Woman Orgasm. AJ Applegate Gives Expert Observations That May Help Your Family


In celebration of Orgasm Day, here’s what AJ Applegate had to say about orgasms….

1. How to know if a woman is faking an orgasm.
2. Why orgasms are important.
3. AJ’s first 2 days after the O-Shot procedure.
5. AJ’s tips for a woman to have an orgasm.
6. How many adult film stars fake orgasm?
7. AJ tells the truth about her orgasms (hint…she’s NOT faking).
8. How AJ’s lover knows when she needs an orgasm (when AJ may not know).
9. Religion & orgasms.
10.The world-mission of a top-tier film star…AJ says, “….”

Transcript

Charles Runels: Thank you very much, because I know you’re busy. When I called you last, you were taking a plane from somewhere to somewhere and you’re all over the place with your schedule, so thank you for making time for this. So, just tell me, if you had like a minute or two to talk with someone about one of those people, what would you want them to know about orgasms or just sex?

AJ Applegate: I just feel like everybody should want to have orgasms. I mean, sex makes you feel good and I feel like a lot of people almost feel guilty when it comes to being sexual instead of embracing their sexuality. I’ve kind of learned that from being in the industry and then meeting people outside of the industry and how they judge you and how they think about sex and their views. Just basically it has a lot, I think, to do also with how you grew up.

But I feel like women should not be afraid to explore their sexuality and want to get off and have as many orgasms as they can and not feel like they’re being judged. For me, that’s why I enjoy my job, because I kind of almost feel like I like to put that out there and tell women as much as possible, “Look. You’re beautiful. You’re sexy. You should want to go have sex. You should want to go explore.” And a lot of the times I feel like a response back is kind of like, “Oh, well I just hurry up and I try to get it done as fast as possible.” People don’t want to take the time to figure out what turns them on, and I think that has to do with a big part of women feeling guilty about it later on. I know when I have sex at home I still look at Tumblrs and clips and masturbate while I’m doing it and it’s like, “Oh, wow. That turned me on. This turns me on. I like this. I like that.” So I just feel like nowadays I just feel like sex has become like a chore almost to people. It shouldn’t be that way and I feel like maybe if they tried this orgasm shot maybe they’d feel hornier and want to explore more and take more time to enjoy themselves during sex.

Charles Runels: Well, thank you for mentioning that. You were there with Sylvia in Beverly Hills. I know that’s your home base, right, in Beverly Hills? Is that correct? Is that where you live?

AJ Applegate: Well, yeah. I’m in the Valley.

Charles Runels: Yeah. So you’re there in Los Angeles. Sylvia’s one of our providers and you were kind enough to experience the procedure. You just had it, was it yesterday or the day before?

AJ Applegate: The day before.

Charles Runels: Yeah. So, normally what happens is not much happens until the third week, but we’ll get into the details of the shot in a second, but since you brought it up, thank you for experiencing it. Tell me what you think about this, because I hear this sometimes. Women will tell me, “Well, I don’t need that shot because everything’s good already.”

AJ Applegate: Yeah.

Charles Runels: When someone tells me that, I always think I would never, if I had some cool workout tip for someone that was really in shape and you told them, they would want to know what it is. Actually, the more fit they are the more they would want to know.

AJ Applegate: Right.

Charles Runels: And I’ve found that people who enjoy sex, if you think that there’s … It’s an art, right? You never quit learning an art. When you bring up that you might have something that makes it better, what do they do? They want to figure out what it is, right? And I’ve found that a lot of people who it’s not working so well will pretend like it is. Do you have any thoughts on that? Am I off base there? What do you think about that?

AJ Applegate: No, no. That makes sense to me. I feel like the women that do say that are like, “Oh, whatever. I’m already good.” They probably don’t have that great of a sex life and maybe they think that they do, but they’re not sexual. They don’t want to explore more. That’s the reason … I know I have orgasms all the time. I’ve gotten gang banged, I’ve done a bunch of different things.

Charles Runels: Sure. Sure.

AJ Applegate: But for me, I still wanted to see how much further can I take this? Can I even enjoy sex even more if I do this?

Charles Runels: Yes.

AJ Applegate: So, that makes sense that those women probably aren’t [inaudible 00:04:32] that are like, “Oh, I’m fine.”

Charles Runels: Yeah. So what would you say … There are some people that would say … I don’t know if you know this, but women’s sexuality has this really interesting thing that I see nowhere else in medicine. For example, if my penis will not get erect, and I’m not bothered by that because I live alone, the official diagnosis for me would still be erectile dysfunction. Even if I live alone and do not have a lover and I’m not bothered by it. Just like if I have high blood pressure. Even if I’m not measuring it, I’ve got hypertension. Did you know that if you have, say, painful intercourse, dyspareunia, and you’re not able to have an orgasm but you’ve chosen as a female to live alone and you decide you’re not bothered by that, it does not get counted as a sexual dysfunction? And that came, I think that sort of evolved out of the idea as we, understandably, who are doctors to tell you you have a problem if you don’t think you have a problem? On the other hand, by thinking that way, women, if they have, say, their painful intercourse gone or their libido back their life could be different.

So, I guess what I’m saying is that it’s really exciting for me to talk with someone who is exploring the different areas of their sexuality and doing it bravely and openly. And, by the way, one of my favorite books is by C.S. Lewis who wrote this book called Mere Christianity, and he said the prig on the first row is much better off … No, excuse me. I got that backward. The prostitute on the back row is much better off than the prig, self-righteous prig on the first row. Christ was a friend to the prostitutes but He was really hard on the self-righteous prigs. So I don’t mean to make any sort of religious comment about that except that I think self-righteous people, not thinking deeply about exploring their sexuality may be missing out. That’s all I’m saying.

AJ Applegate: Yeah.

Charles Runels: So, talk to me about … So if you were going to talk to a woman from your experience, would you want to make any comments about, not counting the O shot, we’ll get around to that, about how they might … I like what you said about figuring out what excites you by letting your mind go to different areas and see if that’s something that excites you or not. And so talk to me more if you were going to advise a woman about how to develop more pleasure in her relationships or not, as a solo, you got any quick tips?

AJ Applegate: I mean, for relationships, I just … I mean, go to a sex store. Get different toys. Get different kind of products. Use them on your boyfriend, use them on yourself. At least at home, with your boyfriend, you’ll feel safe about it and you’ll feel more open to wanting to try different things because you’re alone with him, you’re comfortable with him, whatever.

Charles Runels: Yeah.

AJ Applegate: And just maybe look at different sorts of clips with him and kind of see what turns him on and then maybe that will turn you on. The same as if you’re alone. What I do, I just use my vibrator and I’ll look at different stuff and I’ll know. I’ll be like, “Oh, my God. I feel really excited when I look at that.” Now I already know what turns me on, so I don’t really have to explore that much. I mean, I still will just to see maybe … Because over time, everyone changes.

Charles Runels: They do, don’t they?

AJ Applegate: What turns me on when I was younger, different stuff turns me on now. But you always should be exploring and figuring out, because you’re never always going to be the same, especially I feel like as you get older, your chemistry in your body changes, too. Yeah. I mean, even … I don’t know. I guess [inaudible 00:08:51].

Charles Runels: Yeah. It’s beautiful. So what would you say to a woman who said, “You know, I don’t have an orgasm, but I don’t need an orgasm and I don’t want to have one just to please my male lover, so it’s just off my radar.” What do you think, and those comments are made and who am I to say what’s right or wrong, but what would you say, other than pleasure, as far as just relationships, your ability, your mental health, anything … I don’t want to put words in your mouth, but other than the pleasure you have in the bedroom, what benefits do you think orgasms might have for a woman? Because, you know, this is the deal. Orgasm day is in five days, July the 31st. Can you believe it? So we’re doing this, this will be on officialorgasmday.com by tomorrow morning. Anyway, talk to me about things other than pleasure that you might have noticed. Like, if you don’t have an orgasm for a while, what’s different, good or bad, than when you do have orgasms?

AJ Applegate: For me, I have a boyfriend, and he’s also in the industry.

Section 1 of 3 [00:00:00 – 00:10:04]

Section 2 of 3 [00:10:00 – 00:20:04](NOTE: speaker names may be different in each section)

AJ Applegate: I have a boyfriend, and he’s also in the industry. He always tells me he knows when I haven’t had an orgasm in a while because I get cranky, and I turn bitchy, and he doesn’t want to be around me, and he wants to fuck me, so I’m not that way anymore.

I’m a very sexual person. I need to get off, and I feel like women don’t realize that, because they haven’t really had real orgasms.

Charles Runels: Yes. It can happen, can’t it?

AJ Applegate: Oh, what was I going to say?

Charles Runels: We talk at all the benefits of orgasm other than the fun part outside the bedroom.

AJ Applegate: Oh, yes, and also for me the same with exercise. Having orgasms I believe release endorphins in your brain.

Charles Runels: Yeah, sure. All sorts of hormonal things.

AJ Applegate: Yeah. It’s like a known fact that most of the time people that are more sexual are less depressed than other people, and if we were not built the way that we are, I mean we’re built to have sex and reproduce and have orgasms. I mean it’s just the way it is, and I feel like people don’t look at it that way, because of the way society views sex, people just feel guilty about it and don’t really care. I feel like the benefit of that, I mean I’m sure maybe they’ll feel happier, they’ll want to do more. I mean I just notice that I’m always in a better mood.

Charles Runels: Yes. Do you notice any patterns? I agree with what you’re saying. Actually, there’s some biochemicals. As a physician, I will tell you that there’s this boost of oxytocin, that’s the same thing that a mother gets when she breast feeds a child, and it has this relaxing calming thing. It comes from the pituitary gland when you have the orgasm, and who knows what all? There’s over 200 hormones made by the pituitary gland, so who knows what all happens, and that’s interesting, but I hear that. Now, somewhere in the motel maybe they feel … By the way, I don’t think men were supposed to talk this much in one day, so I have this spray that keeps me from coughing when I talk.

AJ Applegate: That’s so great.

Charles Runels: We supposed to not talk very much. Okay. It’s against our nature to use so many words at a time.

AJ Applegate: You’re just supposed to listen to women.

Charles Runels: Do whatever they say most of the time, especially in the bedroom.

AJ Applegate: Yeah.

Charles Runels: I really lost my train of thought there. What was I going to, what were we talking about? Oh, do you think that women sometimes are … You talked about your boyfriend sometimes thinks, “Well, you just need to have an orgasm.” Do you think it happens sometimes that women are frustrated and depressed and don’t realize, even an experienced woman, don’t realize that, “Oh, yeah. I just need to have sex.” Does that happen? Yeah, it does?

AJ Applegate: Oh, I believe it.

Charles Runels: I do, too.

AJ Applegate: I just know my body, and I know how sexual I am, so I know I’m either hungry or horny when I’m in a bad mood.

Charles Runels: Does it ever happen that you think that it doesn’t occur to you that the reason you’re irritable is you need to have sex, and then, “Oh, okay. That’s why,” after you have the sex or in the middle of it?

AJ Applegate: Yeah.

Charles Runels: Isn’t that funny?

AJ Applegate: Yeah, that’s how I learned, after my boyfriend kept saying things to me, I’m like, “That’s interesting,” because every time after we did it, I’m always so happy, and I don’t want to fight with him anymore. I don’t want to argue really.

Charles Runels: If a woman were trying to learn to have an orgasm … Well, let me back up a little bit. Do you know women in the industry who cannot have an orgasm, who pretend, or would they tell you?

AJ Applegate: They won’t tell you, but I can just tell. I understand after working with so many women, I just I can feel it. I can feel partner chemistry and feel I believe feeling how her body’s reacting to me, and I can tell if she’s faking it or not, and I feel like a lot of maybe like 50/50, half the girls are really in this industry because they love sex, or they’re just in it for the money. I feel like it’s very 50 like half and half.

Again, I just feel like for someone not to be sexual, I just feel like there’s something psychologically wrong with you, because I just … Either maybe something happened to you when you were younger, and that’s kind of why you don’t think about sex ever, and you don’t want to think about sex, because it’s so traumatizing, or either, again, this is the way you grew up, how you were raised, how your family looked upon sex, and taught you about sex. Because I mean coming from how I grew up, my mom was very closed-minded. I went to church all the time. She made me feel like she was always talking about sex as it was something like dirty it looked like. Maybe not so much to the worst extent, but it was still like she was very, I don’t feel like she was open-minded.

Even growing up that way, I looked at the situation, and I didn’t want to be that way. I wanted to be very open-minded, so I always made sure her opinions didn’t affect my opinions, and so I feel like if other girls grew up like that, I could see why they would not want to have orgasms and not hear about sex and feel maybe dirty after or whatever.

I mean either way, it’s like you can just tell when a woman is faking it or not, or I feel like. Maybe some guys just don’t know about it.

Charles Runels: Well, that brings up two points. First of all, I do think there’s these huge social, psychological, spiritual, and physical component, which brings us to the O-Shot® piece of it, and I’m grateful for you as a woman who’s very in touch with your body and your emotions, even so much that you can plug into other people’s bodies and emotions and get a feel for what’s really going on. I’m interested to see what happens over the course of the next two to three months with your O-Shot®, because we have had experience with women who are already having amazing orgasms taking it to a different level, and women who were having problems, say they had an episiotomy where they tore when they had a baby, and now they’re having pain or things don’t feel as sensitive as they did, because they’ve aged, the hormonal problems, so it seems to be making women who already function well to a different level, and those who are not functioning well, back to functioning well again.

AJ Applegate: I mean that scares me.

Charles Runels: Yes, well-

AJ Applegate: Because if I’m already the way that I am, I think about that being more, I mean someone’s going to have to lock me up or something.

Charles Runels: Yeah, well, maybe so, we’ll see. Well, it’ll be soon. We’ll do another interview in three or four weeks, and we’ll see if you’re behind bars or not.

Talk to me about if, let’s say that … Okay, I have two questions. One is, and you can answer them in this order, one is: If a woman were going to fake the perfect orgasm, any tips for faking an orgasm? Because you were saying that you work with women who sometimes fake it. For example, one of, actually the sex doctors, one of the world’s premier sex doctors told me look at pictures of people having orgasm, and they’re face looks exactly like someone in pain, you cannot tell the difference between an orgasm face, and I’m having pain face.

AJ Applegate: Right.

Charles Runels: Do you have, and if you don’t, that’s cool, because you don’t have to fake it, so maybe I’m asking the wrong person, but what have you noticed women who seem to be faking it, how do you pick up the difference if someone’s going to do the perfect fake off? What would they do or not do, other than, and this has got nothing to do with medicine, I’m just, or maybe it does? Maybe it helps me diagnose or help people figure out. Any tips?

AJ Applegate: Usually, I notice when a girl’s faking it, she gets really loud for no reason. Even if I’m not even touching it anymore, she’s still doing it. I figure out wait a minute, I’m not even down there for the rest of that moment.

Charles Runels: Okay.

AJ Applegate: We just-

Charles Runels: Time the noises with the stimulation, don’t get out of sync.

AJ Applegate: Yeah, at least get the noises right with what I’m doing, you know what I mean?

Charles Runels: That was good.

AJ Applegate: Then, I mean they’ll just start talking like weird stuff. It’s not even dirty, horny stuff, it’s just like they’ll just start saying, “Oh, yeah, oh, yeah,” and just really loud, and then it’s like but I’m not even, I mean I was looking for the second one, but then I had moved my head, and I’m …

Charles Runels: Okay. The emotions don’t match the activities.

AJ Applegate: Yeah, or they’ll try to move their bodies in this crazy thing. I don’t know how to explain it, but they’ll just start going crazy, and I’m like, “You don’t have to go crazy to look like you’re having an orgasm,” because usually when you are having an orgasm, your body’s not jolting like the Exorcist, do you know what I mean?

Charles Runels: It’s almost like a paralysis, isn’t it?

AJ Applegate: Maybe sometimes, but I mean I usually get almost quiet when like …

Section 2 of 3 [00:10:00 – 00:20:04]

Section 3 of 3 [00:20:00 – 00:30:05](NOTE: speaker names may be different in each section)

AJ Applegate: I used to get almost quiet when I’m having orgasms because my body … I can’t get out what I want to ’cause I’m in that shocking moment, so it’s like I almost get quiet, like can’t get it out.

Charles Runels: Yeah. So [crosstalk 00:20:16] …

AJ Applegate: Or my leg … You can tell my leg shakes or, I don’t know, my body just … shakes or something.

Charles Runels: So in a really deep orgasm … The Chinese talk about 10 levels of orgasms in the Tao, and the highest levels a woman almost feels like she’s about to lose her breath and for a second, on a subconscious level, almost like you’re about to die. Is that true?

AJ Applegate: Yeah, that …

Charles Runels: Talk to me. Talk to me about that.

AJ Applegate: That’s how I feel, ’cause I actually have to hold my breath a little bit to get it out. But that’s almost what it feels like, like you take in that deep breath and then can’t get out your breath.

Charles Runels: Yes.

AJ Applegate: And then I don’t [inaudible 00:21:01] … I can’t even explain to you … I mean, it’s something that’s so …

Charles Runels: Well, you’re doing very well, as a matter of fact. [Jennifer 00:21:09] told me that you’re smart and articulate, and you are exactly those things, so you’re doing very well. To make you feel a little better, I was at the International Society for Women’s Sexual Health, which is a world-renowned society for doctors who think about sex and research sex, and I found one of the smartest, top three smartest, people in the room, and I guided off to the side and I said, “Okay, I just want you to explain to me, biochemically and emotionally, what you think actually happens when a woman has an orgasm.” And it was deer in the headlights. Deer in the headlights.

AJ Applegate: Oh, really?

Charles Runels: Yes. You would think that there would be this great, amazing thing.

AJ Applegate: Explanation.

Charles Runels: Yeah, but what she gave was just as good as you [inaudible 00:22:02]. Now, there’s a few biochemical things that we know that go on, but the whole system … See, part of the thing that I’m campaigning for … So, when you were in school and you took biology they would talk about the respiratory system?

AJ Applegate: Yeah.

Charles Runels: Yeah, yeah, right? Gastrointestinal system, the digestive system, the nerves. We all heard that. Did they ever, in third grade science, talk to you about the orgasm system?

AJ Applegate: No.

Charles Runels: No.

AJ Applegate: They taught us about our vagina, but they never … They just taught you about what entails inside and how it works and … They never explained.

Charles Runels: Let me tell you something.

AJ Applegate: I think they want … They don’t want you to have sex. They just teach you about STDs and to be abstinent.

Charles Runels: Yeah, scared you off [crosstalk 00:22:44]. So, my sex education was, in school at least, was a coach telling a couple of dirty jokes and showing you how to put on a condom so you don’t catch all those horrible diseases. That’s it, and that’s what most people get. But believe it or not, there is nowhere, anywhere, in a textbook ever the word “orgasm system.” But my point I’m making is the whole purpose of this system is thinking about how everything works together. The psychology, which you talked about, what turns you on.

And I think we come here built differently, right? Some people come here wanting the same sex, a different sex. Some people want to be tied up. Some people want to be whipped. And they don’t even realize that some people want to be treated lots of different ways, and they come here genetically that way. I mean, I’m convinced that people … When you talk to people that are homosexual, they’ll tell you, “Yeah, third grade I realized I’m a boy and I’m attracted to my football coach,” and where they were never abused. They just came here being attracted to other men.

And I embrace the idea that people should be able to love other people as long as they’re not hurting each other, and part of that reason for embracing that is that I think that that’s the way we are made. The way we are made to love, we find the person who matches us in that way.

So that’s the long way of saying that there’s this whole system that I don’t think we understand that involves everything you said: the physical, the emotional, the relationship part. And all our O-Shot® does is work with the physical part, but what some of the therapists want to do is think about the emotional part and not think of the physical part. So I can’t wait to see what you notice about the physical piece of this.

So, let’s see … I had so … I got so many questions for you. I don’t know [crosstalk 00:24:43].

AJ Applegate: I mean, I already feel like [inaudible 00:24:45]. I had sex last night for a couple hours.

Charles Runels: Yeah, was it fun?

AJ Applegate: But it was hard, because I was [inaudible 00:24:54], but I was super sensitive already, so it was almost like tickling. It [inaudible 00:24:58] like … So I’m thinking maybe I’m still healing a little bit.

Charles Runels: Yeah. So talk to me about … So first of all, let me remind everybody. You had the shot about two days ago, and there is a needle involved, and the numbing shot goes right next to the clitoris, and that can be a little tender sometimes. And there’s all sorts … Imagine if you had a bruise on your leg. It can feel ache-y. It can feel burn-y, itchy, all sorts of things, and then it heals up. But we didn’t bruise you necessarily with this little tiny needle, but the material we put in there, or that Sylvia Silvestri put in there, from your blood draw would be the equivalent to a huge bruise. So you got the growth factors of a big injury without a big injury, and that can cause feelings of warmth and blood flow and all sorts of things, and people … Or nothing at all.

So talk to me more about what you felt last night. This will be interesting.

AJ Applegate: I mean, I felt …

Charles Runels: Different than what you would normally feel with sex. Good or bad?

AJ Applegate: No, I just felt super horny the night that I got it done already.

Charles Runels: Yeah, that’s common.

AJ Applegate: But I couldn’t have sex. Like it sucked ’cause I wanted to have sex bad, but it was still stinging, like it stung until the next morning. I think I’m just one of those weird cases, ’cause I felt it and everything. She was like, “You’re not gonna feel it. Nobody feels it.” And I’m like, “Yeah, just wait. I’m fucking intense.”

So, yeah, and then yesterday it finally wasn’t stinging anymore, so last night … I mean, I was still so super horny. I’ve just been wanting to have sex. If anything, I think right now, since I’m still healing, I’m just … It’s just making me more horny right now.

Charles Runels: Well, I hear that a lot, and we actually have … And then I … It’s part of the reason that I warn younger women who are already sexually active that it could be almost continuous for the first two to three days. We’ve had one woman who had an orgasm hitting a speed bump. We had woman pushing a buggy in the grocery store. We had one of the doctors who trained with us, his wife had an orgasm at dinner. We always go to dinner after we train. And I didn’t catch it. She wasn’t like the Goldie Hawn scene, but her face all contorted up and my nurse Danielle said, “Did you just have an orgasm?” She had an orgasm at dinner. And so I warn people that you need to have your boyfriend at home or your girlfriend or whatever, and because you could be, if you’re young … Danielle, my nurse, had an orgasm walking down the hall at the office. It can be extremely …

But I’m glad you pointed that out, because the first day or two the numbing cream sometimes can be a little bit sting-y and irritating, and so I always tell people to wash off in the tub. But, yeah, you’re gonna have a blast.

So, let’s plan, if you want, let’s do another talk. I’m gonna put this on OfficialOrgasmDay.com and tell people about it, and I’m gonna also interview some doctors about the science piece of it and some other people. But I’m so happy we got to talk. Anything else? Like if you were going to just talk to men and women out there about … Say anything. Any closing comments? Thank you so much for taking time, ’cause I know … I just want to people to know, this woman is dressed in her relaxing, I’m smart, college student right now, but she’s a frickin’ star. You’ve got a huge fan base, and I’m really honored that you took time to talk with us. Any other last minute things you want to say before we shut it down for the day?

AJ Applegate: I don’t know. I’m just … I’m really super excited to see what happens, and I think that this is an awesome thing that all women should try and more women should know about, and even guys can do it, too.

Charles Runels: Yeah, we got it for the penis, too. It’s called the Priapus Shot. We have some couples that will come in, they both get it, and then they go off and have a fun vacation, a weekend [crosstalk 00:29:09].

AJ Applegate: Yeah, that’s what she was telling me. That’s amazing. I feel like more … Maybe if more … I feel like if more couples did do stuff like this, maybe there wouldn’t be so much divorce and cheating and … You know what I mean? More people would appreciate their relationships and have more fun and not be so stressed out all the time.

Charles Runels: Good for you. I can tell that you have fun with your work, but you also have a mission to help people, and I’m very grateful. I mean, you didn’t know me from Adam and you said, “Let’s do this thing, and I’ll give you something back,” and so here we are. Thank you, A.J., and we’ll be in touch and we’ll do another interview down the line and you can teach us more.

AJ Applegate: Okay. Awesome.

Charles Runels: Thank you [inaudible 00:29:53]. Bye-bye.

AJ Applegate: Thank you.

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Woman Orgasms & Understanding Spirals Up and Spirals Down

Transcript…

Nory: So, Dr. Runels, let’s begin by you telling our readers a little bit about your medical background and anything else you’d like to share with them.

Dr. Runels: As far as my background as a scientist and a physician, I had a strong math interest and worked for three years as a research chemist, and then I went to medical school and wound up doing emergency medicine for 10 years or so, 12 depending on when you want to start counting. My boards were in internal medicine, so I started doing some research and opened a practice, did some research with hormone replacement, so 18 years ago, before Suzanne Somers wrote her first book I was doing testosterone pellets and did some research projects with growth hormone. That’s what made me in tune with women’s sexuality. I didn’t set out to be a sex doctor. I set out to take very good care of women as a physician.

I don’t really even like the word. I don’t like when people say that’s “alternative medicine.” This isn’t alternative medicine. This is medicine that looks for what works, and if it happens to be something not in a bottle that you buy at the pharmacy that doesn’t make it alternative. So, if I’m using, say, nutrition, how is it that two milligrams of medicine can be more powerful than the pounds of food that you put in your body? Or, if I’m using exercise or if I’m using your blood in the case of these procedures, if I’m using things that are backed up by research, like walking three miles a day has been proven to do more for your heart and your blood pressure and your risk of heart attack than any drug on the market, including blood pressure and diabetes drugs. So, that’s not alternative, that’s science.

So, anyway, I have a strong science background and I was doing research, but I also had a background, i used to work as a trainer at the YMCA, so I understood physiology and exercise from a personal standpoint and from coaching a lot of people back in my college days as an exercise guru sort of guy. So, all those things sort of meshed together and as I was taking care of women in the most excellent way I could think of, using science, but not always medicine. I’m not anti medicine, but using science and hormone replacement all of a sudden I had a flood of women 18 years ago realizing that somehow they were getting better and their friends were getting much better than what was being done down the road by what was done for women 20 years ago which was just Premarin, basically, don’t do any blood tests, throw a little estrogen at you and hope that your hot flashes go away.

So, that’s sort of how I got to where I am as far as being attuned to women’s sexuality because they would come crying to me about what was happening with their life, and you can’t do their hormone replacement, in my opinion you can’t take care of people well unless of think of endocrinology and you can’t do endocrinology and hormones without asking questions about sex. It turns out that those questions I was comfortable asking about sex were unusual, and I didn’t know it at the time but most doctors are afraid to talk about sex. They don’t want to talk about sex. And research shows that if a woman asks their doctor about sex, which most of them never do, only 14% ever ask their doctor a question about sex, even though half of them have problems, research shows that the doctor will change the subject after answering the first question over half the time.

So, I didn’t realize I was being unusual in listening and trying to heal the relationships when women would come crying and say, I love my husband so much but I’m afraid to tell him that I’m having pain when we have sex or that I’m not aroused, because I love him and I don’t want to tell him, I don’t want to hurt his feelings. And they’ve never told their doctor, their husband, or their preacher or their best friend.

So, that’s sort of the quick version of how I got to be the guy that’s now … has done research in this area and working with a couple thousand doctors in 50 countries.

Nory: What gave you the idea for the O-Shot®?

Dr. Runels: The O-Shot® was a sort of a coming together of ideas, one, with the research background as a chemist I was already into instrumentation. I actually did some work, one time considered becoming a biochemical engineer, not a biochem but a medical engineer, designing instrumentation. So the centrifuge has fascinated me. I ran a wound care center at a hospital nearby when I was a [inaudible 00:04:51] so I was into healing of wounds. Then I had the women crying about their sexuality and I had an injection practice because I found that women oftentimes want to quit losing weight, because when they lose the weight in their face their wrinkles start to show up more. So I had made myself an expert at cosmetic injections, not just for the benefit of that but to help encourage women to continue to lose weight with me when I got their metabolism right.

So, now you got wound care, injections, and all those things come together, and I thought, oh, wow, what if you took this technology where you’re using platelet rich plasma and heal tissue and I pulled it over and used it in this arena where women have problems with pain or sensation or function of the genitourinary space. So, that’s kind of how it all came together.

Nory: I read a story about the Priapus Shot® and feel free to tell this or not, and we don’t need to include it in the interview but I sort of remember that you had a partner, wife or a girlfriend who said, hey what about me?

Dr. Runels: I gave you the short version. So I’ll fill in the blanks. So, when I was first introduced to platelet-rich plasma someone was telling me … because I was doing cosmetic injections, use it like Juvederm in the face, you get new volume, new blood flow, and there’s never been a documented side effect, serious. So, to this day there’s still with over 9,000 research papers, now getting to Priapus or the penis shot, but there’s never been, in 9,000 published research papers one serious side effect from platelet-rich plasma, as in no infections, no necrosis, no neoplasia, no granulomas. But you get new blood flow. It’s been documented in multiple biopsy studies you get new blood flow, you get healing, all the [inaudible 00:06:47] regulation hyperimmune status and other things.

So, when he told me that, new volume and new blood flow, I thought, well, I’ve got a better place than my face for a new volume and blood flow, thinking like a man. So, I thought I’m going to do things with the face before I try this in my penis. So, for four months I injected faces and I watched and yeah, people would come back and their face would be glowing, and they would tell me their friends and family were saying their face was glowing. So I thought, okay, let’s try it. It took me a while to get up my courage because I thought when it makes this matrix, which it forms a yellow goo like surrounding a scab, when the matrix forms, that goo forms, that’s what holds the growth factors in place. But if that’s in a wound say, on your hand, you’ve got blood flow coming from beneath so it’s not a big problem. I was thinking if that goo formed inside a penis it may cause necrosis or cause something bad to happen, maybe an erection that won’t go away or priapism or something.

But I tried it and it worked. It seemed that it was helping a little bit with size and a little bit with erection and some of my patients, a lot. So, I had been doing that for a few months, and following the other part, because I actually, to this day, take care of more women than men. I was doing this for selfish reasons, thinking how to make things better for men, and I thought shoot, if I could make it to where the average man could grow his penis a half an inch I’ll get my picture on a postage stamp.

Three Categories of Women Who Suffer with Sexual Dysfunction

So, I’m working on that but I’m still mostly taking care of women, and I have a heart for women and actually part of what led to me taking care of the men is that, when I would get women happy and make them … take a woman who’s 40 pounds overweight, she’s 40 years old, she feels tired and her sex drive is low. When she loses the weight and her sex drive is high and she can think well again, three things could happen. I got to where I could almost tell when the woman walked in the room, which of the three it is.

Okay, picture that woman. If she’s got a lover who’s kind to her, who’s healthy, who has a good sex drive, they could live happily ever after, there’s nothing left for me to do. If she’s got a lover who’s been abusive to her because she’s been overweight and low self esteem and now she gets her sex drive back, she’s out the door, there’s probably nothing I should try to do. I don’t know, but there’s probably nothing I can do because she’s been kind of under the thumb and now that she’s got her sex drive and her health back she’s gone.

The thing that bothered me was the third category, and that’s the woman who comes in and she loves her husband and he’s not well. Now, you make her well, she’s got a sex drive, and the man or woman that she loves can’t keep up with her. Now you got a problem, because they love each other and you’ve created a mismatch that’s causing a conflict. That bothered me. So, for that reason I made myself an expert at men’s sexuality.

I’m working on that part of it but I have been following what has been done for injecting around the urethra. That’s been done for the past 15 years, with collagen, with hyaluronic acid fillers, with collagen, with hyaluronic acid fillers, with, it’s really what you’re doing with the sling. It’s just a way of changing the contour of that area with some of the surgeries. So, finally I had this girlfriend at the time, who said, “Hey, I want to try that.” So I said, “Okay, let’s try it.” And the first 24 hours she was so, I mean, she was always a good, she always enjoyed sex, but she became really almost like she was on some sort of drug. If you think about it, drugs are, you know the only bad thing about drugs is that they make you sick, they get you put in jail, but what if you had a drug that was legal, that made you happy, and wasn’t going to put you in jail? That’d be a good thing.

You could say running becomes a drug like that for some people. The endorphins from running. So all of a sudden, here’s something I’ve done that in theory should make her body healthier, but it was like a sex drug to her. So I thought, and she was just insatiable for about the first 48 hours, so I thought, I should try this with some people that have problems, because it makes sense it should work. So the first woman I treated after my lover had been abused by her ex-husband in the genitalia. She was scarred in the vagina and the anus to the point where she couldn’t have relations without horrible pain, so she came over on her lunch hour and I treated her and a few months later she was literally engaged to an old high school lover because the pain was gone, and something that took me 30 minutes on her lunch hour just changed her life.

She’s the one who actually said, “Hey, this has made my incontinence go away. I’ve lost weight because I’m running again.” I thought, ‘Well Josh should’ve thought of that.’ So my patients, the people, the women and men who’ve trusted me are really the people who are responsible for this coming about, because they trusted me enough to let me do what the science said should work. Again, [play the 00:12:02] words, plasmids, that’s been researched for the past 15 years for wound healing, but using in that space was a new idea and the people who loved me and trusted me enough to do that were really the ones who taught me the procedure.

I had an old teacher that told me, he said, “You know, if you want the best textbook, it’s not the textbook, it’s the patients you’re taking care of.” And my patients, if you’re writing the textbook, then you’re writing it from what your patients are teaching you, and that’s what’s happened with me.
(Chapter 15 introduces the O-Shot® Procedure & is Written by Dr. Runels)

Nory: You know, it’s just a beautiful philosophy and your humbleness is, tells me a lot about you.

Dr. Runels: Well, I don’t know, it’s really, there’s really no, I don’t know if you can call it humble when there’s really nothing that I can claim, except maybe tenacious, being tenacious. Because you know, I didn’t go make this brain, I came with it, and I, the people who’ve been around me gifted me with their trust, but it’s kind of you to say. But I still think most of what we have is a gift from somewhere, wherever you decide that’s from is your philosophy, but I feel like most of the good things we have are gifts. Then we decide if we’re going to take care of them or not. That’s kinda how it works.

Nory: You know, Erin told me, this is a little off subject and we don’t need to include it in the video if you don’t want, but she called you a ‘transcendentalist.’

Dr. Runels: Oh, I don’t, I’m not even sure I’m ‘good,’ but I think that … Emerson had it right when he said really our goal in life should be to be a perfect pipe. But the pipe becomes most useful when it becomes as empty as possible. I don’t know what that makes me; maybe just makes me an Emerson fan, but that’s kinda my goal.

Nory: Well I come from a Unitarian Universalist background so I just said, “He’s close to my heart.”

Dr. Runels: Yeah, he’s an amazing guy. I think he came pretty close to being an empty pipe, didn’t he? Or clean pipe.

Nory: Getting back to our interview, I think you’ve answered a lot about how your women patients’ problems impact their lives, but I’m curious to know, besides the O-Shot® and the nutritional supplements and the hormonal supplements and the other [techniques 00:14:43] you use with them, do you use any other technologies besides the O-Shot®?

Dr. Runels: … The things that can go wrong with sexual function really almost cover almost everything that can go wrong with the body. Sexual function is, I consider it like the cherry on the top of good health. For example, if someone’s depressed, for whatever reason; hypothyroidism, tragedy, whatever it is, sex drive’s gone. If someone’s in pain, for whatever reason, there’s no sex drive. If someone’s got a fever. The sex drive, in my opinion, it can be faked, it can be maybe become artificial through some drug like cocaine or whatever, or maybe through someone being drunk or high or something, but true, healthy sex drive evolves out of many things that have to do with good health, good relationships, good connections. The best, even on a spiritual plane.

So as far as, when you say ‘what other modalities would I use?’ Let’s just take, for example, a problem like can’t have an orgasm. That could be low testosterone, and in that case they need testosterone. It could be pain because they’ve got a scar from having a big baby and they’re associating sex with pain, so that’s not gonna lead to orgasm. In that case the O-Shot® may help. It may be decreased sensation in which the O-Shot® might help. Maybe from previous surgery or childbirth. It could be they’re recoiling from sex because they were abused at some point. At which point sexual therapy might help or some other form of family counseling.

So I like to think of the O-Shot® as a tool, and when the dysfunction involves any sort of dysfunction of the tissue of the genitalia, then that tool comes into play. Now, there’s this dichotomy of thought, and I think you can tell I respect the idea. I mean, I’m a big fan of Erickson as well, I respect the idea that the mind is very powerful …

and can do things that we’re probably very not close to understanding at this point, but the idea to try to cure something with therapy that might be made better with something, a physical thing, seems to me like taking things … Jefferson, Thomas Jefferson, ‘I always grab things by the smooth handle.’ The smooth handle is not always therapy. But sometimes it is THE handle. So, for example, if someone has, back to that example, if someone has trouble with orgasm and they have the pain from intercourse, sending them to therapy is not the right thing. I like to think of it like a system. On the other hand, if they were abused and their genitalia is working normally, the O-Shot® is not the right thing.

I’ve been in situations where the therapist somehow had the impression that I thought I had a magic shot that makes everything better. I don’t, but on the other hand I don’t think therapy necessarily makes everything better either. I like to think of it as a system, and it’s a very complex system. For example, we think of a respiratory system, and if you said you’re short of breath, that could be because you’re anemic. It may not have anything to do with your, if you’re profoundly anemic because you’re, whatever, you’ve had colon cancer for the past 20 years or 5 years and you, without anyone knowing it, your red cell count is low, you can’t carry oxygen, so you’re short of breath because you’re anemic. Where another person it may be bronchoconstriction. So one person needs a blood transfusion and iron and a colonoscopy, and the other person needs a bronchodilator.

I think because, again, because of these archaic, almost Middle-Age attitudes that it’s not okay to take care of a vagina, it’s not even okay to say the word ‘rejuvenation’ in the same sentence with the vagina, even though it’s okay to say it with a face, it’s okay to ‘rejuvenate your face,’ but let me talk about ‘rejuvenating your vagina’ and somehow I’m doing something ethically wrong, that’s just archaic. In my opinion.

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To avoid that sort of ‘I’ve got a hammer so everything’s a nail’ mentality, I like to think of a system. You can have a respiratory system but I think because of that archaic thinking, no one’s ever said, “Hey, let’s think of an orgasm system.” It’s a pretty complicated thing, and it involves having … Let’s talk about the respiratory system; the nervous system has to be working, sending the signals to breathe, which can be changed by lots of things. You have to have … Bronchials have to be the right diameter. You have to have the right amount of red cells flowing through your blood stream. A lot of things have to do with respiration.

In the respiratory system, you have a neurovascular system, a nervous system, and endocrine system, and the reason we think about systems is because it emphasizes the interplay of lots of different components, and there in my opinion, there’s an orgasm system. Testosterone has to be high enough, prolactin has to be low enough, you need a little dab of estrogen for some carrying, probably need a little bit of oxytocin for some love in there. At the same time you need to have sensation. You need to be conscious, you need to be not in pain. You need to have the right serotonin and dopamine, mill you and your brain to have libido. You get it. There’s this whole complicated system, and all the O-Shot® does, all it does is make the tissue, that part, those receptors, and the functionality of the genitalia more healthy. That’s all it does.

Orgasm & Spirals Up & Spirals Down

Having said that, it can have profound effects on all of it because we were taught … I was taught in medical school, this is how sexuality works. You have arousal, then you have a plateau, then you have an orgasm, then you have a refractory period. There’s this up, flat, and then down like that. It’s actually much more complicated than that, especially for women. With men, maybe we’re more simple minded. I feel pretty sure we are, actually. What we know for sure, that women are much more sex machines. How many men can have five orgasms back to back to back, with no refractory period? That’s not so uncommon for a woman. How many men feel energized after an orgasm? Very common for a woman.

There seems to be, no matter what you want to say the cause of it, there seems to be a different … I can talk to you a few hours about what I think it is, and what’s going on there, but there seems to be a different reaction to sex. That’s just the orgasm part. That’s not even counting all the rest of it. What I’m getting to, and how the O-Shot® may affect multiple components, including the psychological … If a woman, there’s a spiral and it go up and down, if a woman has arousal, and then she has sex, and then it’s a bad experience, she’s … For whatever reason. We can think of lots of horrible reasons it might be bad. But, it’s a bad experience for her. Then, she doesn’t go back to baseline. She’s at a level now to where it’s more difficult to even become aroused.

Let’s say she tries again, and it’s another bad experience. She’s spiraling down. I think there’s some women that are spiraled so far down because of abuse, and they attempt something with a lover and maybe they’re abused again, or something bad happens, and they’re so down, they just spiraled, spiraled down. Now, the other side of that, someone becomes aroused, a woman, and she has an encounter and she’s … It’s glorious for her. She’s respected, she’s loved. She has this beautiful experience. Physically, emotionally, spiritually. Now, when it’s time for possible sex again, she’s at a different state. She’s more easily aroused and there’s a spiral up.

Women’s Health Talks About the O-Shot® (Orgasm Shot®) Procedure

That spiral up and down, that’s not my idea. That was actually presented, and its been talked about for a few years in the Journal of Sexual Medicine, and other places. What might be new is that, I think it’s possible, that in some women my O-Shot® can help break the trend down. Or maybe help accelerate the trend up. For sure, I’ve seen it in women who have pain, break the trend down. We do the procedure, and then I have some techniques that I tell them to do so that they can test the waters, so to speak, on their own. Then they find, “Oh. Maybe I’m not having pain.” Maybe they tentatively have sex with their lover and, “Oh. Wow. I didn’t have pain.” That doesn’t mean they’re not still worried about it, but they spiraled up a notch.

The next time they’re not as tentative. There are … Maybe that might apply, in even cases that don’t have to do with pain. I think we’re seeing our shot affect other areas because of that complicated system. It triggers other things in the mechanism. It’s still not a magic shot.

Nory: Remarkably complex. Remarkably complex, the woman’s … The whole ethos. Not just her sexual response, but all that goes into making that ability to orgasm, or not. You’re painting a very much bigger picture for me than I had had.

Dr. Runels: I think it’s really … It’s very … Prideful for us to think we have a deep understanding. Even when you expand it this broad, for example, we know that if you have a massage, your oxytocin level goes up. It makes people more open to pleasure. Oxytocin’s a small peptide chain made by the pituitary gland, which is attached to the brain. You might as well say it’s part of the brain. There are over 200, that’s 2 with 2 zero’s behind it, peptides made by the pituitary gland. When we do some extensive blood tests, we get 20 blood values back. Oxytocin, DHEA, free and total testosterone, on and on and on. Still, just Kindergarten compared with what’s going on up there.

The idea that you might push one button and it affects 10 other things … For a simplistic example, if I raise your growth hormone level because you’ve had brain trauma and it’s low, it’s going to lower your thyroid level. If I raise your testosterone level, it’s going to lower your thyroid bonding globulin, and you’ll have more thyroid because I gave you testosterone. It will probably also increase your insulin like growth factor I, or your Somatomedin C because you’ll probably create more growth hormone. That’s just one example, of one hormone affecting two others.

Who knows what’s happening with the other 200. That pituitary gland, remember, is attached to your brain. When you get fearful, and your heart rate goes up, it’s because your cortex said, “Hey. I’m afraid.” And your pituitary gland spat out some stuff that told your adrenal glands to release some stuff. It all started up here. I don’t mean to say that what’s going on up here is not important. I think it’s extremely important. I do think there are ways to push buttons, whether it’s hormonally or physically with our O-Shot® that have rippling effects throughout the whole system that can be beneficial.

Nory: That seems like a pretty good place to conclude the interview. I know that you’re a little pressed for time.

Dr. Runels: I was honored to speak with you, Nory. I commend you … I know we had some conversations earlier, so before we wrap it up I just want to commend you for having the courage to, one, talk about sex, because it’s a courageous thing to do. Just bringing … Broaching the topic will bring criticism, even to healthcare people like ourselves. Whether it be writers, therapists, doctors, doesn’t matter. When people broach the subject of sex, there becomes a recoil that you can’t even run … I’ve been banned from Facebook. You can’t run an ad, even if it’s bringing people to something that’s a medical procedure. I can’t … My Facebook ads have been banned because I talk about sex.

It’s troublesome that there’s this idea that … As we spoke earlier, there’s somethings that people can have go wrong, and they invite the utmost sympathy from everyone. You can have the flu, and people want you to get well, and you let them know without hesitation. They send you get well cards, or you can have cancer. Try getting schizophrenia. Or bipolar disease. And even though those are chemical imbalances, that it’s not fault of the person, there’s no reason to be ashamed of it, nevertheless, there’s … Continuing, we’re not in the … This is not the middle ages where we should be saying these people are witches or something, or they’re possessed with the devil, but it’s a chemical balance. They shouldn’t have to be ashamed of it, but they are.

Many of them are. And they’re … In the same way, sexual problems, you won’t see anybody posting to Facebook. They might post they got the flu, or they broke their arm, come sign my cast. You aren’t going to see anybody post to Facebook, “Oh. I’ve got painful intercourse. Would you pray for me today.” Or, “I couldn’t have an orgasm last night with my husband. Would you give me a prayer?” Have you ever seen that on Facebook? You’ll see broken arms all day long. And it’s because there’s a social stigma for it. But yet, that same thing, is so critical … Emerson said sex and beauty is the … He actually just said beauty, but I throw in the sex part, because I think that was his generic way of saying sex. But he said beauty was the scaffolding of love.

Yeah, you may reach a place where you don’t need the scaffold, but I think most mortals need the scaffold to build a relationship. That’s why I think more younger women, and older women complain. That’s my long way of bragging on you, for you having the courage to talk about this. I’m happy to wrap it up, but it should go through this. If there are other questions that you get from your readers, or that just occur to you, we’ll do Volume II. Anytime you want. Or III or IV.

Nory: You know, this was amazing. I didn’t expect … I was not expecting the depth. It was not what I asked for, but it was beautiful.

Dr. Runels: Thank you.

Nory: I feel way more optimistic I think, than you. Honestly, I do. I feel very optimistic. And I’m waiting for those bullets that you say are coming, those arrows. I know it would probably feel really good to you, to punch some people who have those attitudes about vaginal rejuvenation. Would you like … Would you appreciate the opportunity to write a forward for my book? A short one, that does a little of that punching back?

Dr. Runels: Yes. I would love to write you a forward. The answer to that is yes. I would love to write a forward. As far as my, the way I visualize it, I see it more as … When I was working in the ER, if someone came in just drunk and stupid, because of some drug they were on, and they would often try to hurt me. My goal is not really to punch back, it was just to control them from hurting anybody until they got their brain back. I look at these people, they’re just so blinded by … It’s crazy to me.

I’ll meet them in a thing and they’ll say, “When you publish some research, then I’ll start doing this.” I’ll say, “Well, you know we’ve already published five papers. And there’s 9,000 papers about PRP. Have you read any of them? Or are you reading Marvel comics? What are you reading?” You’re not reading any of this if you’re reading Superman and Revenger. It’s so funny to me that we’re … That’s the way I look at it. It’s not really punching back, as much as it is … Anticipating their daggers, and building the intellectual shields to neutralize it until they get their brain back.

Nory: No. No. You’re so nice. You’re so nice, and I’m so grateful. I can’t tell you.

Dr. Runels: All right. So, let’s do this thing. I look forward to talking again, and I’ll make this recording where you can take whatever you want and share it.

Nory: You are the best. Please give my regards to Erin. She’s wonderful, too.

Dr. Runels: Thank you, Nory. Goodbye

Nory: Bye-bye.

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Dr. Michael Goodman Talks About Orgasm

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Transcript of Video…

Charles Runels: Hello, this is Charles Runels, and I’m extremely honored, very privileged and excited to be able to introduce Dr. Michael Goodman, who really needs no introduction. I’ve seen him lecture now on many occasions to other world-renowned gynecologists, and he always commands respect. He recently released a textbook that he edited about female genital plastic and cosmetic surgery.

One of the true pioneers who blazed the trail for the people who are doing it now, and I consider him to be actually one of the premiere physicians living today, and paved the way with some of his research for what’s now widely practiced worldwide when it comes to cosmetic surgery in the female genitalia, and not just because it looks better, but how it actually contributes to a woman’s functioning.

When I asked him to talk about the procedures he does, surgery versus the various devices, versus, of course, the O-Shot, how he uses those various modalities, combines them, and how he thinks about those modalities affecting a woman’s sexual function. Of course, that has extremely far-reaching affects on her whole personality and her life, her family, and her career, and all that research has been done, but specifically how he combines these different modalities.

Hang on until the end, because when he’s finished with demonstrating his ideas, I would like to ask him some more in depth questions about particularly how some of this relates to orgasms. Hang on until the end, and we’ll some question and answer time.

Michael Goodman: What fun, Charles. I get to speak with you, one of my favorite people, about two of my favorite things, orgasms and vaginas. Without further ado, let’s talk about that. Those of you that are looking at this podcast are well aware of orgasms. That’s one of the reasons, probably, why you’re looking at it and why you’re either considering administering the O-Shot or are already.

Let’s talk a little bit about how things really work, or the biomechanics of the whole process, and the physiology of orgasms, and the different types of orgasms. They certainly relate to the O-Shot, and they certainly relate to the whole idea of vaginal tightening. I really like to use that word, vaginal tightening, rather than the ubiquitous word vaginal rejuvenation.

That’s an unfortunate choice of terms, because that term, vaginal rejuvenation, has been stolen out from under us by pretty unscrupulous marketers, who will have you think that all you need to do is put a wand in the vagina, either radio frequency and laser, and you will tighten the vagina, and you will improve orgasms, and no, that will not work.

Let’s talk a little bit about terminology first. The term vaginal rejuvenation, by the way, refers to surgery alone, period. Vaginal rejuvenation was first popularized by one of the fathers of dental plastic and cosmetic surgery, David Matlock from Los Angeles, and was called Laser Vaginal Rejuvenation. By that, Dave meant the use of a Touch carbon dioxide laser as a cutting tool for surgery. Understand, vaginal rejuvenation refers to surgery. If someone’s saying they’re going to rejuvenate your vagina not using surgery, they are wrong, they will take your money.

Let’s talk about why these operations work. If you look at the first slide, you see this lady had labioplasty also, we’re not talking about labioplasty, which can happen [inaudible 00:04:01]. Why do vaginal tightening operations appear to improve sexual function and improve orgasms?

First, what are they? We talked a little bit about that. I got on my soapbox, which I tend to do when we’re talking about that term vaginal rejuvenation. Really, a wonderful term is colpoperineoplasty, which is Jack Pardo’s term from Chile. We don’t use that that much, but really the best terms I feel, in my opinion, are perineoplasty and vaginoplasty.

Basically, these are surgical procedures designed to reapproximate the levator muscles, do basically a levatorplasty, bringing them together over the thinned out vaginal floor, decompress the rectocele, bulk and elevate the perineal body, to push up the penis or any inserted object to the anterior vaginal wall, excise all the scar tissue, to utilize a space closing, plicating 3-layer closure designed basically to tighten the outer half or two-thirds of the vaginal barrel, to result in greater stretch of the clitoral bulb and the anterior vaginal wall, and to result in greater penetration of the penis against the anterior vaginal wall and the cervix.

Additionally, and here’s where these non-invasive technologies really may be helpful, is non-invasive technology such as radio frequency and fractional CO2 laser can be used in the far upper vagina, or what we call the [inaudible 00:05:50] of the vagina. That area of the vagina that has no musculature, that really has little fascia, that’s only just mucosa, way up at the top.

That [inaudible 00:06:00] the skin. All these technologies do is resurface skin, and can increase collagen and elastin fibers way up at the top of the vagina, and also increase the stretchability and increase the elasticity underneath the base of the bladder, and certainly has been shown to help with minimal and modest urinary incontinence. Combining these two ends up with a really good procedure.

Again, we talked a little bit about the names of these procedures. I like, again, perineoplasty and vaginoplasty. The next slide I’m going to show you comes from my friends, Rob Moore and John Miklos from Atlanta. They are premiere vaginal reconstructive surgeons. I put down this quote in its entirety, because it really says a lot.

We can read it together. Vaginal rejuvenation surgery, again, surgery, is one of the latest trends in elective vaginal surgery for women. It is a repair of the vaginal caliber in women who suffer from decreased vaginal sensation, or of feelings of laxity, basically, that affects their sexual life. In many instances, women who present with these symptoms also have other pathology, such as prolapse. That must be addressed in any repair that’s contemplated.

Sexual dysfunction, or decreased sexual sensation, may be one of the first symptoms that women suffer from in this progression from laxity to prolapse. There’s ample evidence in the literature that prolapse and vaginal relaxation can create sexual dysfunction, and that repair may reverse these changes in many women. We’re dealing with these early changes. When dealing with sexual dysfunction and the caliber of what’s in the vagina, the surgical, underlining surgical, repair must be meticulous and exact to enhance sensation and function, and not impair it. This truly is the art of surgery.

With that introduction, what are the mechanics that we’re talking about? This is a cross-section of a normal female nulliparous, in other words, no kids yet, anatomy. If you take a look here, and I’m not sure if you can see my arrow on the screen, hopefully you can. I’ll put it all up.

Charles Runels: Yes, they can see your arrow.

Michael Goodman: Cool, good arrow. If this woman were supine you’d see that her vaginal barrel goes downwards. The angle of the vaginal barrel is downward. When a man is mounting her or she’s on top of him, there is pressure, especially because of the angle, especially because of the pelvic floor, and very especially because of this robust perineal body here. There is pressure against the anterior vaginal wall, the G-spot, the internal clitoris, and then the dorsum of his penis, as you can see right here, the dorsum of his penis, the top of his penis, has pressure against there, has pressure against the clitoral glans, the clitoral body, and his pubic bone has pressure in that area, and all is fine.

But, but, but, with childbirth, or multiple childbirths, things change. The angle of that vaginal barrel no longer goes down, but is horizontal. It’s lax. The floor is lax. You don’t get that pressure against the anterior vaginal wall, you don’t get the pressure against the G-spot, you don’t get the pressure against the clitoris. It results in less stretch on these anterior vaginal wall receptors that we’ll talk about in just a little bit. This is basically what I see, and what occurs frequently after childbirth. The procedure that we’re talking about, perineoplasty and vaginoplasty can be performed …

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Speaker: We’re talking about perineoplasty and vaginoplasty can be performed in the hospital under a general anesthetic. I perform virtually all of these, as does Red Allensade perform these. Red and I, I believe are the only two that perform these in the office under local anesthesia and kudos to my friend Red Allensade, who’s also, by the way, written and helped to edit an excellent textbook on genital plastics. Red took a already existing tractor system, The Lonestar, changed it a little bit and made it a wonderful system for exposure that does allow performance of these procedures in the office, under local. As has another friend, Marco Pelosi, who’s designed an amazing retractor that can be used.

So just very briefly walking you through what we’re talking about when we talk about a perineoplasty and vaginoplasty, this is not meant to teach you how to do this operation. It just shows you a little bit about what we mean as a basis, as a foundation when we talk about the physiology and the biomechanics in just a little bit.

So here’s a woman with a paris vagina, a little bit of laxity, a little bit of gaping. In making the incision, what we can’t quite see is the perineal incision. This starts just inside of the hymenal ring, just inside the introitus at about 4:00, 4:30, goes down on the outside encompasses lax perineum to the nadir, just above the anal verge. Comes down also from around 7:30 or 8:00, that comes down on the outside, then we’ll make a line. A horizontal line between these two. Size that line with different instruments. I like a radio frequency needle electrode. Make that incision. Go ahead and undermine. You can see the retractor system in place. We’ll undermine. We’ll go to above the rectocele. I get in six, seven, eight centimeters inside. We’ll go ahead, we’ve already removed part of the vaginal mucosa. We will remove this other part, you can see the rectocele a little bit over here. You can see it better in the next slide. What I’ve done is I have just a stay suture on the recto-vaginal fascial layer. So you can sort of see the rectocele. The levator muscles, bulbocavernosus, ischiocavernosus, and so forth. The levators are against the pelvic side wall and they come this way.

They’re not transverse, they’re vertical and they stretch apart. So basically what you’re doing in this repair is you are putting in vertical sutures way over here. We can retract and expose that. Suture goes in here, it comes across to the other side, it’s tied, and that basically will bring the levators as a levatorplasty and cover over, build up the pelvic floor, cover over the rectocele either with that same layer or a separate layer. We will bring the rectovaginal fascia that we dissected down off of the vaginal mucosa. We’ll bring that over to cover up the floor. The other thing we’ll do, after we’ve developed the perineum, is to get rid of all of this scar tissue from lacerations and episiotomies. We’ll take out a plug of tissue that literally is about two centimeters by two centimeters from this whole area. So when everything’s brought together it’s going to snug up the vaginal barrel. So here you see just finishing the procedure, again this is not teaching you how to do the procedure, just giving you an idea of what we accomplished.

So what we’ve done, again we’re only looking at the outside, what we’ve done is we’ve built up this tissue. We’ve re-approximated the transverse perinealis muscle. We’ve re-approximated the perianal musculature. Inside we’ve brought the levators together and we’ve rebuilt the pelvic floor. So to understand why these procedures work, it’s nice to understand a little bit about the physiology of orgasms. And understand that, again arguably there’s a lot of argue about this. My opinion is that, and many opinions, many people’s opinion is that basically there are two types of orgasm, clitoral and vaginal, or perhaps better said vaginally activated orgasms. And certainly the two can work in concert.

So many of you have maybe seen this, certainly if you’ve attended my lectures you’ve seen this slide before. There are a lot of things that go on in women’s orgasm. And what we’re going to do today is talk a little bit about the clitoris, both the external clitoris and also the internal components of the clitoris. Here’s a slide that is seen in many different places. It’s a wonderful slide. But the clitoris is not just the little pink button that you see. The clitoral glands, you know if you look at a woman’s clitoris real closely, it’s like in looking at a mini penis. It looks exactly like a tiny little penis. And like a penis, it’s not just the head. There’s the body, the clitoral body, and that comes down underneath, and really it wraps these internal organs of the clitoris, wrapped around the urethra and really make up part of the, I like to call “G” area rather than G spot.

There are the true … There’s a crus on one side, a crus on the other side. Together they’re called cruri, or corpus cavernosum. There’s the bulbs of the clitoris, these are in loose, a realer tissue. But both of these consist of erectile tissue. And you can get an idea of the formation of this. This is innervated by the clitoral nerve, a branch of the pudendal nerve, which comes out from the spinal column around a little bit from L4, mostly L5, S1, S2. But a very important thing to understand, and this is probably one of the most important slides of the whole presentation. Is this concept of unity, in just a moment I’m going to show you a slide of a reference, it’s a wonderful reference to look up with this concept of unity. The distal or the outer vagina and the vulva. The clitoris, the urethra are not separate, really they have a shared blood supply, a shared innervation, and they really respond as a unit to stimulation.

The urethra orifice is a very sensitive area in a woman, as is obviously the clitoris, the vulva, many different areas. But really it’s a shared, this is a shared concept. So it’s really a complex, and I really like to talk about the clitoro, this is a mouthful, the clitoro-urethro-vaginal concept. Clitoro-urethro-vaginal complex, which is really a unit, an anatomic and a functional unit. And that unit is activated by stretch. The greater stretch, you see what we’re getting to soon, the greater stretch, the greater activation. So the vulva outerlies the wrapping, there’s the urethral orifice surrounded by erectile tissue of the clitoral bulbs. The clitoris is not just the glands, it’s an important distinction. All of these have erectile tissue components. And please understand they don’t have a single innervation. There are really two sets of nerves. In the whole body there’s two sets of nerves. There’s somatic or skeletal nerves, and there’s the autonomic nervous system. Two separate nervous systems.

The nervous system that tells you when your bladder is full or when you have to have a bowel movement is very different than the nervous system that tells you that you’ve been punched in the face and you get ready to punch back. So the somatic nervous system as I said comes from the dorsal clitoral nerve, which is a branch of the pudendal nerve. Supplies the skin and some of the underlying stretchers. The more visceral, autonomic fibers come by a cavernous nerves, by the inferior hypogastric plexus, branches of our old friend the vagus nerve. For you doctors that are looking at this, you remember the vagus nerve. It starts at the top it goes to the bottom and innervates everything. So vascular engorgement involves both somatic and visceral nerves. And there’s a reflex arc here with cutaneous and somatic afferants and visceral efferents. And this is the reference I was talking about, Helen O’Connel and [inaudible 00:19:18] Patriots, this is an article 2008, Journal of Sexual Medicine, called The Anatomy of the Distal Vagina Towards Unity. It’s a wonderful article that talks about the clitoro-urethro-vaginal complex.

So let’s talk a little bit about our friend the anterior vaginal wall, and it’s sensitivity, and Charles knows a lot about this because he puts, he and several of us put platelet-rich plasma okay, which has growth factors and angiogenic factors, and where do we put it? Into the anterior vaginal wall. Why do we do it? Because of proximity to peri-urethral tissue.

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Michael Goodman: -do it because of proximity to peri-urethral tissue, proximity to the clitoral bulbs and the crurae, and again, in this area there is both a skeletal and an autonomic nerve supply. While this slide is up I want to talk just for a minute about the peri-urethral glands, AKA Skene’s glands. Skene’s glands have their opening, their ducts, just around the urethral meatus. If you look real carefully, not in all women, you can see these little gland openings. Every once in awhile, they’ll get plugged, and you can have a Skene’s gland cyst, but female ejaculation, and not all women have well-developed Skene’s glands, but there’s a difference between squirting and ejaculation, and that’s not the purpose of this to talk about. Squirting is losing urine. Female ejaculation is discharge of prostatic light fluid from the Skene’s gland, little detour there.

So remember in medical school, at least I remember back in ancient times when I was a OBGYN resident, we were told that the vagina is poorly innervated, and indeed, one can go into a woman’s vagina, one can visualize a woman’s vagina, and can take a scalpel and cut that vagina, and the woman will not know that that happened. Okay. But that doesn’t talk about stretch receptors, which certainly that organ, the vagina, has. So this organ, especially in its outer portion, and I love this quote. This is one of the best quotes I’ve seen from Glorida D’Amati and Emmanuel Jannini, two beautiful Italian women, and only an Italian, I guess could say it this way.

“This organ, especially in its outer portion, contains enough nerves to participate in sexual response as well as the whole biochemical machinery known to mediate excitation and arousal in the male copulatory organ.”

What a wonderful quote. Do you have anything to say about that, Charles?

Charles Runels: Yeah. So I’m a big fan, as you know, of Dr. Gräfenberg, for whom the G-spot is named, but if you read Dr. Gräfenberg, he doesn’t talk so much about a spot. He thought what was going on is exactly what you’re saying. It really had to do with the whole complex, and especially the entire urethra, and not so much some magical spot. As a matter of fact, I think personally that the spot changes sometimes day to day in the same woman, but he was all about the whole urethra, and if you think about it, not only do you have this excitatory response from the stretch receptors itself, but by bringing those structures next to the vagina closer to what is making the stretch, if it’s a man having sex with a woman, then you’re going to have more pressure in the corpus cavernosi of the clitoris as well as on the urethra.

So lots of things are happening. That’s why I like your phrase the ureal, clitoral, vaginal complex, because you get not only excitation from the stretch receptors on the vagina, but that stretch brings pressure simultaneously on the part of the clitoris that wraps down next to the vagina, as well as on the urethra. So absolutely. I’m over here cheering for you.

Michael Goodman: And I didn’t need you to say that, but that just sort of segues into what we’re going to talk about in just a little bit, which is vaginally-activated orgasm. I like the term “vaginally-activated orgasm” better than vaginal orgasm, but we’re talking about the same thing. Again, these are relationships between clitoris and vagina. There is a reflex called a vaginal-cavernosus reflex, so what this is, is when there’s vaginal distension, I mean inserting an object, that induces contractions of the bulbocavernosus, the ischiocavernosus, and the magnitude of that contraction, and this is research data, increases with the volume of vaginal inflation, therefore if there’s increased inflation, or increased pressure from a tightened vagina, a large penis, or growth factors and androgenic factors in the anterior vaginal wall, this increase contact between the vagina and the congested clitoris leading to vaginally-activated orgasm caused by contact of the internal portions of the clitoris, again, somatic, skeletal innervation, and in the anterior vaginal wall stretch receptors, which are autonomic innervations.

This is research-based, and these slides have that research on them. Odile Buisson and Pierre Foldes, Emmanuel Jannini have done a lot of work on that, as have others.

So again, not to beat a dead horse, but there is a clear reciprocal relationship between the clitoris and the vagina, and remember, functional [inaudible 00:25:40]. Let’s talk about these different types of orgasms.

Clitoral orgasm, caused by both digital stimulation, external stimulation, again clitoral nerves from the pudendal are warm, electrical kind of feeling. Vaginally-activated orgasm, arguably more intense, more internal, more deep, more throbbing, and this is triggered by stimulation and expansion of the vagina, the G-area. Anterior vaginal wall, autonomic innervation. Very interesting. Very interesting. It’s research that’s been done by Barry Komisaruk and Bev Whipple out of New York City. I think, Charles, you know probably Barry. I don’t know if you’ve met Bev. They did seminal research where they studied women that had spinal cord transection. They had spinal cord transection above L4, L5, and found that … So what you’re doing there is cutting off any input from the pudendal nerves. Well, they don’t have any innervation from the pudendal, and these women were still orgasmic, really proving that it’s not all the pudendal nerve, proving that the activation and innervation from the autonomic nervous system plays a big role here. That was really seminal research that Whipple and Komisaruk did.

So we talked a lot about the anterior vaginal wall. I won’t beat that again. This is research, again, from Pierre Foldes and Odile Buisson. So in contrast to clitoral orgasm, vaginally-activated orgasm is orgasm triggered purely by penile, vaginal intercourse or a surrogate. Very interesting and very controversial research is this study down here by [Stuart 00:27:54] Brody and I don’t know Weiss. I haven’t met Weiss. Stuart I know. This is from University of West Scotland in Paisley. Brody has written a lot. It’s very controversial, and basically Brody feels that women enjoy men who have larger penises, that women have greater orgasm response, especially vaginal orgasm, in men who have larger penises. Why? Because there’s more stimulation of the anterior vaginal wall.

What are we doing when we do vaginal tightening operations? I don’t think we’re increasing the size of men’s penises, but Charles, you’ve commented a lot about that, and you certainly have research in that, and you are working in an area that actually does increase the size of men’s penises, certainly by tightening the vaginal barrel, lifting up the perineal body, you’re doing about the same thing. You’re not making the penis larger, you’re making the vagina tighter.

So basically, relaxed vagina, relaxed perineum, less penile pressure against the pubis, the clitoris, less stretch on the receptors of the anterior vaginal wall. So the goal then, of a vaginal tightening operation, is to reestablish the angle and to increase the anterior vaginal wall and cervical pressure, but one other thing that I haven’t mentioned is that just tightening the vagina, just doing that surgical operation I think is leaving half the job undone. We’re bringing these muscles in together, but just bringing the muscles in together is doing nothing but strengthening the muscles, so just doing an operation without working with that women, her pelvic floor, strengthening exercises, working with her or working with a pelvic floor physical therapist who works with her, I think it’s imperative for really doing the job right.

So I’m going to show you a few of my photos [inaudible 00:29:57] labioplasties in addition to their pelvic floor operations. You obviously cannot see inside the-

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Michael Goodman: -their pelvic floor operations. You obviously cannot see inside the vaginal barrel, but looking at this you can get a little idea of what we were talking about, what’s accomplished with vaginal tightening operations.

With perineoplasty, working on the outside, that’s perineoplasty, building up, reestablishing the angle, building up the clitoral body, bulking the clitoral body, doing an aesthetic repair of the opening, and then vaginoplasty, tightening the vaginal barrel.

These are just a few before and afters. Again, some of these have had minor labioplasties, or major labioplasties at the same time.

Different cameras, obviously here. We didn’t do any work at all on the top. The labia are just so splayed outward here, where they’re inward here, but you can get an idea of what’s been done from here to here, as opposed to what obtains over here.

Same thing here. She’s healing from her labioplasty. Again, this kite-shaped incision, we did no work to diminish these folds. This is just the incision that reconstructs the opening, builds up the perineal body.

You can see especially here, we’ve done no work on the anterior vagina, and this is a urethra seal, and there’s nothing you can do really about a urethra seal, but we certainly have supported the perineal.

So concluding this part of the presentation, these so-called vaginal tightening operations, AKA perineoplasty, vaginoplasty, vaginal rejuvenation, surgical vaginal rejuvenation, appear to have good outcome via both mechanically tightening the barrel, forcing the penis more tightly against the anterior vaginal wall in Gräfenberg’s area. Thanks, Charles. Which contain erectile tissue of the bulb and [inaudible 00:32:02] of the clitoris, as well as that rich autonomic supply, reestablishing the downward angle of the barrel with greater stimulation of the external clitoral structures by the top of the penis and by the partner’s pubic bone.

So with that, I’m done with what I had to say. Any questions are welcome.

Charles Runels: Yes, okay. So-

Michael Goodman: And just one last thing before [inaudible 00:32:32]. There’s no way on Earth that I could do the work I do without Nicole Sanders and Rachel Davis. Nicole’s worked with me for 14 years, Rachel for five. They scrub on surgery. They work with women in every possible way, and we are truly a team, so I’ll shut up.

Charles Runels: Beautiful. Well, it’s a very elegant presentation, and the mechanics, when I talk with physicians, it’s amazing how many physicians would have trouble drawing a clitoris, and the entire thing, and how many gynecologists have told me that they prefer to not talk about sex. I’m not so sure that’s a bad thing. Perhaps they’re more interested in treating ovarian cancer and sex is off-topic, but as you know, it’s not always a comfortable thing for people to speak about, and I salute you for blazing the trail for making it more acceptable.

Now, what I would like to address is some of the objections that people have about what you and I do. Now, for example, there are those that would say we shouldn’t pay attention to the labia’s appearance at all, and what I think you did was lay out a very good explanation about why it’s not just about appearance. It’s truly about function, and I know you’ve published in this arena, but if you wanted to talk about the appearance itself, talk about what you’ve seen, what the research has shown about how appearance affects function.

Michael Goodman: Oh, [inaudible 00:34:18]. I’m going to go talk about something that I very recently had contact with and then back up a little bit. I review for some medical journals, and I just reviewed for the Journal of Bioethical Investigation. I just reviewed an article for the Journal of Bioethical Investigation, one of the top bioethics journals. This is done by a bioethicist, who is not a surgeon, has no interest in female plastic and cosmetic vaginal surgery, and looked into the area of adolescents and whether they should have labioplasties or not.

I’ve had the opportunity to operate on a modest number of adolescents. We’re talking about young women between the ages of 14 and 18, and adolescents really come in with the largest labia of all the women that I’ve operated on. They come in with their moms who couldn’t believe what they were talking about at first, and then understand. Basically, what this article talks about is the feeling that other people have that, “Well, if it’s a big functional problem and it really causes infections and so forth, then maybe you should operate on it, but if it’s a psychological problem, then you shouldn’t.”

And this group of bioethicists begged very strongly to differ, saying that we do a lot of procedures for people because of significant psychological situations, psychodynamic situations, self-esteem situations, and felt that there’s really no difference between functional and self-esteem/psychological reasons. Certainly, that is borne out in the literature. We did a study several years ago, now seven or eight years ago. It still is the largest study in the literature on about over 250 women and 345 procedures, of which about 150 were labioplasties.

We took a look at sexual satisfaction in women that had labioplasties and the reasons for labioplasties are usually either psychological, meaning, “I don’t like how it looks. It makes me very self-conscious. I don’t want to have sex in the light. I don’t want him to go down on me. I just don’t feel good about it.” And none of these men are complaining. We guys, we’re just happy to be there, and we love our partners for who they are and whatever’s attached to them is fine, but women feel very different about this, so we looked at sexual … enhancement of sexual function, enhancement of sexual satisfaction with validated questionnaires in women that had vaginal tightening operations, separate issue, and women that had labioplasties.

And women that had vaginal tightening operations, these operations enhanced their sexual function in our study by 87.5%, in [Pardeau’s 00:37:35] study by 90%, and interestingly, we asked the men, who were happy to begin with, but 82% of the men felt that these tightening operations enhanced sexual function.

Well, then we also looked at labioplasties. Now, you’d figure that a vaginal tightening operation, one would hope, would enhance sexual function, but a labioplasty, we’re just doing appearance. It shouldn’t do anything with sexual function, but in women, two thirds of the women, 67% felt that the labioplasty had either a moderate or a significant enhancement on their sexual function and sexual satisfaction, and we banged our palm on our forehead and said, “Of course.” If a woman feels more self-confidence, if a woman feels that, even if the guy hasn’t said anything, if a woman feels that she’s prettier down there, and she’s not worried about her labia escaping from her thong, her lacy thong underwear, she is going to be much more participatory and much happier in her sexual function.

The other thing we did is published a couple studies, and others have published studies looking at body image and sexual satisfaction in women that undergo genital plastic and cosmetic surgery, and it’s well-known that if someone has a sexual dysfunction, true sexual dysfunction, or if someone has body dysmorphia, true body image issues, you’re not going to cure that with surgery. Period. We know that. Plastic surgeons know that. Well, very interestingly in our last study, which was well [inaudible 00:39:13] and well brought out in time, this was on 120 women. We followed these women for two years. We got feedback prior to surgery. They filled out four questionnaires that looked at sexual function, looked at body image, looked at body image, body dysmorphia, sexual function, and I’m sorry. I’m blocking out one other thing.

We looked at them before surgery, six months, 12 months, and 24 months, and these women as a group, qualified as body dysmorphic. If you looked at the validated questionnaire we utilized for body dysmorphia, these women-

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Michael Goodman: Questionnaire we utilize for body dysmorphia. These women were body dimorphic and their sexual function was generally poor. One would think that surgery would not change that, but at all points in time, moderately at six months, but very significantly in 12 and 24. This was a level two study. It was controlled. It was a controlled study that by 12 and 24 months the body image dissatisfaction, the so called body dysmorphia, had totally disappeared. This was not true body dysmorphia. This was body dissatisfaction, very different than body dysmorphia. Now, it disappeared and the sexual satisfaction went up to and actually went beyond that of the control group. I can go on, but hopefully that answered your question.

Charles Runels: Well, very elegantly and much of that research, I know that you spearheaded. I hear other physicians who are in hardcore science forums where they’re talking about like Lichen sclerosus and other diseases. That will sing your praises because until that research was done, a lot of people did assume that anybody who wanted to change the appearance of their labia must have a psychological problem and they’re better off with a psychiatrist than doing something about the labia. This research demonstrated that not to be the case. 67% is a strong number and still a year out and farther still working.

There are others that, as you know, strong movements among some of our colleagues, I think becoming more and more the minority, that we shouldn’t even have before and after pictures of the labia or even say anything about it on the internet, which goes back, I think, more to do with relationships with sex than with medicine because, as you know, there was a time in the not so far past, 20, 30 years ago, where before and after pictures of the face with facial cosmetic surgery was considered to be unethical. Things changed because we realized you can’t really demonstrate to a patient what’s possible and what’s not possible without photographs. I think this idea that it’s okay to change a person’s face to make them feel better about themselves, and obviously even facial plastic surgeons, as you said, they’re not going to do surgery on someone who’s psychologically, and we can find this out with an interview, they’re not going to get better no matter what you do with them. They’re going to have surgery after, surgery, after surgery and there’s a way to discover that about a person with an interview.

There are those who get a legitimate facelift of something done cosmetically, they get their Botox or whatever, and it makes them feel better about themselves. If you think about it, the concept that it’s okay to do that with the face, but yet if you apply those same ideas to genitalia, somehow that’s wrong. It smacks or some Victorian era. It always surprises me that that idea still exists even though you’ve done the research to show the same thinking applies. The idea that a woman can go buy a dress and feel sexy and want to have intercourse tonight, but yet you couldn’t make her feel better about her vagina to me just seems a little bit hypocritical. I’m just saying amen. I know that you did that research, which is why I wanted to bring that out and get it out there for people to think about.

When I post this video, I’ll put some of those links to some of that research under the video so people can educate themselves. Just one other comment I’d like for you to elaborate upon. Let’s just scenario here. People get married. They’re 20, 30, whatever age, but let’s say it’s a typical young love. You get married, and you have children, and then you stay together. Now you have this soul mate of 10, 20, 30 years, 40 years. We see people 50 years in our office married, but the universe plays a bad joke, in my opinion, because by the time a man reaches 65, he loses half of the endothelium of penis. A woman delivers a child or two and estrogen levels change. His penis is literally shrinking and her vagina is growing. By the time they’ve been together for a while, these lovers who may have matched when they were younger now don’t.

Again, the idea that you shouldn’t do something about that because it’s genitalia, where it’s perfectly okay to do things to change your waistline or your neckline, to me, just seems a little bit hypocritical. Could you elaborate a little bit on this matching idea? That’s why one guys penis may be too big for one woman and too small for another. If you’re just thinking in terms of those stretch receptors, but when you think about these other modalities, like laser versus surgery versus the O-Shot, and talking to the woman about this matching of her lover, could you tell me maybe a few stories about people you’ve taken care of and integrate with it the way you think about the science?

Michael Goodman: Yeah. An interesting paper that I just reviewed for The Journal of Sexual Medicine and unfortunately was rejected by the editors, I think it should have a place in that journal, hopefully it’ll be rewritten and resubmitted out of China, where they attract the anatomic changes of the relationships of different parts of a woman’s vulva to her age as far as distance, distance between the pubic bone and the clitoris, distance between the clitoris and the vaginal opening, distance between the urethra and the perineum, distance between the perineum and the anus. What you mentioned anecdotally is true anatomically, that yes, with age, women’s vaginas do fall down a little bit. The opening gapes a little bit. It becomes a little bit more relaxed and more open. That is saying that she’s hormonally complete. Obviously if a woman after menopause is not on any hormone therapy at all, then sometimes the vagina can shrink if she’s not sexually active.

As you mentioned, the size of a man’s non-erect penis becomes somewhat smaller, so I understand, though I’ve not seen studies on that. Certainly a man’s erection becomes less robust. I love that word, although you can use it both ways. A man’s erections, for many reasons, become less robust. Certainly I work with men and a lot of times it’s the partners of the women that I’m working with during their menopausal transition, where they weren’t terribly interested in sex with all that was going on with menopause. Now they’re feeling a whole lot better and a whole lot sexier, and the fact that now their partner can’t either get or maintain an erection is an issue. Certainly working with testosterone, working with PDE5 inhibitors. I have not personally had experience with the Priapus Shot. You certainly have. Adding the Priapus Shot into that can all serve to increase the size of a man’s penis.

There’s a lot of things that couples can do. Obviously the use of fantasy, the use of toys. Love making is love making. Physical intimacy is physical intimacy and it doesn’t all mean intercourse. It can mean using a toy in addition to the penis in the vagina to increase the stretch receptors. It can mean getting a Priapus Shot. It can mean taking testosterone and PDE5 inhibitor. It also can mean, for a woman, doing a surgical procedure to tighten the vagina. Obviously there’s different age demographics. Certainly the age demographic for women who have having labiaplasties in my experience, and I’ve done about 750 labiaplasties and close to 200 vaginal tightening operations, the age demographic in women that are having labiaplasties is younger than women that are having vaginal tightening.

I’ve done vaginal tightening operations in women in their early 60s. I have not yet done it in women that are a more advanced age. I’m in my early 70s. My partner is in her early, mid 60s. Men and women in their 80s and 90s have sexual intercourse. A long winded way of saying, Charles, that there’s a lot of different things you could do. That’s the joy of sexual medicine is working with couples to improve their intimacy, which can be all of these different things.

Charles Runels: Yeah, it’s so rewarding. We’ve both been involved in what others would consider to be more hardcore, life threatening type situations, but nothing has been more rewarding to me than having a couple to me than having a couple that’s been married for any number of years, 10, 20, 50 years, come back to me and say, “We’re rediscovering our bodies because they’re responding more like they did when we were younger.” Well, we could go on and on, but I just wanted to add that Dr. Goodman has several ways you can learn more from him. I highly recommend his book if you don’t have it yet, of course. That’s the place to start. Then he has hands on classes in his office where he mentors surgeons who want to learn more of the nuances of these procedures. He’s been teaching for a long time. Many of the people who teach are his students. He’s not also offering some didactic classes for those who qualify who can learn some of how we do the O-Shot, how to integrate that with some of the other methods that he’s discussing with surgery.

I think your next class is coming up in Atlanta. There’ll be others who will be posting and so I highly, highly recommend that, even if you’ve done these classes before, if you have the opportunity, spend some time with Dr. Goodman. He’s recognized as the godfather of a lot of these procedures. Yes, sir?

Michael Goodman: I’m teaching classes in Atlanta in October and April and in Sacramento in January and July. The classes are excellent accommodations at airport hotels. They’re two different classes. They’re both didactic and experiential. I have full length surgical videos. The whole idea is to work with surgeons, whether they’re cosmetic surgeon, gynecological surgeons, to basically teach the technique and to discuss how to work with women. We also talk about noninvasive techniques. We talk about platelet rich plasma for different indications including the O-Shot. We talk about the use and misuse of noninvasive laser and radio frequency. There’s wonderful uses of both of them, and there’s some misuses.

Charles Runels: Yeah. This is going to be some amazing stuff and I know there’ll be other classes after that. I’ll post links to them all. With that, I’ll just tell you thank you. Unless there’s something else, we’ll end this call and I’m sure you’ll be hearing from some of the people watching this video. Thank you very much, Dr. Goodwin.

Michael Goodman: Awesome. Thanks very much. It has truly been a pleasure.

 

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Dr. Amy Brenner Talks about Orgasms


Dr. Amy Brenner talks about orgasms in celebration of Orgasm Day. Topics include…
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.

Other helps…

 

AJ Applegate talks about Orgasms!


In celebration of Orgasm Day, here’s what AJ Applegate had to say about orgasms….

1. How to know if a woman is faking an orgasm.
2. Why orgasms are important.
3. AJ’s first 2 days after the O-Shot procedure.
5. AJ’s tips for a woman to have an orgasm.
6. How many adult film stars fake orgasm?
7. AJ tells the truth about her orgasms (hint…she’s NOT faking).
8. How AJ’s lover knows when she needs an orgasm (when AJ may not know).
9. Religion & orgasms.
10.The world-mission of a top-tier film star…AJ says, “….”

Transcript

Charles Runels: Thank you very much, because I know you’re busy. When I called you last, you were taking a plane from somewhere to somewhere and you’re all over the place with your schedule, so thank you for making time for this. So, just tell me, if you had like a minute or two to talk with someone about one of those people, what would you want them to know about orgasms or just sex?

AJ Applegate: I just feel like everybody should want to have orgasms. I mean, sex makes you feel good and I feel like a lot of people almost feel guilty when it comes to being sexual instead of embracing their sexuality. I’ve kind of learned that from being in the industry and then meeting people outside of the industry and how they judge you and how they think about sex and their views. Just basically it has a lot, I think, to do also with how you grew up.

But I feel like women should not be afraid to explore their sexuality and want to get off and have as many orgasms as they can and not feel like they’re being judged. For me, that’s why I enjoy my job, because I kind of almost feel like I like to put that out there and tell women as much as possible, “Look. You’re beautiful. You’re sexy. You should want to go have sex. You should want to go explore.” And a lot of the times I feel like a response back is kind of like, “Oh, well I just hurry up and I try to get it done as fast as possible.” People don’t want to take the time to figure out what turns them on, and I think that has to do with a big part of women feeling guilty about it later on. I know when I have sex at home I still look at Tumblrs and clips and masturbate while I’m doing it and it’s like, “Oh, wow. That turned me on. This turns me on. I like this. I like that.” So I just feel like nowadays I just feel like sex has become like a chore almost to people. It shouldn’t be that way and I feel like maybe if they tried this orgasm shot maybe they’d feel hornier and want to explore more and take more time to enjoy themselves during sex.

Charles Runels: Well, thank you for mentioning that. You were there with Sylvia in Beverly Hills. I know that’s your home base, right, in Beverly Hills? Is that correct? Is that where you live?

AJ Applegate: Well, yeah. I’m in the Valley.

Charles Runels: Yeah. So you’re there in Los Angeles. Sylvia’s one of our providers and you were kind enough to experience the procedure. You just had it, was it yesterday or the day before?

AJ Applegate: The day before.

Charles Runels: Yeah. So, normally what happens is not much happens until the third week, but we’ll get into the details of the shot in a second, but since you brought it up, thank you for experiencing it. Tell me what you think about this, because I hear this sometimes. Women will tell me, “Well, I don’t need that shot because everything’s good already.”

AJ Applegate: Yeah.

Charles Runels: When someone tells me that, I always think I would never, if I had some cool workout tip for someone that was really in shape and you told them, they would want to know what it is. Actually, the more fit they are the more they would want to know.

AJ Applegate: Right.

Charles Runels: And I’ve found that people who enjoy sex, if you think that there’s … It’s an art, right? You never quit learning an art. When you bring up that you might have something that makes it better, what do they do? They want to figure out what it is, right? And I’ve found that a lot of people who it’s not working so well will pretend like it is. Do you have any thoughts on that? Am I off base there? What do you think about that?

AJ Applegate: No, no. That makes sense to me. I feel like the women that do say that are like, “Oh, whatever. I’m already good.” They probably don’t have that great of a sex life and maybe they think that they do, but they’re not sexual. They don’t want to explore more. That’s the reason … I know I have orgasms all the time. I’ve gotten gang banged, I’ve done a bunch of different things.

Charles Runels: Sure. Sure.

AJ Applegate: But for me, I still wanted to see how much further can I take this? Can I even enjoy sex even more if I do this?

Charles Runels: Yes.

AJ Applegate: So, that makes sense that those women probably aren’t [inaudible 00:04:32] that are like, “Oh, I’m fine.”

Charles Runels: Yeah. So what would you say … There are some people that would say … I don’t know if you know this, but women’s sexuality has this really interesting thing that I see nowhere else in medicine. For example, if my penis will not get erect, and I’m not bothered by that because I live alone, the official diagnosis for me would still be erectile dysfunction. Even if I live alone and do not have a lover and I’m not bothered by it. Just like if I have high blood pressure. Even if I’m not measuring it, I’ve got hypertension. Did you know that if you have, say, painful intercourse, dyspareunia, and you’re not able to have an orgasm but you’ve chosen as a female to live alone and you decide you’re not bothered by that, it does not get counted as a sexual dysfunction? And that came, I think that sort of evolved out of the idea as we, understandably, who are doctors to tell you you have a problem if you don’t think you have a problem? On the other hand, by thinking that way, women, if they have, say, their painful intercourse gone or their libido back their life could be different.

So, I guess what I’m saying is that it’s really exciting for me to talk with someone who is exploring the different areas of their sexuality and doing it bravely and openly. And, by the way, one of my favorite books is by C.S. Lewis who wrote this book called Mere Christianity, and he said the prig on the first row is much better off … No, excuse me. I got that backward. The prostitute on the back row is much better off than the prig, self-righteous prig on the first row. Christ was a friend to the prostitutes but He was really hard on the self-righteous prigs. So I don’t mean to make any sort of religious comment about that except that I think self-righteous people, not thinking deeply about exploring their sexuality may be missing out. That’s all I’m saying.

AJ Applegate: Yeah.

Charles Runels: So, talk to me about … So if you were going to talk to a woman from your experience, would you want to make any comments about, not counting the O shot, we’ll get around to that, about how they might … I like what you said about figuring out what excites you by letting your mind go to different areas and see if that’s something that excites you or not. And so talk to me more if you were going to advise a woman about how to develop more pleasure in her relationships or not, as a solo, you got any quick tips?

AJ Applegate: I mean, for relationships, I just … I mean, go to a sex store. Get different toys. Get different kind of products. Use them on your boyfriend, use them on yourself. At least at home, with your boyfriend, you’ll feel safe about it and you’ll feel more open to wanting to try different things because you’re alone with him, you’re comfortable with him, whatever.

Charles Runels: Yeah.

AJ Applegate: And just maybe look at different sorts of clips with him and kind of see what turns him on and then maybe that will turn you on. The same as if you’re alone. What I do, I just use my vibrator and I’ll look at different stuff and I’ll know. I’ll be like, “Oh, my God. I feel really excited when I look at that.” Now I already know what turns me on, so I don’t really have to explore that much. I mean, I still will just to see maybe … Because over time, everyone changes.

Charles Runels: They do, don’t they?

AJ Applegate: What turns me on when I was younger, different stuff turns me on now. But you always should be exploring and figuring out, because you’re never always going to be the same, especially I feel like as you get older, your chemistry in your body changes, too. Yeah. I mean, even … I don’t know. I guess [inaudible 00:08:51].

Charles Runels: Yeah. It’s beautiful. So what would you say to a woman who said, “You know, I don’t have an orgasm, but I don’t need an orgasm and I don’t want to have one just to please my male lover, so it’s just off my radar.” What do you think, and those comments are made and who am I to say what’s right or wrong, but what would you say, other than pleasure, as far as just relationships, your ability, your mental health, anything … I don’t want to put words in your mouth, but other than the pleasure you have in the bedroom, what benefits do you think orgasms might have for a woman? Because, you know, this is the deal. Orgasm day is in five days, July the 31st. Can you believe it? So we’re doing this, this will be on officialorgasmday.com by tomorrow morning. Anyway, talk to me about things other than pleasure that you might have noticed. Like, if you don’t have an orgasm for a while, what’s different, good or bad, than when you do have orgasms?

AJ Applegate: For me, I have a boyfriend, and he’s also in the industry.

Section 1 of 3 [00:00:00 – 00:10:04]

Section 2 of 3 [00:10:00 – 00:20:04](NOTE: speaker names may be different in each section)

AJ Applegate: I have a boyfriend, and he’s also in the industry. He always tells me he knows when I haven’t had an orgasm in a while because I get cranky, and I turn bitchy, and he doesn’t want to be around me, and he wants to fuck me, so I’m not that way anymore.

I’m a very sexual person. I need to get off, and I feel like women don’t realize that, because they haven’t really had real orgasms.

Charles Runels: Yes. It can happen, can’t it?

AJ Applegate: Oh, what was I going to say?

Charles Runels: We talk at all the benefits of orgasm other than the fun part outside the bedroom.

AJ Applegate: Oh, yes, and also for me the same with exercise. Having orgasms I believe release endorphins in your brain.

Charles Runels: Yeah, sure. All sorts of hormonal things.

AJ Applegate: Yeah. It’s like a known fact that most of the time people that are more sexual are less depressed than other people, and if we were not built the way that we are, I mean we’re built to have sex and reproduce and have orgasms. I mean it’s just the way it is, and I feel like people don’t look at it that way, because of the way society views sex, people just feel guilty about it and don’t really care. I feel like the benefit of that, I mean I’m sure maybe they’ll feel happier, they’ll want to do more. I mean I just notice that I’m always in a better mood.

Charles Runels: Yes. Do you notice any patterns? I agree with what you’re saying. Actually, there’s some biochemicals. As a physician, I will tell you that there’s this boost of oxytocin, that’s the same thing that a mother gets when she breast feeds a child, and it has this relaxing calming thing. It comes from the pituitary gland when you have the orgasm, and who knows what all? There’s over 200 hormones made by the pituitary gland, so who knows what all happens, and that’s interesting, but I hear that. Now, somewhere in the motel maybe they feel … By the way, I don’t think men were supposed to talk this much in one day, so I have this spray that keeps me from coughing when I talk.

AJ Applegate: That’s so great.

Charles Runels: We supposed to not talk very much. Okay. It’s against our nature to use so many words at a time.

AJ Applegate: You’re just supposed to listen to women.

Charles Runels: Do whatever they say most of the time, especially in the bedroom.

AJ Applegate: Yeah.

Charles Runels: I really lost my train of thought there. What was I going to, what were we talking about? Oh, do you think that women sometimes are … You talked about your boyfriend sometimes thinks, “Well, you just need to have an orgasm.” Do you think it happens sometimes that women are frustrated and depressed and don’t realize, even an experienced woman, don’t realize that, “Oh, yeah. I just need to have sex.” Does that happen? Yeah, it does?

AJ Applegate: Oh, I believe it.

Charles Runels: I do, too.

AJ Applegate: I just know my body, and I know how sexual I am, so I know I’m either hungry or horny when I’m in a bad mood.

Charles Runels: Does it ever happen that you think that it doesn’t occur to you that the reason you’re irritable is you need to have sex, and then, “Oh, okay. That’s why,” after you have the sex or in the middle of it?

AJ Applegate: Yeah.

Charles Runels: Isn’t that funny?

AJ Applegate: Yeah, that’s how I learned, after my boyfriend kept saying things to me, I’m like, “That’s interesting,” because every time after we did it, I’m always so happy, and I don’t want to fight with him anymore. I don’t want to argue really.

Charles Runels: If a woman were trying to learn to have an orgasm … Well, let me back up a little bit. Do you know women in the industry who cannot have an orgasm, who pretend, or would they tell you?

AJ Applegate: They won’t tell you, but I can just tell. I understand after working with so many women, I just I can feel it. I can feel partner chemistry and feel I believe feeling how her body’s reacting to me, and I can tell if she’s faking it or not, and I feel like a lot of maybe like 50/50, half the girls are really in this industry because they love sex, or they’re just in it for the money. I feel like it’s very 50 like half and half.

Again, I just feel like for someone not to be sexual, I just feel like there’s something psychologically wrong with you, because I just … Either maybe something happened to you when you were younger, and that’s kind of why you don’t think about sex ever, and you don’t want to think about sex, because it’s so traumatizing, or either, again, this is the way you grew up, how you were raised, how your family looked upon sex, and taught you about sex. Because I mean coming from how I grew up, my mom was very closed-minded. I went to church all the time. She made me feel like she was always talking about sex as it was something like dirty it looked like. Maybe not so much to the worst extent, but it was still like she was very, I don’t feel like she was open-minded.

Even growing up that way, I looked at the situation, and I didn’t want to be that way. I wanted to be very open-minded, so I always made sure her opinions didn’t affect my opinions, and so I feel like if other girls grew up like that, I could see why they would not want to have orgasms and not hear about sex and feel maybe dirty after or whatever.

I mean either way, it’s like you can just tell when a woman is faking it or not, or I feel like. Maybe some guys just don’t know about it.

Charles Runels: Well, that brings up two points. First of all, I do think there’s these huge social, psychological, spiritual, and physical component, which brings us to the O-Shot® piece of it, and I’m grateful for you as a woman who’s very in touch with your body and your emotions, even so much that you can plug into other people’s bodies and emotions and get a feel for what’s really going on. I’m interested to see what happens over the course of the next two to three months with your O-Shot®, because we have had experience with women who are already having amazing orgasms taking it to a different level, and women who were having problems, say they had an episiotomy where they tore when they had a baby, and now they’re having pain or things don’t feel as sensitive as they did, because they’ve aged, the hormonal problems, so it seems to be making women who already function well to a different level, and those who are not functioning well, back to functioning well again.

AJ Applegate: I mean that scares me.

Charles Runels: Yes, well-

AJ Applegate: Because if I’m already the way that I am, I think about that being more, I mean someone’s going to have to lock me up or something.

Charles Runels: Yeah, well, maybe so, we’ll see. Well, it’ll be soon. We’ll do another interview in three or four weeks, and we’ll see if you’re behind bars or not.

Talk to me about if, let’s say that … Okay, I have two questions. One is, and you can answer them in this order, one is: If a woman were going to fake the perfect orgasm, any tips for faking an orgasm? Because you were saying that you work with women who sometimes fake it. For example, one of, actually the sex doctors, one of the world’s premier sex doctors told me look at pictures of people having orgasm, and they’re face looks exactly like someone in pain, you cannot tell the difference between an orgasm face, and I’m having pain face.

AJ Applegate: Right.

Charles Runels: Do you have, and if you don’t, that’s cool, because you don’t have to fake it, so maybe I’m asking the wrong person, but what have you noticed women who seem to be faking it, how do you pick up the difference if someone’s going to do the perfect fake off? What would they do or not do, other than, and this has got nothing to do with medicine, I’m just, or maybe it does? Maybe it helps me diagnose or help people figure out. Any tips?

AJ Applegate: Usually, I notice when a girl’s faking it, she gets really loud for no reason. Even if I’m not even touching it anymore, she’s still doing it. I figure out wait a minute, I’m not even down there for the rest of that moment.

Charles Runels: Okay.

AJ Applegate: We just-

Charles Runels: Time the noises with the stimulation, don’t get out of sync.

AJ Applegate: Yeah, at least get the noises right with what I’m doing, you know what I mean?

Charles Runels: That was good.

AJ Applegate: Then, I mean they’ll just start talking like weird stuff. It’s not even dirty, horny stuff, it’s just like they’ll just start saying, “Oh, yeah, oh, yeah,” and just really loud, and then it’s like but I’m not even, I mean I was looking for the second one, but then I had moved my head, and I’m …

Charles Runels: Okay. The emotions don’t match the activities.

AJ Applegate: Yeah, or they’ll try to move their bodies in this crazy thing. I don’t know how to explain it, but they’ll just start going crazy, and I’m like, “You don’t have to go crazy to look like you’re having an orgasm,” because usually when you are having an orgasm, your body’s not jolting like the Exorcist, do you know what I mean?

Charles Runels: It’s almost like a paralysis, isn’t it?

AJ Applegate: Maybe sometimes, but I mean I usually get almost quiet when like …

Section 2 of 3 [00:10:00 – 00:20:04]

Section 3 of 3 [00:20:00 – 00:30:05](NOTE: speaker names may be different in each section)

AJ Applegate: I used to get almost quiet when I’m having orgasms because my body … I can’t get out what I want to ’cause I’m in that shocking moment, so it’s like I almost get quiet, like can’t get it out.

Charles Runels: Yeah. So [crosstalk 00:20:16] …

AJ Applegate: Or my leg … You can tell my leg shakes or, I don’t know, my body just … shakes or something.

Charles Runels: So in a really deep orgasm … The Chinese talk about 10 levels of orgasms in the Tao, and the highest levels a woman almost feels like she’s about to lose her breath and for a second, on a subconscious level, almost like you’re about to die. Is that true?

AJ Applegate: Yeah, that …

Charles Runels: Talk to me. Talk to me about that.

AJ Applegate: That’s how I feel, ’cause I actually have to hold my breath a little bit to get it out. But that’s almost what it feels like, like you take in that deep breath and then can’t get out your breath.

Charles Runels: Yes.

AJ Applegate: And then I don’t [inaudible 00:21:01] … I can’t even explain to you … I mean, it’s something that’s so …

Charles Runels: Well, you’re doing very well, as a matter of fact. [Jennifer 00:21:09] told me that you’re smart and articulate, and you are exactly those things, so you’re doing very well. To make you feel a little better, I was at the International Society for Women’s Sexual Health, which is a world-renowned society for doctors who think about sex and research sex, and I found one of the smartest, top three smartest, people in the room, and I guided off to the side and I said, “Okay, I just want you to explain to me, biochemically and emotionally, what you think actually happens when a woman has an orgasm.” And it was deer in the headlights. Deer in the headlights.

AJ Applegate: Oh, really?

Charles Runels: Yes. You would think that there would be this great, amazing thing.

AJ Applegate: Explanation.

Charles Runels: Yeah, but what she gave was just as good as you [inaudible 00:22:02]. Now, there’s a few biochemical things that we know that go on, but the whole system … See, part of the thing that I’m campaigning for … So, when you were in school and you took biology they would talk about the respiratory system?

AJ Applegate: Yeah.

Charles Runels: Yeah, yeah, right? Gastrointestinal system, the digestive system, the nerves. We all heard that. Did they ever, in third grade science, talk to you about the orgasm system?

AJ Applegate: No.

Charles Runels: No.

AJ Applegate: They taught us about our vagina, but they never … They just taught you about what entails inside and how it works and … They never explained.

Charles Runels: Let me tell you something.

AJ Applegate: I think they want … They don’t want you to have sex. They just teach you about STDs and to be abstinent.

Charles Runels: Yeah, scared you off [crosstalk 00:22:44]. So, my sex education was, in school at least, was a coach telling a couple of dirty jokes and showing you how to put on a condom so you don’t catch all those horrible diseases. That’s it, and that’s what most people get. But believe it or not, there is nowhere, anywhere, in a textbook ever the word “orgasm system.” But my point I’m making is the whole purpose of this system is thinking about how everything works together. The psychology, which you talked about, what turns you on.

And I think we come here built differently, right? Some people come here wanting the same sex, a different sex. Some people want to be tied up. Some people want to be whipped. And they don’t even realize that some people want to be treated lots of different ways, and they come here genetically that way. I mean, I’m convinced that people … When you talk to people that are homosexual, they’ll tell you, “Yeah, third grade I realized I’m a boy and I’m attracted to my football coach,” and where they were never abused. They just came here being attracted to other men.

And I embrace the idea that people should be able to love other people as long as they’re not hurting each other, and part of that reason for embracing that is that I think that that’s the way we are made. The way we are made to love, we find the person who matches us in that way.

So that’s the long way of saying that there’s this whole system that I don’t think we understand that involves everything you said: the physical, the emotional, the relationship part. And all our O-Shot® does is work with the physical part, but what some of the therapists want to do is think about the emotional part and not think of the physical part. So I can’t wait to see what you notice about the physical piece of this.

So, let’s see … I had so … I got so many questions for you. I don’t know [crosstalk 00:24:43].

AJ Applegate: I mean, I already feel like [inaudible 00:24:45]. I had sex last night for a couple hours.

Charles Runels: Yeah, was it fun?

AJ Applegate: But it was hard, because I was [inaudible 00:24:54], but I was super sensitive already, so it was almost like tickling. It [inaudible 00:24:58] like … So I’m thinking maybe I’m still healing a little bit.

Charles Runels: Yeah. So talk to me about … So first of all, let me remind everybody. You had the shot about two days ago, and there is a needle involved, and the numbing shot goes right next to the clitoris, and that can be a little tender sometimes. And there’s all sorts … Imagine if you had a bruise on your leg. It can feel ache-y. It can feel burn-y, itchy, all sorts of things, and then it heals up. But we didn’t bruise you necessarily with this little tiny needle, but the material we put in there, or that Sylvia Silvestri put in there, from your blood draw would be the equivalent to a huge bruise. So you got the growth factors of a big injury without a big injury, and that can cause feelings of warmth and blood flow and all sorts of things, and people … Or nothing at all.

So talk to me more about what you felt last night. This will be interesting.

AJ Applegate: I mean, I felt …

Charles Runels: Different than what you would normally feel with sex. Good or bad?

AJ Applegate: No, I just felt super horny the night that I got it done already.

Charles Runels: Yeah, that’s common.

AJ Applegate: But I couldn’t have sex. Like it sucked ’cause I wanted to have sex bad, but it was still stinging, like it stung until the next morning. I think I’m just one of those weird cases, ’cause I felt it and everything. She was like, “You’re not gonna feel it. Nobody feels it.” And I’m like, “Yeah, just wait. I’m fucking intense.”

So, yeah, and then yesterday it finally wasn’t stinging anymore, so last night … I mean, I was still so super horny. I’ve just been wanting to have sex. If anything, I think right now, since I’m still healing, I’m just … It’s just making me more horny right now.

Charles Runels: Well, I hear that a lot, and we actually have … And then I … It’s part of the reason that I warn younger women who are already sexually active that it could be almost continuous for the first two to three days. We’ve had one woman who had an orgasm hitting a speed bump. We had woman pushing a buggy in the grocery store. We had one of the doctors who trained with us, his wife had an orgasm at dinner. We always go to dinner after we train. And I didn’t catch it. She wasn’t like the Goldie Hawn scene, but her face all contorted up and my nurse Danielle said, “Did you just have an orgasm?” She had an orgasm at dinner. And so I warn people that you need to have your boyfriend at home or your girlfriend or whatever, and because you could be, if you’re young … Danielle, my nurse, had an orgasm walking down the hall at the office. It can be extremely …

But I’m glad you pointed that out, because the first day or two the numbing cream sometimes can be a little bit sting-y and irritating, and so I always tell people to wash off in the tub. But, yeah, you’re gonna have a blast.

So, let’s plan, if you want, let’s do another talk. I’m gonna put this on OfficialOrgasmDay.com and tell people about it, and I’m gonna also interview some doctors about the science piece of it and some other people. But I’m so happy we got to talk. Anything else? Like if you were going to just talk to men and women out there about … Say anything. Any closing comments? Thank you so much for taking time, ’cause I know … I just want to people to know, this woman is dressed in her relaxing, I’m smart, college student right now, but she’s a frickin’ star. You’ve got a huge fan base, and I’m really honored that you took time to talk with us. Any other last minute things you want to say before we shut it down for the day?

AJ Applegate: I don’t know. I’m just … I’m really super excited to see what happens, and I think that this is an awesome thing that all women should try and more women should know about, and even guys can do it, too.

Charles Runels: Yeah, we got it for the penis, too. It’s called the Priapus Shot. We have some couples that will come in, they both get it, and then they go off and have a fun vacation, a weekend [crosstalk 00:29:09].

AJ Applegate: Yeah, that’s what she was telling me. That’s amazing. I feel like more … Maybe if more … I feel like if more couples did do stuff like this, maybe there wouldn’t be so much divorce and cheating and … You know what I mean? More people would appreciate their relationships and have more fun and not be so stressed out all the time.

Charles Runels: Good for you. I can tell that you have fun with your work, but you also have a mission to help people, and I’m very grateful. I mean, you didn’t know me from Adam and you said, “Let’s do this thing, and I’ll give you something back,” and so here we are. Thank you, A.J., and we’ll be in touch and we’ll do another interview down the line and you can teach us more.

AJ Applegate: Okay. Awesome.

Charles Runels: Thank you [inaudible 00:29:53]. Bye-bye.

AJ Applegate: Thank you.

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