt testosterone, and thankfully, due to Suzanne Somers and others who have made this more widely known. I’m very grateful to her, because doctors can do the research, but oftentimes it takes a celebrity to help make the public aware, and that’s one of, I think, their great function, is that they have a wide audience, and they can help educate people.
And Suzanne Somers did a lot to educate people about how women need testosterone. The part of the vagina that’s called the introitus, the part that you go as you … So you have the labia on the outside. So if you’re looking at a vagina, you got urethra and the labia minora and the labia majora and the clitoral hood, and right there is the vagina, okay?
Right here, this area here between the vagina and the labia minora, that is biologically exactly like the inside of the urethra of a man. So the inside of his penis, where the urine comes out, that is biologically the same as this tissue, and it is responsive to testosterone. Testosterone.
Another thing that happens is women on birth control pills, birth control pills, we know it. It’s not a guess, it’s not some of the time. It’s a thing that’s going to happen. If you pour water on you hand it will get wet. If you take birth control pills, a thing that will happen is your testosterone levels will fall.
The reason birth control pills work is it tricks your pituitary gland into not releasing the hormones that stimulate the ovary to make hormones because you don’t ovulate. And so it stops that, but the woman doesn’t have hot flashes, and she still has a menstrual period because the uterus is seeing the hormones that are coming from the birth control pills. All right? You with me?
So birth control pills tells the pituitary gland to quit talking to the ovary. So pituitary gland, here’s pituitary gland up here. Here’s the brain. Pituitary gland makes LH and FSH, and these go to the ovary and tell the ovary to make all these hormones. Estrogen and testosterone, all these things get made. DHEA. Things get made.
Now, when you take birth control pills, see, these feed back until, when they get at the right level, they tell the pituitary gland to quit making so much of this, so there’s a feedback loop. Now, if you take estrogen or some progesterone-like material, and you feed it, and now the pituitary gland sees that, it thinks it’s coming from the ovary, it cuts this off, and so the ovary shuts down, but guess what else turns off? So the ovary quits making so much estrogen because it’s getting it from the birth control pill. So estrogen quits being made, but guess what else quits being made? Testosterone.
There’s a little bit made from the adrenals and from the glands by the kidney, but much of the testosterone level gets cut back, and so that makes the woman not only more susceptible to weight gain and loss of sex drive and migraines, but it also makes her, sometimes there’s actually a syndrome where they start to have pain with intercourse, and often it doesn’t go away when she stops the birth control pills. That research has been done. And it can make some women more difficult to have an orgasm.
So a lot of ladies might start on birth control pills, say, for their acne, or they become … Their menstrual periods are heavy and painful as a teenager, so they start on birth control pills, and in the process, this testosterone drops, and it can make it so the woman never is able to achieve an orgasm, not knowing that her testosterone level is low.
So testosterone is huge, and now that it can be measured, and what you should ask your doctor, to know if your doctor knows what he or she is doing, this is your test to see, they should measure free and total, or measure total, this is even more accurate, and calculate the free by also measuring testosterone binding globulin, or sex binding globulin, so and then they calculate the free.
Now you don’t have to understand all that. All you need to know is this. Did your doctor measure your free testosterone level in some way, and if he or she did not, and you cannot have an orgasm, you should go back and ask your doctor to measure those levels, or ask your doctor to refer you to someone who both will measure them and know what to do with them. Your free testosterone levels should be in the upper 25% of normal, or you’re going to have more difficulty with orgasm and libido more likely.
Doesn’t mean lots of women with a low testosterone having crazy fun sex, but if you’re having trouble, and you need to see if this can be corrected, because correcting it, I’ve seen over and over again can take a woman who’s suffering with these problems, and now all of a sudden, she’s having a crazy, ecstatic, and the word I hear a lot is exploding orgasms. Not exploding as in like a water balloon explodes and leaves the bedroom wet, but exploding like in your mind exploding, with a great ecstasy, and that comes about through testosterone.
There are receptors on the brain tissue for testosterone, in the brain for testosterone, and the brain remodels and becomes more erotic and more susceptible, or receptive, to both arousal and orgasm. So testosterone.
Now, how can … So you’ve seen the therapist, preferably with your lover, and you’re exploring some of the amazing exercises that they can teach you, and you’re taking testosterone, but you still haven’t found the path or created the path. And remember our analogy is you’re in the forest, there’s lots of brush, there’s no pathway, and you have to break through the brush with your first orgasm. And now, once that neural pathway is made in your brain, you go down that path over and over and over again until it’s well worn, and it becomes very easily to go down to this, through this path.
So what are other ways you can get to the path? Another was is with a vibrator. Now vibrators are not a new thing. Actually, ancient Greece, you can find where they had dildos. They weren’t electrically powered. It wasn’t till around the 1940s that we had electrical powered vibrators. Hamilton Beach actually started out, their first product was a vibrator.
So vibrators have been around a long time, and there’s some things that make people, and I’m going to tell you in a second about what I think the best vibrator is to break through and find the path to the first orgasm. But let me tell you first of all another thing that can make the vibrator … Become I get to the vibrator I think is best, let me tell you another thing that might help it work better, it as in your body.
So you got testosterone, you got a therapist, another thing is called our O-Shot, or orgasm shot, o for orgasm, or if you want to keep it G-rated, you can say o for orchid. Think about your labia like an orchid.
So or, o for orgasm. Orgasm shot. Say it. Orgasm. All right? It’s easier to have an orgasm if you’re able to say the word orgasm and not blush. If that makes you blush, practice saying that word. Orgasm, orgasm, orgasm. Okay?
Now, O-Shot for orgasm. All that I did, and I was the one to create this procedure, all that I did was say, okay, there’s these process of taking platelets out of the blood stream and injecting them into [hartiel 00:14:20], like the knee, there’s not a lot of blood flow in the knee or the cartilage of the knee, and so orthopedic surgeons, when they have an NFL football player, or veterinarians, when you have a million dollar racehorse, if you want to see what’s working in medicine, you just look at how they take care of million dollar racehorses, or men who make 20 million dollars a year. If you miss a day of work, and you’re making 20 million dollars a year, somebody is paying you, and they’re losing millions of dollars.
So if you want to know what really works, look at what they do for NFL football players, and what they do to make them well from a knee injury is they take the blood out, they extract the platelets, and then they activate those platelets, and the platelets release these rejuvenating growth factors that tell the stem cells to grow new healthy tissue.
That’s a mouthful, but if you want to know what that looks like, imagine when you scraped your knee as a child, there was this crusty yellow material there. It’s called [inaudible 00:15:18] fiber matrix, and what that was, remember, you grew skin back. That told your body to grow the skin back. It didn’t seal up. I grew new skin. That means blood flow, blood vessels, nerves, collagen, everything that makes up skin.
The growth factors that came from those platelets. There’s over 20 of them we know about so far. Chemotactic factors that fight infection, you have, and it whistles for stem cells to come out of the bone marrow, migrate to the area, and then grow into that new tissue to skin. All right?
So it’s not the platelets, it’s what’s in the platelets. So we always thought platelets and that scab was just to keep you from bleeding to death. Nope. It was not just to keep you from bleeding. It’s like a balm, and embedded into that balm, that yellow goo that your mother told you not to pick at, but you did anyway, and that glue is these growth factors that were whistling and activating the stem, whistling for and activating the stem cells, and you grew new skin.
So back to the NFL football players. You can make that goo in five or ten minutes at the bedside by extracting your blood, just like you did when you get your blood drawn for tests at the laboratory to see if you’re anemic or not, and then you put it in a syringe, and it’s your body. It’s your blood. No one’s ever had a serious side effect ever from platelet-rich plasma, and there’s been over 8,000 research papers done about platelet-rich plasma.
We published three so far about how this works with the vagina, but when you inject it, then what happens is the tissue of the vagina rejuvenates, and the nerves wake up, and the blood flow comes in, and the collagen grows, and it becomes healthier. And this alone, we’ve seen around 30%.
Now, here’s the thing. We can get close to 100% for treating stress incontinence with the same shot, the O-Shot. We can get closer to 90% treating lichen sclerosus. For someone who has pain from a episiotomy or a tear from delivering a baby, close to 100%. But for a woman who’s never had an orgasm, the O-Shot alone, it’s about 30 or 40%, with that by itself. Just waking up the vagina.
But, so if we’re still have close to 60% that the O-Shot is not working by itself, then we need other procedures. But I would include make sure that you see a therapist or an educator, that your testosterone, your free testosterone is in the upper 25th percentile, the upper one-fourth percentile, free is calculated by calculating sex binding globulin and total testosterone. If your doctor doesn’t know how to do that, get referred to a doctor who does.
The O-Shot, now you have all this in place, get you a vibrator. If you want to start with a vibrator, that’s fine too. But think about this as sort of a recipe for making the new path.
Now, here’s the thing, and I’m going to tell you about the best vibrator, I think, for making an orgasm, and this is not from … Obviously, I don’t have a vagina, all right? I have a penis. So I don’t know, but how I do know is 25 plus years of talking to women, over 10,000 of them in great detail and measuring their hormones and doing research and having them tell me what happens and how their marriage gets better, so this is not … And also personal experience with lovers.
So this is not me making up something, and this works. It absolutely works, and it will change your life. All right? Back to the thing.
So this is the analogy, because here’s how people go off track. They’ll say, “Well, I got my testosterone fix, and that didn’t work,” as if that was the wrong thing. So why is it not a wrong thing if it didn’t work.
Here’s my favorite analogy for that. Suppose someone said, suppose you had never seen a fire in your life, and someone said, “Hey, you know what? To make a fire, you just need a match.” And you went out, and you struck a match, and you got a little fire. It lasted a few seconds and went away, and you thought, “Uh. That didn’t work very well. I don’t have a fire. It just was there for a second, it’s gone,” and someone else says, “You know, to have a fire, what you need is a big stack of wood.” And so you go throw a bunch of wood down, no fire. And someone says, “No. What you really need is some lighter fluid,” and you go, and you squirt some lighter fluid around, and nothing happens. Well, you’re getting the point, right?
And then finally, someone who knows the whole recipe says, “No, what you really need to do is, listen, you take the wood and you stack that up first. Then you put the lighter fluid, and then you put the match, and you’ll get a fire.”
So here’s the thing. If you do one thing, and it doesn’t work, as in doesn’t work because you’re not seeing the thing happen that you wanted to see happen, as in your first orgasm, breaking through the pathway, it doesn’t mean that doesn’t help. It just means you haven’t found the rest of the recipe that what you need. And it could be that your testosterone level is out the roof, but maybe you have scar tissue from delivering a baby, and so the nerves are damaged. A mid-urethral sling. Now we know those slings you put to help with incontinence, I’m not saying that should never be done, but I can tell you research shows that that interferes with sensation to your clitoris. It can in many women damage the nerve supply to the clitoris. Well, that O-Shot helps grow the nerves back.
So back to this recipe. If you do a thing, and it doesn’t give you the result, it doesn’t mean the thing doesn’t work. Keep doing that thing. Like, if you put down the wood, and you don’t get a fire, it doesn’t mean you don’t use the wood, let’s keep the wood there, and let’s figure out what we need to add to that to make a fire. This, in my opinion, is a pretty good recipe that would cure almost all women and help them find and orgasm.
But if you could leave, you could possibly leave any one of these things out and still not get it. Like, I could put wood and lighter fluid, still not get a fire. I could put a match and lighter fluid and no wood, and I would have a fire for a few seconds, and it would go away. But if I want a blazing, you know, roast marshmallows fire and have sex by the fire with my lover, I need wood, lighter fluid, and a match. I need all three. And in my opinion, this is your recipe to have an orgasm, all right?
So the O-Shot, you can read about elsewhere on the O-Shot website. The testosterone, I just told you what you need. The sex therapist or family therapist. You need someone who’s licensed that doesn’t blush that can talk with you and your lover and help you find exercises you can do, and now, what’s my favorite vibrator to help people find an orgasm?
Now, vibrators are personal, and remember, I don’t have a vagina, so I’m reporting to you from what I’ve heard from my patients, and not just my patients. We now have over 1,000 doctors in 41 countries that I’ve helped train, or people I’ve trained have trained, to use platelet-rich plasma for the O-Shot and some other procedures that I’ve created.
So this is, what I’m about to tell you about this vibrator is from patients, it’s from lovers, and it’s from other doctors around the globe. New Zealand, Taiwan, India, France, Spain, Canada, Mexico, the US, Hawaii, Alaska, and other places. We have physicians in all those places that do the O-Shot, and I’m learning from them as well. Multiple universities. So just want you to know this is not something I’m making up.
So here’s my favorite vibrator now. It may change if something better comes out. Here’s the best one. So it’s an Intensity, and when you take it out of the box, you have a nice little bag here that you can keep it in, and it comes with instructions. You won’t really, you can read them, but you won’t really need that after I show you what you do.
So, comes wrapped up in plastic, and if you’ve never used a vibrator before … The other thing. Wow, that’s a scary looking thing, and I don’t even know what’s going to happen when my children find that on the bedside table. So I don’t know. You have to hide it I guess. But eventually, when they get old enough, you’ll just have to tell them what it is, right? It’s actually been shown that the sooner you talk about sex with your children, the less, the more likely they are to have a healthy sex relationship. So what I would recommend as a guide is when they ask a question, that’s when they’re ready to hear the answer. So you give them an answer as they ask the question and make it safe for them to talk with you.
So here’s the way this works. These little electrodes here, can you zoom in on that? So these metal electrodes here act like a [inaudible 00:24:20] unit, but not to cause tingling. They actually cause an electrical current that causes muscle contraction. So another thing that can help you find an orgasm is to do Kegal exercises to both stimulate, exercise, and become aware of some of the muscles of orgasm. But you can’t do a Kegal on your uterus, which also contracts when you have an orgasm.
What this does, there’s a lot of women, they think they’re doing Kegals, but they’re really not. This, because this causes the muscles to contract, it makes you use the muscles you would normally do when you have an orgasm. Kind of fun, right? So this gel is to make contact with that. So you put a little bit of the gel on here, just a dab, about like that. Just enough to sort of cause it to make contact, okay? You put that on both sides. You don’t need a lot of it. This is not a lubricant. This is not to lubricate your vagina. You could use a different lubrication if you want. This is a contact gel to make it so that there’s electrical, passage of electrical activity from the device into the tissue.
So then, what you do … Actually, the way to think about what this does, if you’ve ever seen those ads in the magazines where you’re supposed to be able to put a little, stick a little wire on you, and it makes your muscles jump, and instead of having to go to the gym, it exercises for you. Well, it really does make the muscles jump. And that’s what this does. It teaches your vagina muscles to jump.
And so you can set the rhythm of that here, and then it also functions as a vibrator. And this little thing called a rabbit, this goes onto the clitoris, and these top two, it’s like a three-pronged hand, like this. And the top two go sort of under the clitoral hood, and the clitoris would fit right in there like that. So that pushes the clitoral hood back, and then this third little thumb finger goes on the clitoris itself, and what’s going to happen is you’ll have your little clitoris sitting in there like that, with these two going under the hood, sort of hold the hood back. And so now you have all three of those little fingers wrapped around the clitoris like that. Isn’t that cool?
So that’s the way it’ll be, so this is clitoris, these are those three little fingers. The clitoral hood would be on top of these fingers like that. Beautiful, beautiful.
Now this is vibrating, this is making your muscles. Now it has a little thing here to pump this up. You can see when I pump that, it gets bigger, like that, and when I push this black button, it deflates it.
So you would pump that up to make contact with the vaginal wall. See that? And this would deflate it. So it’s going to go in like this, and you can see the length of this would be, if your husband’s worried that you’re going to fall in love with your vibrator, husband, if you’re there listening, let me talk with you for a second. What’s going to happen here, obviously this right here, most people have an erection that’s, you know, at least this big. So it’s not like this is going to be suddenly a replacement for your penis. The other thing that’s going to happen is, you’ll find that as your lover learns to not be an or without orgasm, but becomes orgasmic.
She’s not going to fall in love with this. What this does is once this helps her break through the brush, and now she has a path that she can go through and down. Once that happens, [inaudible 00:28:11], once that happens, now it becomes easy for her to find the path, and this can go away, or it could be something that you bring out sometimes.
So this can be a toy. She can be using this while you kiss her. You can be fondling her breast. You know, she can be using this while she’s giving you fellatio. There’s all sorts of scenarios where this becomes part of the bedroom scene, but don’t worry. She won’t leave you for this, and I can promise you, if you become accepting and encouraging about anything that is not dangerous, but yet leads to better health and better relations, even if she has an orgasm from this while she is kissing you, she won’t fall in love with this. She will fall in love with your face if you’re kissing her while she has an orgasm with that, and she will come to associate you with that orgasm, and the path will become easier to find and easier to follow, the neurological pathway up here, and it will come to where she can have the orgasm with you and without that. All right?
So this becomes a pleasurable tool, but it also becomes more importantly a therapeutic method to help all these things work better so you find a deeper relationship. So it’s called an Intensity, and I hope you make it part of your metabolic, psychological bonding way to find a deeper relationship.
I’ve found, you know, I worked in the emergency room for 12 years. I’ve saved lots of lives, but I’ve found nothing more rewarding that saving the relationship of two people in love with each other or helping someone find healing, even if she’s just loving herself.
Lots of women have come to us who have O-Shots who live alone. Sexuality is very empowering, and there’s nothing that says that having an orgasm has to be about a man and a woman. It’s okay for a woman to find sexual energy that then she uses for … Rainer Maria Rilke talked about it being important for the creative process.
Napoleon Hill talked about it being important in his Think and Grow Rich book, about sexual energy helps people make more money or be more creative in their business endeavors.
Emerson called sex and beauty the scaffolding of love.
So a woman can be in love with herself and should be in love with herself, and it’s okay for her to make love to herself, whether it’s learning how to have an orgasm this way, or after she’s learned, having an orgasm this way, and I hope that you’ll contact us if we can help you further. Contact the physicians if you get an O-Shot. You should make sure, make sure, sure, sure that they are listed as one of our certified providers.
We’ve become very, very popular, and a lot of doctors, for some reason, either because of ill-intent or not, just unknowingly, they’ll advertise as if they’re in our provider group when they’re not, and they’re using kits that were not FDA approved for preparing plasma. They don’t understand where we’re putting that plasma, and it’s very offensive. It can hurt women tremendously. I don’t like it. I spend a lot of money on lawyers to shut them down, but still, they’re out there, so before you see someone for an O-Shot, even if they’re combining it with another device, like a laser, or ThermiVa, or radio frequency device. If they’re putting plasma into your vagina, you should make sure they’re listed as one of our certified provided, or what you’re getting may not be good plasma, and it may be getting put in the wrong place. So be careful with that.
But consult our certified providers at O-Shot. OShot.info, and I’ll put links to all this below, links to about the testosterone, links to therapists, links to where to get this vibrator, links to where to find certified providers, and again, thank you very much. This is precious, precious, sacred, sacred, very important material, and the fact that you have an interest in my ideas is very humbling, and I’m honored, and I hope you will contact us, us as in our organization and me personally, you’ll let me know how this helps you and your relationship with yourself and with your lover.
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