Female Orgasm System. Part 2 of 7.

Outline

Innervation
Prolactin
Arousal
Breast Cancer
Hormones (progesterone, testosterone, estrogen)
Dryness (Lubrication, O-Shot®)
Breast Implants
Decreased sensation

Transcription

Let’s talk about the breast and how it relates to orgasm, and more specifically, about some of the problems that happen and how they might be taken care of.

First of all, the anatomy of the breast. Of course, there’s a psychology associated with the breast, and there’re a great body of research done about associating breasts with femininity and sexuality.

What happens after someone has breast cancer with their sexuality is largely not related to the actual anatomical disruption of the nerve supply. But let’s think about that to start off with, and you can see from this picture that the intercostal nerve branches off and comes superficially around to the nipple. You can see and then there’s an anterior cutaneous branch as well. I think this diagram perhaps shows it even better where you can see intercostal nerve. The lateral cutaneous branch comes up and very superficially innervates the nipple.

You can see most of the innervation comes to the nipple comes in laterally. So, what happens? What can happen to disrupt that? A couple of things. You can have just breast feeding can sometimes disrupt it although not always, and then you can have innervation of the breasts disrupted by just regular implants or from surgery from breast cancer.

Now, if you look at the research about what happens with that, there’s about a… Let’s find the research, so you can see. It winds up being initially something like 35% of women who have breast cancer have a decrease in sensitivity after implants, and then with time that turns into more like 2%. So here’s the abstract with that. If you look, and this is from a really good journal, the Journal of American Society of Plastic Surgery.

You can see that of the people that had surgery, initially, 39% experienced numbness or four out of 10, almost half. Then persistent numbness, they say unusual, but 2.3% is 1/50, so not unheard of. Some studies I’ve read is 10%. Now, you can still see almost all patients are glad they did the surgery, and they would repeat it. In this particular study, 225 cases, only one in 50 wound up having persistent numbness.

Now, what can be done for that? If you look at the what can be done as far as regrowing nerve, you can use platelet-rich plasma to regrow the nerve. Here, they did an experiment with rats where they showed that they could reestablish or increase sensation when nothing was damaged. If you go to PubMed, and you’ll find many, many studies showing that PRP helps with regrowing nerve.

We have a procedure called the Vampire Breast Lift® where we inject platelet-rich plasma, and here’s a video showing that being done, underneath a nerve. This is the woman’s own blood. It’s been isolated using a centrifuge, and now it’ll be activated with calcium chloride, which causes a release of growth factors, which is what happened with that study I just showed you in rats to regrow nerve.

Now, though, if you look at the way it’s done by grasping the tissue of the nipple and pulling it away from the implant, you can see if you come in between… That’s my fingers. If you come in between my fingers with PRP, you know that… I mean, even without feeling anything, you can know where implant is, where my fingertips are, and this is all breast tissue. So, I’ll let you watch me.

That’s showing you how not to do it. This is how you should do it. That’s how you do it, and it’s not painful. Obviously, we’re doing it because the person has loss of sensation, so it isn’t painful. It takes about five minutes to process the blood, and you can say very quickly to do the procedure. So that’s an option for someone who’s lost sensation. Nothing’s 100%, but we’re seeing over 90% of people that are treated with this way see improvement.

Now, what else can go wrong with the breast? You have implants. You also have breast cancer. When you have reconstruction of the breast for breast cancer, a sensation is usually not so easily restored, and the problem becomes not so much the sensation from the breast, but the dryness of the vagina and loss of libido from lack of testosterone and estrogen that happens in a postmenopausal woman after breast cancer.

So, the treatment for that becomes not so much about… or for that woman, becomes not so much about restoring sensation in the breast as in just restoring a healthy libido that builds to have an orgasm and a lubricating vagina. For that, I think it’s worth noting that there’s some really nice studies showing that PRP, not PRP… testosterone actually can downregulate the estrogen receptors.

People who, say, women who identifies men and go on high doses of testosterone, the breast tissue actually atrophies. If you look, here’s a nice study in rats showing that testosterone actually can help protect against breast cancer. Now, estrogen’s a different thing, and obviously, some breast cancers have estrogen receptors, and estrogen would be not a good thing.

Even when it comes to testosterone, I’m giving you generalized information, and you should speak with your physician if you’ve had breast cancer. But the implications are that testosterone could help protect and help downregulate the estrogen receptors and help prevent recurrence. Progesterone can have a similar effect and be protective. So, with that replacement, and my replacing estrogen, the wound could regain libido, she could regain orgasmic function, and she could regain lubrication.

For the lubrication part, we’ve had great effectiveness with our O-Shot and just injecting the local tissue of the vaginal wall and the skins’ glands become more active, and the woman can lubricate and would get close to 100%. Nothing is 100%. We’ll get close to 100% effectiveness by injecting the anterior vaginal wall with PRP and the treatment of dyspareunia or painful intercourse post-breast cancer. In that case, we see improvement even without replacing the testosterone/estrogen. So, it’s a great option for a woman who’s had breast cancer and does not want to use hormones.

Then another thing to consider with the press and how it relates to sex is galactorrhea. Now galactorrhea or the production of breast milk normally happens with pregnancy or with breastfeeding, of course, but can happen for other reasons. Galactorrhea can happen with thyroid problems, especially hyperthyroidism, and with prolactin illness. It’s not so much that galactorrhea is a problem because many women can have mild galactorrhea without any subsequent problems, and it can happen even with just chronic breast stimulation either by the woman herself usually or by her lover, and no harm comes from it.

If a woman suddenly develops galactorrhea, of course, she needs to have a very careful evaluation, especially if it’s just one side versus the other because it can’t be a danger sign that it’s a new breast cancer. But if it’s bilateral and the woman has evaluation, and it’s not carcinogenic, then it’s usually either prolactinoma from a microadenoma in the pituitary gland like we talked about in the first lesson, chapter one, or it can be from a thyroid problem.

The thing to know for sure is that both of those things, hyperprolactinemia, from the pituitary or a thyroid problem can cause fatigue and trouble with orgasm and trouble with just sex drive. So, either of those when you see hyperprolactinemia, just realize that the cause is usually going to interfere with the sexuality of the woman and should be evaluated.

The other thing that can happen with orgasm like we talked about is a boost in oxytocin, and oxytocin levels go up just with sexual stimulation really high with delivery of a child, and that can be associated with bonding and feelings of love. Prolactin can block the effectiveness of the oxytocin, so it’s another reason to be sure prolactin levels are under control. The treatment is just taking a tablet twice a week, and that blocks it back down.

Now, one of the thing about breast implants just to… this idea of decreased sensation. I found that a lot of women who think they’ve recovered sensation, which by the study I showed you is 49 out of 50 women. When I treat them with the PRP that you realize, “Oh, yeah, that what happens is they had a period close to half of the women of decreased sensation after the surgery of the implant,” and then it comes back, but they don’t really remember how good it was so well.

Then when I used the PRP, and they recover with the Vampire Breast Lift all of their sensation back, they are usually very pleased. And of course, with repeating implants, if someone has to… For some reason, either encapsulation or for whatever reason, cosmetic reasons, have implants done twice, the risk of decreased sensation goes up even more.

So, I’m not bashing implants. Most women do love them who choose to have them. I’m just offering a way to take care of one of the problems that can happen, and that is with PRP. So, that’s it. There’s a lot of psychological overlay with having breasts, and I highly recommend breast reconstruction after breast cancer or mastectomy, and that reconstruction can be done with either fat or implants or both. The fat usually has to mix with the PRP to help the survival of the fat, and two studies have shown that there is no increased risk of breast cancer with transfer of fat to the breast.

Actually, there’s a trend towards fewer recurrences and fewer biopsies in both of the studies, the really good studies that have been done. So, I highly recommend if a woman has had breast cancer that you have reconstruction, and that you have fat and mixed with PRP used as part of that reconstruction. She won’t usually regain sensation, but she’ll regain the psychological benefits that come with regaining her feminine shape.

So that’s about it. A lot of tension to the breast, but not as much information as far as how to use the breast for orgasm. There’s a lot of… As you notice, I’m focusing on the anatomy, not so much with in-the-bedroom techniques. A lot of techniques that can be done with the breast, either kissing or caressing or sometimes people have more approaching painful things like pinching or slapping the breast, and that’s actually in the Kama Sutras, written 2,000 years ago in India. All of those techniques including slapping the breast or spanking the breasts, so that it become more sensitive.

It’s a way to bring out sensitivity. Just a light spanking of the nipples makes them more sensitive if that’s then followed by caressing and kissing. So, I think that’s all we’re going to talk about breast, and I’ll see you next week, and we’ll go into lots of detail about how the innervation of the back coming down through the spine, onto the legs and the feet, how there’s crossover in the sacral nerves, so that there can be great sexual stimulation even without touching the genitalia. So, I’ll see you next week for that lesson, and thank you for paying attention to the anatomy of the female orgasm system.