Cellular Medicine Association - January 2018

O f the female sexual dysfunctions, dyspareunia will most disturb a woman’s relationships. A woman can accommodate a decreased libido and anorgasmia, but she will often completely avoid any contact when she suffers from dyspareunia. But, when it comes to treating the various female sexual dysfunctions, anorgasmia offers the biggest challenge to cure. Testosterone helps some, the O-Shot helps some, therapy helps some — still, many women see no orgasm even with our best efforts. And, unlike with dyspareunia, where we have very specific algorithms, anorgasmia treatments seem less well-mapped. So, I thought we may benefit from having some of the teachers in our group talk about their ideas about orgasm and treating anorgasmia. The following excerpt from an interview with Dr. Michael Goodman (we will do an interview with a different physician each month) may be of help. You’ll find the whole interview on the following webpage (as a video/audio): oshot. info/goodman. Charles Runels: Dr. Goodman recently released a textbook that he edited about female genital plastic and cosmetic surgery. He’s one of the true pioneers who blazed the trail for the people who are doing it now, and I consider him to actually be one of the premiere physicians living today. He 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 because of how it actually contributes to a woman's functioning. I asked him to talk about the procedures he does, surgery versus the various devices, vs., 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 effects on her whole personality and her life, her family, and her

career; and all that research has been done. But specifically, I wanted to know how he combines these different modalities.

I review for some medical journals. I just reviewed an article for the Journal of Bioethical Investigation, one of the top bioethics journals. This article was done by a bioethicist, who is not a surgeon and who has no interest in female plastic and cosmetic vaginal surgery, and it looked into the area of adolescents and whether they should have labiaplasties.

Michael Goodman: Sexual dysfunction, or decreased sexual sensation, may be one of the first symptoms that women

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, but then they understand. Basically, what this article talks about is the feeling that other people have: "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." 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, and self- esteem situations. They felt that there's really no difference between functional and self- esteem or psychological reasons. Certainly, that is borne out in the literature. We did a study seven or eight years ago. It still is the largest study in the literature, and it covers over 250 women and 345 procedures, of which about 150 were labiaplasties.

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. With that introduction, what are the mechanics that we're talking about?

To see/hear the rest of this interview, go to the following webpage: OShot.info/goodman.

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