{"id":4679,"date":"2025-12-15T18:25:52","date_gmt":"2025-12-15T18:25:52","guid":{"rendered":"https:\/\/oshot.info\/members\/?p=4679"},"modified":"2026-10-15T16:57:50","modified_gmt":"2026-10-15T16:57:50","slug":"jcpm2025-12-09-female-sexual-dysfunction-prevalence-exosomes-recurrent-uti-marketing-kit","status":"publish","type":"post","link":"https:\/\/oshot.info\/members\/jcpm2025-12-09-female-sexual-dysfunction-prevalence-exosomes-recurrent-uti-marketing-kit\/","title":{"rendered":"JCPM2025.12.09 | Female Sexual Dysfunction Prevalence | Exosomes | Recurrent UTI | Marketing Kit"},"content":{"rendered":"<div>\n<h1 class=\"c3\"><span style=\"color: #0000ff;\">JCPM2025.12.09<\/span><\/h1>\n<\/div>\n<p class=\"c32\"><span class=\"c28 c35\">The following is an edited transcript of the\u00a0<\/span><span class=\"c28 c20 c35\">Journal Club with Pearls &amp; Marketing<\/span><span class=\"c14\">\u00a0(JCPM) of December 9, 2025, with Charles Runels, MD. \u00a0<\/span><\/p>\n<p class=\"c32\"><span class=\"c4 c28\"><a class=\"c11\" href=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2025\/12\/JCPM2025.12.09-edited.pdf\" target=\"_blank\" rel=\"noopener\">&gt;-&gt; The PDF transcript of this live journal club can be seen here &lt;-&lt;<\/a><\/span><\/p>\n<div style=\"padding: 56.25% 0 0 0; position: relative;\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" title=\"JCPM2025.12.09\" src=\"https:\/\/player.vimeo.com\/video\/1146318535?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479\" frameborder=\"0\"><\/iframe><\/div>\n<p><script src=\"https:\/\/player.vimeo.com\/api\/player.js\"><\/script><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #0000ff;\">Topics Covered<\/span><\/h1>\n<ul class=\"c50 lst-kix_list_15-0 start\">\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Antibacterial properties of platelet-rich plasma<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">PRP and chronic, hard-to-treat infections<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Technique, sterility, and contamination risk<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Importance of FDA-approved PRP preparation systems<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Neurogenic and Schwann-cell effects of PRP<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Aging, trauma, and loss of genital nerve density<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Caution regarding exosomes and regulatory exposure<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">Clinical positioning and communication with patients<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c37 c43 c36\" style=\"color: #800080;\">New Directory Functionality, Profiles, and Conversion Mechanics<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span class=\"c37 c36 c43\" style=\"color: #800080;\">Review Articles, Visual Education, and Adjunctive Therapies<\/span><\/li>\n<li class=\"c17 li-bullet-0\"><span style=\"color: #800080;\"><span class=\"c6\">Q&amp;A on female sexual dysfunction\u00a0<\/span><span class=\"c39 c20 c36 c49\">prevalence<\/span><\/span><\/li>\n<li class=\"c9 c44 li-bullet-0\"><span class=\"c6\" style=\"color: #800080;\">AI tool demonstration<\/span><\/li>\n<\/ul>\n<p class=\"c32\"><a href=\"https:\/\/runels.com\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2427\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2024\/07\/dr-runels-226x300.jpg\" alt=\"\" width=\"226\" height=\"300\" \/><\/a><\/p>\n<p class=\"c5\"><span class=\"c36 c38\"><a href=\"https:\/\/runels.com\" target=\"_blank\" rel=\"noopener\">Charles Runels, MD<\/a><br \/>\nAuthor, researcher, and inventor of the Vampire Facelift\u00ae, Orchid Shot\u00ae (O-Shot\u00ae), Priapus Shot\u00ae (P-Shot\u00ae), Priapus Toxin\u00ae, Vampire Breast Lift\u00ae, and Vampire Wing Lift\u00ae, &amp; Clitoxin\u00ae procedures.<\/span><\/p>\n<h1 class=\"c46 title\"><span class=\"c31\" style=\"color: #0000ff;\">Transcript<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">Welcome to our Journal Club. I think we\u2019ll finish in about 30 minutes tonight. We have four or five beautiful papers that should encourage us in what we do, a couple of tips to be garnered from them. And I wrote two emails for you that will help you, hopefully, find people who need what you know how to do.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So let\u2019s start with the research.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Platelet-Rich Plasma: Antibacterial Properties, Technique Integrity, Neurogenesis, and Clinical Translation<\/span><\/h1>\n<p class=\"c9 subtitle\"><span class=\"c8\">Antibacterial Properties of Platelet-Rich Plasma and Clinical Observations<\/span><\/p>\n<p class=\"c9\">This one, regarding antibacterial properties, is worth revisiting (the research idea is not new).<sup class=\"c7\"><a id=\"ftnt_ref1\" href=\"#ftnt1\">[1]<\/a><\/sup>\u00a0We\u2019ve had research, dating back over a decade, suggesting that platelet-rich plasma can help with methicillin-resistant\u00a0<span class=\"c20\">Staph aureus<\/span>\u00a0and treat hard-to-heal wound infections.<sup class=\"c7\"><a id=\"ftnt_ref2\" href=\"#ftnt2\">[2]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref3\" href=\"#ftnt3\">[3]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref4\" href=\"#ftnt4\">[4]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">I bring this up because we, anecdotally, routinely hear about people receiving our O-Shot procedure and seeing women with recurrent, hard-to-treat UTIs find relief from their symptoms.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">We\u2019ve discussed how the research suggests our procedure may be helpful for interstitial cystitis; however, all the papers except one focus on injecting into the bladder, and there has been limited discussion about treating recurrent UTIs.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But, many people have called me shocked that someone who\u2019s suffered with horrible pain for a long time, diagnosed with interstitial cystitis, now has relief a week or so after an O-Shot\u00ae for the first time in years.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And I have theories about why that might be happening: as you know, when we do the injection, we\u2019re literally millimeters from the urethra the way we do it. And sometimes, accidentally, we actually inject the urethra, so maybe that\u2019s a good thing.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But definitely this antibacterial property of PRP may be helping with UTI, and of course the neovascularization\u2014which would also help with fighting a chronic infection\u2014could be part of why this happens.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I\u2019m hesitating because I want to say this in a way that I don\u2019t over-promise or sound like I\u2019m hawking some magic potion that fixes everything. But this is something that should be talked about more, because when we look at our naysayers\u2014the people that have never studied our procedure\u2014physicians don\u2019t really know what we\u2019re able to do and are closed-minded to the idea.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Some of our naysayers often list infection as a possible complication of PRP injections. It\u2019s like saying you\u2019re going to cause asphyxia by having someone breathe oxygen. We don\u2019t cause infections. We\u2019re treating with an antibiotic.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">This is something I've woven into the email I\u2019m going to give you.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Technique, Sterility, and the Importance of Proper PRP Preparation<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">This one has to do with technique.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">One of the things I frequently preach about is the importance of having an FDA-cleared device for preparing platelet-rich plasma. And part of that has to do with the risk of contamination.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\"><a href=\"https:\/\/botoxclass.com\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1731 size-medium\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2023\/07\/418qRFMthHL._SX349_BO1204203200_-211x300.jpg\" alt=\"\" width=\"211\" height=\"300\" \/><\/a>But (as opposed to using a tube meant to do lab testing), when you open up a RegenKit or a PureSpin or a Selphyl kit, they\u2019re blister-packed. You could literally take them into the OR, and a circulating nurse could open them up and let the tube fall onto the sterile field.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Now, we don\u2019t maintain a sterile field during our procedures. It\u2019s like the dentist doesn\u2019t maintain a sterile field\u2014he\u2019s all up in your mouth. You can\u2019t make it sterile. You can be clean. And so we do that, but we\u2019re not doing surgery. We\u2019re administering an injection of platelet-rich plasma, a substance with antibacterial properties.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But on the other hand, when you are doing these procedures\u2014when you\u2019re doing your phlebotomy and when you\u2019re dealing with the tubes\u2014you could technically, theoretically introduce contamination. And so they talk about risk of microbacterial, microbiome contamination when you\u2019re preparing, and they extend it to the whole environment.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So my recommendation has always just been as sterile as you would if you were starting an IV.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And, as you know, the face is so resistant to infection, and the genitalia, because they\u2019re so vascular, there could be a tendency to maybe not be as diligent.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I mean, if you worked in the ER, you know people can fall out of their car and scrape their face on the gravel, get cut with a beer bottle, and then be dragged through the dirt in a fight on the way to the ER\u2014and they still hardly ever get an infection of the face; there\u2019s so much vascularity.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And similarly with the genitalia\u2014unless you\u2019re, of course, around the rectum\u2014but with just an injection or the genitalia, your chances of causing infection are minimal to none.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Improper Technique, Unauthorized Imitation, and Legal Consequences<\/span><\/h1>\n<p class=\"c9\">On the other hand, it\u2019s worth noting that the wrong technique, the wrong kit, could lead to problems. And I think sometimes we take for granted the fact that we are\u2014because it\u2019s so routine for us\u2014we take for granted that\u00a0<span class=\"c18 c36 c35 c39\">people don\u2019t all know about what we do (they assume they know but often get it wrong).<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Or the people who are copying us\u2014it happened in a nail salon, no doctor there\u2014and they decide they\u2019re going to do this on the sly out of a hotel room with this centrifuge they ordered off of Amazon. Those are the people who wind up in jail.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I know of two of them so far. Right after we started our Vampire Facelift, there was a massage therapist in California who went to prison. The initial news mentioned the Vampire Facelift. Turns out she had injected the buttocks with something she bought at the hardware store, but that patient just died.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But the point is that here\u2019s a person who\u2019s doing horrible things, claiming to be doing our procedure, and she was able to pull that off before we were able to shut her down.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And then the same thing happened a few years ago, as you know, in New Mexico, and those two ladies are now in prison.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I think it\u2019s worth noting, although we often take it for granted, that every now and then, sending out a paper like this is beneficial. It lets people know that we are following proper procedures as part of our protocol. It\u2019s something subtle, but important.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Neurogenesis, Schwann Cells, Trauma, and Aging<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">This one is another nerve\u2014I mean, how many of these have we done? This one\u2019s an author-opinion sort of article, but I like this right here:<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">PRP can stimulate Schwann cell proliferation, induce neurotropic factor synthesis, and significantly increase Schwann cell migration in a dose-dependent manner.<\/span><\/p>\n<p class=\"c27\">=&gt;<span class=\"c4\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998048598&amp;usg=AOvVaw0PxHQvRbZiL5DJyvPVbToX\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c4 c20\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998048769&amp;usg=AOvVaw0-d09nD1dSmUri7G9JewmU\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c1\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">This is something that I think we should also talk more about, because if you ask about it, you\u2019ll find quite a number of men and women who have noticed a decrease in sensation of the genitalia.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And I think some of it\u2019s bicycle injuries without people knowing it. I quit doing triathlons because I would get anesthesia of my genitals after a long ride and could never make that stop, even with the best of seats and bicycle shorts. And so it would be decreased sensation for ten minutes after I got off the bike.<\/span><\/p>\n<p class=\"c9\">Research supports that idea, but other trauma happens, right?<sup class=\"c7\"><a id=\"ftnt_ref5\" href=\"#ftnt5\">[5]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref6\" href=\"#ftnt6\">[6]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref7\" href=\"#ftnt7\">[7]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">A ten-pound baby passes through the birth canal and there\u2019s physical trauma.<\/span><\/p>\n<p class=\"c9\">Even without trauma, there is a need for neurogenesis. DeLancey published studies where he did autopsies on aging females and documented very vast attenuation in the number of nerves in the clitoris and around the urethra.<sup class=\"c7\"><a id=\"ftnt_ref8\" href=\"#ftnt8\">[8]<\/a><\/sup><\/p>\n<p class=\"c9\">There\u2019s aging that triggers atrophy of muscle of the urinary sphincter,<sup class=\"c7\"><a id=\"ftnt_ref9\" href=\"#ftnt9\">[9]<\/a><\/sup><span class=\"c1\">\u00a0and the same thing happens with nerve. And so even without injury, there\u2019s a reason for promoting neurogenesis just because of age.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And we have a way of doing that. To me, that\u2019s just tremendous. We can both grow nerves and blood flow, and we\u2019re doing it with what the body makes.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Exosomes, Stem Cells, and Regulatory Risk<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">I had another text message\u2014someone asking me about exosomes\u2014and just be careful.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">If you have any one for any reason who is saying to me, \u201cGo for it,\u201d (the devil or the angel on your shoulder), I always like to think, okay, if I go\u2014if I take their word on this\u2014and then my worst outcome happens and the FDA shows up in my office, will there be a downside for this salesperson?<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And the answer is none at all, unless you\u2019ve asked them to put in your hands what you\u2019re going to show to the FDA if they land in your office. If they cannot do that do not use the product, and if they do that and lied about it, okay, now they\u2019re in trouble.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But I\u2019ve seen it and I\u2019ve heard about it among our group. These salespeople disappear. They change to another company, they go to the moon, and you\u2019re in trouble with the FDA or your medical board, and for the salesperson, there is no downside.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">If they say you can use these exosomes by injection but you can\u2019t advertise it on your website, I would be very, very careful. I\u2019m not going to tell you what to do, but I would be very, very careful. I like doing things I can talk about.<\/span><\/p>\n<p class=\"c9\">And I bring that up because that\u2019s not going to happen with platelet-rich plasma. FDA doesn\u2019t care, and you don\u2019t have to have the exosomes to see our procedures work.<sup class=\"c7\"><a id=\"ftnt_ref10\" href=\"#ftnt10\">[10]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">Here\u2019s a paper right here showing that our straight-up, old-school O-Shot\u00ae works\u2014which has become old school now that we\u2019re pushing into the second half of the second decade. I like saying it that way. Sixteen years makes the second half of the second decade.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But why go to something that puts you at risk legally\u2014even if it\u2019s a small risk\u2014puts the patient at risk\u2014even if it\u2019s small\u2014because it didn\u2019t come from their body, unless you need it?<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Now, if you need it\u2014they didn\u2019t get well with your PRP, and you want to think about it\u2014then okay. But I think going straight to it, exosomes or stem cells, unless you\u2019re under an institutional review board or that salesperson puts something in your hand to make it safe for you if you get a knock on the door from their medical board or the FDA, then I would be very careful.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But all that to say, you can\u2014and I did\u2014weave this into an email that you can send to your patients, talking about how the science continues to support what we do. \u00a0This paper is tremendously beautiful.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Review Articles, Visual Education, and Adjunctive Therapies<\/span><\/h1>\n<p class=\"c9\">This one I put because it\u2019s just\u2014I admit it\u2014I like pretty pictures, and I like when someone goes to the trouble to do a really beautiful review article that clearly articulates a topic.<sup class=\"c7\"><a id=\"ftnt_ref11\" href=\"#ftnt11\">[11]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">So if you\u2019re treating androgenic alopecia, then this is a really nice article. You could literally print off and put it into your waiting room.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But the other option could be that you link to it and send it out along with an email, which is what I did for you. I wrote one for you.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">My wife is doing this now, using intradermal botulinum toxin for alopecia, and others in our group.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">This one again\u2014where did the exosomes come from? Are they from people or plants or the UPS man?<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Just be careful. A lot of the studies, if you notice, where they\u2019re more open about talking about it, are coming from other countries where they don\u2019t have an FDA.<\/span><\/p>\n<p class=\"c9\">And then this one I put in just because\u2014I mean, we know it works\u2014but the saline arm, you know that\u2019s my pet peeve to talk about: saline is not a placebo in a cellular therapy treatment with hydrodissection as a component.<sup class=\"c7\"><a id=\"ftnt_ref12\" href=\"#ftnt12\">[12]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref13\" href=\"#ftnt13\">[13]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref14\" href=\"#ftnt14\">[14]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">Saline works\u2014decreased pain by 30%. PRP, of course, worked better for tendonitis.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Implementation Packet and Patient Email Strategy<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">I\u2019ll open this up so you can read it. I have placed it in the handout section. I wrote two emails, and I\u2019ll read through them for you, let you hear my thoughts, and offer some tips on how to send them out.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">We lost a member today. I mean, we actually lost one to death last week. Our group\u2019s big enough now that people retire and die, but we lost one who dropped out today.<\/span><\/p>\n<p class=\"c27\">=&gt;<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998055167&amp;usg=AOvVaw0dfUFB8Uou3pRiIzLEkyob\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c10 c20\"><a class=\"c11\" href=\"https:\/\/cellularmedicineassociation.org\/procedures\/\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c24\">\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And he has a men\u2019s erection clinic that he operates on his own. He\u2019s not part of a franchise or a big group. He just operates on his own.<\/span><\/p>\n<h2 style=\"text-align: center;\"><span style=\"color: #800080;\"><a style=\"color: #800080;\" href=\"https:\/\/docs.google.com\/document\/d\/1W196brl0x1fkmTfZMqE8pWG55GQmKBFQ\/edit?usp=sharing&amp;ouid=111849805111823660826&amp;rtpof=true&amp;sd=true\" target=\"_blank\" rel=\"noopener\">=&gt;Marketing Kit for This Week&lt;=<\/a><\/span><\/h2>\n<p class=\"c9\"><span class=\"c1\">He\u2019d been in the group for a couple of months, and I looked. There was no webpage about the P-Shot\u00ae. He never ordered any books or brochures or a poster to go into his office. And there was no form on his website to collect email addresses from people who might be interested in coming to see him.<\/span><\/p>\n<p class=\"c9\">This is something I hesitate\u2014I don\u2019t like saying\u2014but it\u2019s true. Even if you\u2019re on our directory\u2014and I know this is true because patients have told me and they\u2019ve told our providers\u2014even\u00a0<span class=\"c39 c18 c36 c35\">if you\u2019re on our directory, if someone looks at your website and they can\u2019t find anywhere where you\u2019re talking about the procedure, even if you\u2019re in their town, they will get on an airplane and fly to another town to have the procedure.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Think about it.<\/span><\/p>\n<p>You can buy a first-class ticket to anywhere in the U.S. for about a thousand bucks. If you want to fly coach, you can go round trip to most places in the US for 500 bucks or so.<\/p>\n<p class=\"c9\"><span class=\"c1\">They\u2019re spending two grand on a procedure. If they have the time and it\u2019s their genitals, they will go where they have connected with the provider online or in person.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And what I hear from most of our doctors (who are shocked when people fly from other places to see them) is the following: They\u2019ll ask the person, \u201cI see you came from such-and-such town where there resides a P-Shot\u00ae provider near your home. Why did you fly to see me?\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Almost as if they\u2019re scripted, they\u2019ll say, \u201cI watched your video on your website. I watched your video.\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">They want to see that the doctor who is going to treat them is all in.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Directory Upgrades and Member Visibility<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">I did want to show you something else before I get to the Implementation Kit. I keep forgetting to tell you guys this, but I\u2019m really proud of this.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">We upgraded our directories. It took a few months, but I want to show you what they do now.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">A lot of people in the group think that\u2019s the only reason for being in the group.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">There are other reasons. For example, we\u2019ve had people who are making so much money, a colleague complained to the medical board.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And then I had to write a letter that said, \u201cLook, this person does what we do. Here\u2019s 20 people that are professors of gynecology at various universities who do the same thing. Here\u2019s a hundred papers to read. This is a real protocol, a real deal.\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And then it goes away.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">That\u2019s happened seven or eight times now over the past 15 years.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Or someone\u2019s next door and they\u2019re advertising O-Shots for $300 and they are not licenses to use the name, maybe not even a licensed provider.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">We pay for the attorneys to make that go away, and other things.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But the directory is helpful because your patients will look to see if you\u2019re on it, but it won\u2019t do as much for you if you don\u2019t at least have a link to a page that you have.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But it will do more now than it used to.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So let me show you how it\u2019s working\u2014one second.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Directory Functionality, Profiles, and Conversion Mechanics<\/span><\/h1>\n<p class=\"c9\">Okay, I\u2019ll use\u00a0<span class=\"c4\"><a class=\"c11\" href=\"https:\/\/oshot.info\/members\/directory\" target=\"_blank\" rel=\"noopener\">the O-Shot\u00ae directory<\/a><\/span><span class=\"c1\">\u00a0as an example.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But look at this. So now what happens is we have some popular cities, and we have people in all these states.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">If you just wanted to go straight to your state, you can click that. But the search option now\u2014you can always click there and it\u2019ll just find out where you are and then find people close to you. And you can go by zip code, and you can go by countries, or you can go by states.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But it\u2019s the other thing that happens\u2014let me show you this and then I\u2019ll quit talking about it\u2014but it\u2019s working a lot faster than it did.<\/span><\/p>\n<p class=\"c9\">Notice the difference:\u00a0<span class=\"c18\">you can add your bio to the directory<\/span><span class=\"c1\">.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And that option was not there until about\u2014we started working on it several months ago, and we tightened it up so everything shows up prettier. That\u2019s probably not a real word, but more pretty\u2014but it\u2019s prettier, and there\u2019s more functionality, and it\u2019s faster.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I also moved all the websites to a faster server, which a couple of weeks of my time.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So after you log in, if you look up in the right-hand corner, it\u2019ll say your name and it\u2019ll say \u201cEdit Profile.\u201d And if you click on \u201cEdit Profile,\u201d you just change it. You can change anything anytime you want. You don\u2019t have to call us.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Email Psychology, Implementation, and Positioning<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">Okay, let me show you the emails. You can download them, but I\u2019ll show you the science and the psychology behind them, and then we\u2019ll call it a night.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Got two minutes to make it by 30 minutes.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Okay. I\u2019m calling it my implementation packet, and I\u2019m committed to bringing you guys one of these every week so you can just run with it.<\/span><\/p>\n<h2 style=\"text-align: center;\"><span style=\"color: #800080;\"><a style=\"color: #800080;\" href=\"https:\/\/docs.google.com\/document\/d\/1W196brl0x1fkmTfZMqE8pWG55GQmKBFQ\/edit?usp=sharing&amp;ouid=111849805111823660826&amp;rtpof=true&amp;sd=true\" target=\"_blank\" rel=\"noopener\">=&gt;Marketing Kit for This Week&lt;=<\/a><\/span><\/h2>\n<p class=\"c9\"><span class=\"c1\">And remember, my suggestion is that you personalize this, because it could belong to anybody. You personalize it by at least adding your picture. Of course, you\u2019re going to change the contact info, change it to a different closing.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I usually say \u201cSincerely.\u201d Some people have their little thing they say, like Roy Rogers\u2014what do you say? \u201cHappy Trails,\u201d or something.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I used to say \u201cPeace and Health,\u201d but have a closing so you don\u2019t spend time wasting on trying to think how you want to close that out.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Okay. So this one\u2014look at the psychology of this.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">\u201cDear First Name.\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">If you\u2019ve been struggling with these problems\u2014and this is written so the spam filters won\u2019t grab it, because they will\u2014<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">\u201cThree recent scientific studies that we just talked about show that PRP helps damaged nerves.\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And then, if you want to turn that into an active link, you highlight it, copy it, and then, in the email software you use, look for the little chain link icon.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And then you just paste it.<\/span><\/p>\n<p class=\"c27\">=&gt;<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998065084&amp;usg=AOvVaw05sWzdxobCP-uVok0fbmnn\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c10 c20\"><a class=\"c11\" href=\"https:\/\/cellularmedicineassociation.org\/procedures\/\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c24\">\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I\u2019m not sure if you\u2019re able to see all that, but that\u2019s an active link right there. See, I just made it active. So if I click on that, it\u2019ll take me there.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So you highlight it, and if you can\u2019t figure it out, do my Five Notes course, and I\u2019ll show you how to do it.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Okay. This is one of the reasons PRP-based treatments such as our O-Shot\u2014I would change that to \u201cmy\u201d or \u201cour\u201d O-Shot\u2014can help improve, okay, natural antibacterial\u2014this is all true.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">We have so many\u2014I forgot about this when I wrote this\u2014but we have people talking about vestibulitis and, of course, inflammatory conditions like lichen sclerosus, but also those recurrent UTIs.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And then here I wanted to brag about the fact that we know what we\u2019re doing. We have a protocol.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And so you get to know\u2014just having a protocol, if you don\u2019t brag about it, why would you sell Tylenol and just have the label say \u201cacetaminophen\u201d?<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">You are part of our group. So use the millions\u2014literally\u2014of money invested in our marketing and our reputation. And you have the right to do it.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So just put that in.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">It helps sometimes to add the word \u201cprocedure\u201d to emphasize the fact that it\u2019s not just a shot. \u201cTreatment\u201d is a good word. \u201cTreatments,\u201d \u201cprocedures.\u201d You see how I\u2019ll put that in so that they know it\u2019s not just a simple shot.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Counterpoint: Cosmetic Gynecology Criticism and Evidence-Based Response<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">This one\u2014I didn\u2019t cover this one. Let me pop back over and show you that.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">They were giving cosmetic gynecologists a hard time.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And remember always pay attention to your enemies, because they tell you what shield to make.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\"><a href=\"https:\/\/orgasmcollege.com\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-3710 size-full\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2025\/12\/female-sexual-dysfunction.jpg\" alt=\"\" width=\"800\" height=\"2450\" \/><\/a>If you say to me, \u201cYou\u2019re doing A, B, and C wrong,\u201d great.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Now that I read that, I know I need to either correct my error, or (if the criticism is unfounded) to shield against A, B, and C, which means I can talk about it\u2014the counterpoint to that.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">I don\u2019t want to waste time trying to convince a closed mind, but if they\u2019re out saying that\u2014in other words, if they say, well, we\u2019ll use this as an example\u2014taking advantage of women by making them feel insecure about their labia so that we can make money off of them by doing surgical procedures to their labia.<\/span><\/p>\n<p class=\"c9\"><span class=\"c4\"><a class=\"c11\" href=\"https:\/\/cellularmedicineassociation.org\/prp-training-runels\/\" target=\"_blank\" rel=\"noopener\">=&gt;Dr. Runels\u2019 Next Hands-On Workshop with Live Models and Marketing&lt;=<\/a><\/span><\/p>\n<p class=\"c9\">Okay? That\u2019s one of the cases they try to make in this paper.<sup class=\"c7\"><a id=\"ftnt_ref15\" href=\"#ftnt15\">[15]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">And we had the same thing happen when I first rolled out the O-Shot\u2014it was that I was taking advantage of women.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Well, no, we\u2019re not. Because 40% of women are psychologically bothered by their sexual dysfunction, and their families are strained. And research even shows their children are not as happy because of their sexual dysfunction.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So no\u2014she\u2019s got a problem, and I\u2019m trying to think of a way to help her.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And the same thing with this.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And so the paper I linked to is where they criticize us. And then I show the point and the counterpoint.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">So let me swap back over because I forgot to show you that paper, and then we\u2019ll call it a night.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">Sexual Dysfunction Prevalence, Distress Criteria, and AI Demonstration<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">Dr. Goodman\u2014who\u2019s in our group, Michael Goodman\u2014is a legend. He was not only a pioneer in labioplasty, but a pioneer in endoscopic surgery. Brilliant man.<\/span><\/p>\n<p class=\"c9\">He published this study and others and showed that when women have labioplasty\u2014even if it\u2019s just for cosmetic reasons\u2014their sexual function improves.<sup class=\"c7\"><a id=\"ftnt_ref16\" href=\"#ftnt16\">[16]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref17\" href=\"#ftnt17\">[17]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref18\" href=\"#ftnt18\">[18]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">So if we\u2019re helping them in the bedroom, then we\u2019re not taking advantage of them.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Now, most of us are not surgeons. Many in our group are. Most of us are not labioplasty surgeons.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">But the other thing that\u2019s happening when I go to their conferences\u2014at least I would say 90-plus percent of the lectures by \u201ccosmetic\u201d gynecologists is regarding dysfunction (not beauty alone).<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">It\u2019s almost an unfortunate name (aesthetic\/cosmetic gynecology), because even though it\u2019s called cosmetic gynecology, they\u2019re dealing with things like phimosis secondary to lichen sclerosus, where you can\u2019t even retract the clitoral hood.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And often, the woman has seen two or three gynecologists who never even noticed. It\u2019s tragic.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Many of us have seen that repeatedly.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And of course, the husband doesn\u2019t know, and the wife can hardly see down there.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And all doctors\u2014we\u2019re trained to examine the glans penis by retracting the foreskin. And I think there are 16,000 or so men who get squamous carcinoma of the penis every year and we know how to look for it.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">It's a horrible thing to have your penis cut off.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And we were taught to check the glans penis and teach men how to retract their foreskin and keep the area clean. But the analogous instruction by physicians (retracting the clitoral hood to clean the area) is still not happening with women.<\/span><\/p>\n<p class=\"c9\">Remember that paper we talked about a lot? Only one in seven medical schools was teaching gynecologists the full clitoral anatomy.<sup class=\"c7\"><a id=\"ftnt_ref19\" href=\"#ftnt19\">[19]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">And so it\u2019s no wonder that we can\u2019t hold the husband responsible for not knowing the anatomy if the gynecologist doesn\u2019t likely know the anatomy of the clitoris.<\/span><\/p>\n<p class=\"c9\">Not stupid people\u2014just an inadequate education system that\u00a0<span class=\"c4\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/&amp;sa=D&amp;source=editors&amp;ust=1765824998072713&amp;usg=AOvVaw00We3KK0wJvrXAhg_HV8h2\" target=\"_blank\" rel=\"noopener\">we as a group<\/a><\/span><span class=\"c1\">\u00a0are trying to change.<\/span><\/p>\n<h1 class=\"c9 subtitle\"><span class=\"c8\" style=\"color: #800080;\">Q&amp;A: Prevalence of Female Sexual Dysfunction<\/span><\/h1>\n<p class=\"c9\"><span class=\"c1\">Question: Is there a reference or source where I can reference and read about the 40% of sexual dysfunction?<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">\u201cCan you give me more references about the percentages of women who suffer with sexual dysfunction?\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">There\u2019s a lot of discussion about what the actual number is, but conservatively, it\u2019s 30 to 40%.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">And the other trick is\u2014to be counted, you have to be psychologically bothered by it.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">You can\u2019t just say, \u201cOh, I have dyspareunia, but I don\u2019t care because I don\u2019t have sex.\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">If you have that, you do not have sexual dysfunction.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Among 18 studies, female sexual dysfunction ranged from 20 to 95%. The pooled estimate was 47%.<\/span><\/p>\n<p class=\"c9\">Across 135 studies in 41 countries, 41% of reproductive-age women were affected.<sup class=\"c7\"><a id=\"ftnt_ref20\" href=\"#ftnt20\">[20]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref21\" href=\"#ftnt21\">[21]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref22\" href=\"#ftnt22\">[22]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref23\" href=\"#ftnt23\">[23]<\/a><\/sup>\u00a0<sup class=\"c7\"><a id=\"ftnt_ref24\" href=\"#ftnt24\">[24]<\/a><\/sup><\/p>\n<p class=\"c9\"><span class=\"c1\">And yet you have one freaking medical school out of seven that teaches gynecologists how to do a history and physical on a woman with sexual dysfunction.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">It\u2019s a tragedy of medicine.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Okay. Sorry\u2014I\u2019m ranting. Better call it a night.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Thank you for being on the call.<\/span><\/p>\n<p class=\"c9\"><span class=\"c1\">Bye-bye.<\/span><\/p>\n<p class=\"c27\">=&gt;<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998074428&amp;usg=AOvVaw3HizAl2lSTJ6ZFc521g22j\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c10 c20\"><a class=\"c11\" href=\"https:\/\/cellularmedicineassociation.org\/procedures\/\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c24\">\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c27\"><span class=\"c4\"><a class=\"c11\" href=\"https:\/\/accma.memberlodge.org\/page-925782\" target=\"_blank\" rel=\"noopener\">=&gt;Next Hands-On Workshops with Live Models&lt;=<\/a><\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\" style=\"color: #800080;\">References<\/span><\/h1>\n<p class=\"c2\"><span class=\"c1\">Abdelgeliel, Asmaa Sayed, Waiel F. Sayed, Wesam M. Salem, and Fatma S. Hassan. \u201cAntibacterial and Antibiofilm Activity of Platelet-Rich Plasma under Different Activation Conditions against Multidrug-Resistant MRSA Isolated from Human Skin Abscesses.\u201d\u00a0<\/span><span class=\"c13\">BMC Biotechnology<\/span><span class=\"c1\">, ahead of print, December 8, 2025. https:\/\/doi.org\/10.1186\/s12896-025-01078-x.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Adebisi, Omoniyi Y., and Karen Carlson. \u201cFemale Sexual Interest and Arousal Disorder.\u201d In\u00a0<\/span><span class=\"c13\">StatPearls<\/span><span class=\"c1\">. StatPearls Publishing, 2025. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK603746\/.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Aggour, Reham L., and Lina Gamil. \u201cAntimicrobial Effects of Platelet-Rich Plasma against Selected Oral and Periodontal Pathogens.\u201d\u00a0<\/span><span class=\"c13\">Polish Journal of Microbiology<\/span><span class=\"c1\">\u00a066, no. 1 (2017): 31\u201337. https:\/\/doi.org\/10.5604\/17331331.1235227.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Asghar, Aneela, Zahid Tahir, Aisha Ghias, Usma Iftikhar, and Tahir Jameel Ahmad. \u201cEfficacy and Safety of Intralesional Normal Saline in Atrophic Acne Scars.\u201d\u00a0<\/span><span class=\"c13\">Annals of King Edward Medical University<\/span><span class=\"c1\">\u00a025, no. 2 (2019): 2. https:\/\/doi.org\/10.21649\/akemu.v25i2.2867.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Bagherani, Nooshin, and Bruce R Smoller. \u201cIntroduction of a Novel Therapeutic Option for Atrophic Acne Scars: Saline Injection Therapy.\u201d\u00a0<\/span><span class=\"c13\">Global Dermatology<\/span><span class=\"c1\">\u00a02, no. 6 (2016). https:\/\/doi.org\/10.15761\/GOD.1000159.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Beitzel, Knut, Donald Allen, John Apostolakos, et al. \u201cUS Definitions, Current Use, and FDA Stance on Use of Platelet-Rich Plasma in Sports Medicine.\u201d\u00a0<\/span><span class=\"c13\">The Journal of Knee Surgery<\/span><span class=\"c1\">\u00a028, no. 1 (2015): 29\u201334. https:\/\/doi.org\/10.1055\/s-0034-1390030.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Cl, Karan, Madhan Jeyaraman, Naveen Jeyaraman, Swaminathan Ramasubramanian, Manish Khanna, and Sankalp Yadav. \u201cAntimicrobial Effects of Platelet-Rich Plasma and Platelet-Rich Fibrin: A Scoping Review.\u201d\u00a0<\/span><span class=\"c13\">Cureus<\/span><span class=\"c1\">, ahead of print, December 30, 2023. https:\/\/doi.org\/10.7759\/cureus.51360.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Codispoti, Nicolette, Olivia Negris, Monica C Myers, et al. \u201cFemale Sexual Medicine: An Assessment of Medical School Curricula in a Major United States City.\u201d\u00a0<\/span><span class=\"c13\">Sexual Medicine<\/span><span class=\"c1\">\u00a011, no. 4 (2023): qfad051. https:\/\/doi.org\/10.1093\/sexmed\/qfad051.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">El-Amawy, Heba Saed, and Sameh Magdy Sarsik. \u201cSaline in Dermatology: A Literature Review.\u201d\u00a0<\/span><span class=\"c13\">Journal of Cosmetic Dermatology<\/span><span class=\"c1\">\u00a020, no. 7 (2021): 2040\u201351. https:\/\/doi.org\/10.1111\/jocd.13813.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Goodman, Michael, Samantha Fashler, John R Miklos, Robert D Moore, and Lori A Brotto.\u00a0<\/span><span class=\"c13\">The Sexual, Psychological, and Body Image Health of Women Undergoing Elective Vulvovaginal Plastic\/ Cosmetic Procedures: A Pilot Study<\/span><span class=\"c1\">. 28, no. 4 (2011): 9.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Goodman, Michael P., Otto J. Placik, Royal H. Benson, et al. \u201cA Large Multicenter Outcome Study of Female Genital Plastic Surgery.\u201d\u00a0<\/span><span class=\"c13\">The Journal of Sexual Medicine<\/span><span class=\"c1\">\u00a07, no. 4 (2010): 1565\u201377. https:\/\/doi.org\/10.1111\/j.1743-6109.2009.01573.x.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Goodman, Michael P., Otto J. Placik, David L. Matlock, et al. \u201cEvaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic\/Cosmetic Surgery.\u201d\u00a0<\/span><span class=\"c13\">Aesthetic Surgery Journal<\/span><span class=\"c1\">\u00a036, no. 9 (2016): 1048\u201357. https:\/\/doi.org\/10.1093\/asj\/sjw061.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Jaafarpour, Molouk, Ali Khani, Javaher Khajavikhan, and Zeinab Suhrabi. \u201cFemale Sexual Dysfunction: Prevalence and Risk Factors.\u201d\u00a0<\/span><span class=\"c13\">Journal of Clinical and Diagnostic Research<\/span><span class=\"c20 c34\">\u202f<\/span><span class=\"c13\">: JCDR<\/span><span class=\"c1\">\u00a07, no. 12 (2013): 2877\u201380. https:\/\/doi.org\/10.7860\/JCDR\/2013\/6813.3822.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Khani, Ali. \u201cFemale Sexual Dysfunction: Prevalence and Risk Factors.\u201d\u00a0<\/span><span class=\"c13\">JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH<\/span><span class=\"c1\">, ahead of print, 2013. https:\/\/doi.org\/10.7860\/JCDR\/2013\/6813.3822.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Litwinowicz, Kamil, Marcin Choroszy, and Anna Wr\u00f3bel. \u201cStrategies for Reducing the Impact of Cycling on the Perineum in Healthy Males: Systematic Review and Meta-Analysis.\u201d\u00a0<\/span><span class=\"c13\">Sports Medicine (Auckland, N.z.)<\/span><span class=\"c1\">\u00a051, no. 2 (2021): 275\u201387. https:\/\/doi.org\/10.1007\/s40279-020-01363-z.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Lui, Hansen, Nnenaya Mmonu, Mohannad A. Awad, et al. \u201cAssociation of Bicycle-Related Genital Numbness and Female Sexual Dysfunction: Results From a Large, Multinational, Cross-Sectional Study.\u201d\u00a0<\/span><span class=\"c13\">Sexual Medicine<\/span><span class=\"c1\">\u00a09, no. 3 (2021): 100365. https:\/\/doi.org\/10.1016\/j.esxm.2021.100365.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Mitchell, Kirstin R., Kyle G. Jones, Kaye Wellings, et al. \u201cEstimating the Prevalence of Sexual Function Problems: The Impact of Morbidity Criteria.\u201d\u00a0<\/span><span class=\"c13\">Journal of Sex Research<\/span><span class=\"c1\">\u00a053, no. 8 (2016): 955\u201367. https:\/\/doi.org\/10.1080\/00224499.2015.1089214.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Nappi, Rossella E., Laura Cucinella, Silvia Martella, Margherita Rossi, Lara Tiranini, and Ellis Martini. \u201cFemale Sexual Dysfunction (FSD): Prevalence and Impact on Quality of Life (QoL).\u201d\u00a0<\/span><span class=\"c13\">Maturitas<\/span><span class=\"c1\">\u00a094 (December 2016): 87\u201391. https:\/\/doi.org\/10.1016\/j.maturitas.2016.09.013.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Panara, Kush, John M. Masterson, Luis F. Savio, and Ranjith Ramasamy. \u201cAdverse Effects of Common Sports and Recreational Activities on Male Reproduction.\u201d\u00a0<\/span><span class=\"c13\">European Urology Focus<\/span><span class=\"c1\">\u00a05, no. 6 (2019): 1146\u201351. https:\/\/doi.org\/10.1016\/j.euf.2018.04.013.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Pandit, Meghana, John O L Delancey, James A Ashton, Jyothsna Iyengar, Mila Blaivas, and Daniele Perucchini.\u00a0<\/span><span class=\"c13\">Quantification of Intramuscular Nerves Within the Female Striated Urogenital Sphincter Muscle<\/span><span class=\"c1\">. 2005.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Pipitone, Fernanda, Zhina Sadeghi, and John O. L. DeLancey. \u201cUrethral Function and Failure: A Review of Current Knowledge of Urethral Closure Mechanisms, How They Vary, and How They Are Affected by Life Events.\u201d\u00a0<\/span><span class=\"c13\">Neurourology and Urodynamics<\/span><span class=\"c1\">\u00a040, no. 8 (2021): 1869\u201379. https:\/\/doi.org\/10.1002\/nau.24760.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Sethi, Dalip, Kimberly E. Martin, Sangeeta Shrotriya, and Bethany L. Brown. \u201cSystematic Literature Review Evaluating Evidence and Mechanisms of Action for Platelet-Rich Plasma as an Antibacterial Agent.\u201d\u00a0<\/span><span class=\"c13\">Journal of Cardiothoracic Surgery<\/span><span class=\"c1\">\u00a016, no. 1 (2021): 277. https:\/\/doi.org\/10.1186\/s13019-021-01652-2.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Shin, Jung-Won, and Chang-Hun Huh. \u201cUpdates in Treatment for Androgenetic Alopecia.\u201d\u00a0<\/span><span class=\"c13\">Annals of Dermatology<\/span><span class=\"c1\">\u00a037, no. 6 (2025): 327\u201335. https:\/\/doi.org\/10.5021\/ad.25.042.<\/span><\/p>\n<p class=\"c2\"><span class=\"c1\">Syed, Shamail A, and Asila Anwar. \u201cThe Globally Rising Tide of Cosmetic Gynaecology: Are Providers Aware of the Ethical Aspects?\u201d\u00a0<\/span><span class=\"c13\">Cureus<\/span><span class=\"c1\">, ahead of print, November 7, 2025. https:\/\/doi.org\/10.7759\/cureus.96327.<\/span><\/p>\n<h1 class=\"c16\"><span class=\"c15\">Helpful Links<\/span><\/h1>\n<p class=\"c9\"><span class=\"c4\"><a class=\"c11\" href=\"https:\/\/cellularmedicineassociation.org\/prp-training-runels\/\" target=\"_blank\" rel=\"noopener\">=&gt;Dr. Runels\u2019 Next Hands-On Workshop with Live Models and Marketing&lt;=<\/a><\/span><\/p>\n<p class=\"c9\">=&gt;\u00a0<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/accma.memberlodge.org\/page-925782&amp;sa=D&amp;source=editors&amp;ust=1765824998084455&amp;usg=AOvVaw0gCVsExwLUh09Bb2z--wLH\" target=\"_blank\" rel=\"noopener\">Next Hands-On Workshops with Live Model<\/a><\/span><span class=\"c4\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/accma.memberlodge.org\/page-925782&amp;sa=D&amp;source=editors&amp;ust=1765824998084528&amp;usg=AOvVaw3NMw62ksQbybnETbxtbABi\" target=\"_blank\" rel=\"noopener\">s<\/a><\/span><span class=\"c1\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;\u00a0<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/&amp;sa=D&amp;source=editors&amp;ust=1765824998084697&amp;usg=AOvVaw3htQyHZVVchmI6bv7vmbWk\" target=\"_blank\" rel=\"noopener\">Dr. Runels Online\u00a0<\/a><\/span><span class=\"c10 c20\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/&amp;sa=D&amp;source=editors&amp;ust=1765824998084792&amp;usg=AOvVaw3l8GouMYwTGNNoqpipGH_Y\" target=\"_blank\" rel=\"noopener\">Botulinum Blastoff Cours<\/a><\/span><span class=\"c4 c20\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/&amp;sa=D&amp;source=editors&amp;ust=1765824998084844&amp;usg=AOvVaw2eUJElnorxCfYWbaSB3yFT\" target=\"_blank\" rel=\"noopener\">e<\/a><\/span><span class=\"c1\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;\u00a0<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/&amp;sa=D&amp;source=editors&amp;ust=1765824998085057&amp;usg=AOvVaw0dy6j5MJiaI1bSpg5NncO4\" target=\"_blank\" rel=\"noopener\">The Cellular Medicine Association (who we are<\/a><\/span><span class=\"c24\">)\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;<span class=\"c4\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998085228&amp;usg=AOvVaw1UmZphhp_YD_rUaneWAR_O\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c4 c20\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1765824998085382&amp;usg=AOvVaw1vaKMmy32v1aXrO4tHw8Sh\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c24\">\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;\u00a0<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshot.info\/fsfi-calculator&amp;sa=D&amp;source=editors&amp;ust=1765824998085608&amp;usg=AOvVaw1lYgeHCv7E1_NmnsO9GMwq\">FSFI Online Administrator and Calculator<\/a><\/span><span class=\"c1\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;\u00a0<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/5notes.com\/&amp;sa=D&amp;source=editors&amp;ust=1765824998085776&amp;usg=AOvVaw1NP0-2jxevFe7xCxE5viII\" target=\"_blank\" rel=\"noopener\">5-Notes Expert System for Doctors<\/a><\/span><span class=\"c24\">\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/password\/&amp;sa=D&amp;source=editors&amp;ust=1765824998085956&amp;usg=AOvVaw3yORHwe4lT-n-0cAhx5U4I\" target=\"_blank\" rel=\"noopener\">\u00a0Help with\u00a0<\/a><\/span><span class=\"c10 c20\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/password\/&amp;sa=D&amp;source=editors&amp;ust=1765824998086081&amp;usg=AOvVaw3DsxhgF_iWAggvHKLa3l8o\" target=\"_blank\" rel=\"noopener\">Logging into Membership Website<\/a><\/span><span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/password\/&amp;sa=D&amp;source=editors&amp;ust=1765824998086162&amp;usg=AOvVaw0gQNNaiE4nCsUhT43Mf6Qg\" target=\"_blank\" rel=\"noopener\">s<\/a><\/span><span class=\"c24\">\u00a0<\/span><span class=\"c1\">&lt;=<\/span><\/p>\n<p class=\"c9\">=&gt;\u00a0<span class=\"c10\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/ontraport.com\/Cellular-Medicine-Association-&amp;sa=D&amp;source=editors&amp;ust=1765824998086441&amp;usg=AOvVaw0dTGEVQQ0SwirN7-nSqz2d\" target=\"_blank\" rel=\"noopener\">The software I use to send emails: ONTRAPORT (free trial)<\/a><\/span><span class=\"c24 c36\">\u00a0<\/span><span class=\"c36 c35\">&lt;=<\/span><span class=\"c1\">\u00a0<\/span><\/p>\n<div>\n<table class=\"c22\">\n<tbody>\n<tr class=\"c19\">\n<td class=\"c23\" colspan=\"1\" rowspan=\"1\">\n<p class=\"c9\"><span class=\"c4\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/runels.com\/&amp;sa=D&amp;source=editors&amp;ust=1765824998091510&amp;usg=AOvVaw15AWQGrB7TEJ8YNRfvNa63\" target=\"_blank\" rel=\"noopener\">Charles Runels, MD<\/a><\/span>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0888-920-5311 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<span class=\"c4\"><a class=\"c11\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/&amp;sa=D&amp;source=editors&amp;ust=1765824998091653&amp;usg=AOvVaw3GrBzlnw76eunGQi5H6bEF\" target=\"_blank\" rel=\"noopener\">CellularMedicineAssociation.org<\/a><\/span><\/p>\n<\/td>\n<td class=\"c47\" colspan=\"1\" rowspan=\"1\">\n<p class=\"c45\">Page\u00a0\u00a0of<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"c3\">\n<\/div>\n<hr class=\"c33\" \/>\n<div>\n<p class=\"c9\"><a id=\"ftnt1\" href=\"#ftnt_ref1\">[1]<\/a><span class=\"c0\">\u00a0Abdelgeliel et al., \u201cAntibacterial and Antibiofilm Activity of Platelet-Rich Plasma under Different Activation Conditions against Multidrug-Resistant MRSA Isolated from Human Skin Abscesses.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt2\" href=\"#ftnt_ref2\">[2]<\/a><span class=\"c0\">\u00a0Aggour and Gamil, \u201cAntimicrobial Effects of Platelet-Rich Plasma against Selected Oral and Periodontal Pathogens.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt3\" href=\"#ftnt_ref3\">[3]<\/a><span class=\"c0\">\u00a0Cl et al., \u201cAntimicrobial Effects of Platelet-Rich Plasma and Platelet-Rich Fibrin.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt4\" href=\"#ftnt_ref4\">[4]<\/a><span class=\"c0\">\u00a0Sethi et al., \u201cSystematic Literature Review Evaluating Evidence and Mechanisms of Action for Platelet-Rich Plasma as an Antibacterial Agent.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt5\" href=\"#ftnt_ref5\">[5]<\/a><span class=\"c0\">\u00a0Panara et al., \u201cAdverse Effects of Common Sports and Recreational Activities on Male Reproduction.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt6\" href=\"#ftnt_ref6\">[6]<\/a><span class=\"c0\">\u00a0Lui et al., \u201cAssociation of Bicycle-Related Genital Numbness and Female Sexual Dysfunction.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt7\" href=\"#ftnt_ref7\">[7]<\/a><span class=\"c0\">\u00a0Litwinowicz et al., \u201cStrategies for Reducing the Impact of Cycling on the Perineum in Healthy Males.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt8\" href=\"#ftnt_ref8\">[8]<\/a><span class=\"c0\">\u00a0Pandit et al.,\u00a0<\/span><span class=\"c41 c20 c36 c35\">Quantification of Intramuscular Nerves Within the Female Striated Urogenital Sphincter Muscle<\/span><span class=\"c0\">.<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt9\" href=\"#ftnt_ref9\">[9]<\/a><span class=\"c0\">\u00a0Pipitone et al., \u201cUrethral Function and Failure.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt10\" href=\"#ftnt_ref10\">[10]<\/a><span class=\"c0\">\u00a0Beitzel et al., \u201cUS Definitions, Current Use, and FDA Stance on Use of Platelet-Rich Plasma in Sports Medicine.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt11\" href=\"#ftnt_ref11\">[11]<\/a><span class=\"c0\">\u00a0Shin and Huh, \u201cUpdates in Treatment for Androgenetic Alopecia.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt12\" href=\"#ftnt_ref12\">[12]<\/a><span class=\"c0\">\u00a0Asghar et al., \u201cEfficacy and Safety of Intralesional Normal Saline in Atrophic Acne Scars.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt13\" href=\"#ftnt_ref13\">[13]<\/a><span class=\"c0\">\u00a0Bagherani and R Smoller, \u201cIntroduction of a Novel Therapeutic Option for Atrophic Acne Scars.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt14\" href=\"#ftnt_ref14\">[14]<\/a><span class=\"c0\">\u00a0El-Amawy and Sarsik, \u201cSaline in Dermatology.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt15\" href=\"#ftnt_ref15\">[15]<\/a><span class=\"c0\">\u00a0Syed and Anwar, \u201cThe Globally Rising Tide of Cosmetic Gynaecology.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt16\" href=\"#ftnt_ref16\">[16]<\/a><span class=\"c0\">\u00a0Goodman et al., \u201cA Large Multicenter Outcome Study of Female Genital Plastic Surgery.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt17\" href=\"#ftnt_ref17\">[17]<\/a><span class=\"c0\">\u00a0Goodman et al., \u201cEvaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic\/Cosmetic Surgery.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt18\" href=\"#ftnt_ref18\">[18]<\/a><span class=\"c0\">\u00a0Goodman et al.,\u00a0<\/span><span class=\"c20 c36 c35 c41\">The Sexual, Psychological, and Body Image Health of Women Undergoing Elective Vulvovaginal Plastic\/ Cosmetic Procedures: A Pilot Study<\/span><span class=\"c0\">.<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt19\" href=\"#ftnt_ref19\">[19]<\/a><span class=\"c0\">\u00a0Codispoti et al., \u201cFemale Sexual Medicine.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt20\" href=\"#ftnt_ref20\">[20]<\/a><span class=\"c0\">\u00a0Mitchell et al., \u201cEstimating the Prevalence of Sexual Function Problems.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt21\" href=\"#ftnt_ref21\">[21]<\/a><span class=\"c0\">\u00a0Nappi et al., \u201cFemale Sexual Dysfunction (FSD).\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt22\" href=\"#ftnt_ref22\">[22]<\/a><span class=\"c0\">\u00a0Jaafarpour et al., \u201cFemale Sexual Dysfunction.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt23\" href=\"#ftnt_ref23\">[23]<\/a><span class=\"c0\">\u00a0Khani, \u201cFemale Sexual Dysfunction.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c9\"><a id=\"ftnt24\" href=\"#ftnt_ref24\">[24]<\/a><span class=\"c0\">\u00a0Adebisi and Carlson, \u201cFemale Sexual Interest and Arousal Disorder.\u201d<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>JCPM2025.12.09 The following is an edited transcript of the\u00a0Journal Club with Pearls &amp; Marketing\u00a0(JCPM) of December 9, 2025, with Charles Runels, MD. \u00a0 &gt;-&gt; The PDF transcript of this live journal club can be seen here &lt;-&lt; Topics Covered Antibacterial properties of platelet-rich plasma PRP and chronic, hard-to-treat infections Technique, sterility, and contamination risk Importance [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[47,141,71],"tags":[236,40,138,973],"class_list":["post-4679","post","type-post","status-publish","format-standard","hentry","category-journal-club","category-o-shot","category-prp-science","tag-interstitial-cystitis","tag-o-shot","tag-prp","tag-regenerative-medicine"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6W8NG-1dt","jetpack-related-posts":[{"id":3135,"url":"https:\/\/oshot.info\/members\/jcpm2023-12-05-peyronies-birth-control-pills-sexual-dysfunction-prp-devices-serious-warning\/","url_meta":{"origin":4679,"position":0},"title":"JCPM2023.12.05 Peyronie&#8217;s | Birth Control Pills &#038; Sexual Dysfunction | PRP Devices (serious warning)","author":"Charles Runels, MD","date":"December 10, 2023","format":false,"excerpt":"Topics Discussed Include the Following... Penile Rehabilitation after Prostate Surgery (new research supports the use of our P-Shot\u00ae procedure). Research on Platelet-Rich Plasma (PRP) in men in the bedroom The Role of Testosterone in Women's Sexual Function and the Impact of Birth Control Pills The Use of O-Shots\u00ae\u00a0in Improving Female\u2026","rel":"","context":"In &quot;Journal Club&quot;","block_context":{"text":"Journal Club","link":"https:\/\/oshot.info\/members\/category\/journal-club\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/vampirefacelift.com\/members\/wp-content\/uploads\/2021\/08\/O-Shot_Oil_bottle-300x300.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":5286,"url":"https:\/\/oshot.info\/members\/jcpm2026-10-06-peyronies-clitoris-trimix-o-shot-p-shot\/","url_meta":{"origin":4679,"position":1},"title":"JCPM2026.10.06 | Peyronie&#8217;s | Clitoris | Trimix | O-Shot\u00ae | P-Shot\u00ae","author":"Charles Runels, MD","date":"October 8, 2026","format":false,"excerpt":"The following is an edited transcript of the Journal Club with Pearls & Marketing (JCPM) of October 6, 2026, with Charles Runels, MD. >-> The PDF transcript of this live journal club can be seen here <-< Topics Covered Injecting the Penis Before There Was a P-Shot\u00ae The TriNetX Study:\u2026","rel":"","context":"In &quot;Journal Club&quot;","block_context":{"text":"Journal Club","link":"https:\/\/oshot.info\/members\/category\/journal-club\/"},"img":{"alt_text":"A book cover with a rocket launch Description automatically 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Marketing 2026.06.23 Cellular Medicine Association JCPM2026.06.23 The following is an edited transcript of the Journal Club with Pearls & Marketing (JCPM) of June 23, 2026, with Charles Runels, MD. >-> The PDF of this live journal club can be seen here <-< Topics Covered PRP\u2026","rel":"","context":"In &quot;Botulinum Toxin (Clitoxin\u00ae, Priapus Toxin\u2122)&quot;","block_context":{"text":"Botulinum Toxin (Clitoxin\u00ae, Priapus Toxin\u2122)","link":"https:\/\/oshot.info\/members\/category\/botulinum-toxin\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5196,"url":"https:\/\/oshot.info\/members\/jcpm2026-08-04-hybrid-hyaluronan-for-clitoral-injection-acne-scars-a-protocol\/","url_meta":{"origin":4679,"position":5},"title":"JCPM2026.08.04 | Hybrid Hyaluronan for Clitoral Injection | Acne Scars &#8211; A Protocol","author":"Charles Runels, MD","date":"August 10, 2026","format":false,"excerpt":"Journal Club with Pearls & Marketing 2026.08.04 Cellular Medicine Association JCPM2026.08.04 The following is an edited transcript of the Journal Club with Pearls & Marketing (JCPM) of August 4, 2026, with Charles Runels, MD. >-> The PDF of this live journal club can be seen here <-< Topics Covered A\u2026","rel":"","context":"In &quot;Aesthetics &amp; Hair&quot;","block_context":{"text":"Aesthetics &amp; 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