Hello, this is Dr. Clark Brittain of Bloomington, Indiana. I'm a board-certified gynecologist, and I have a very interesting patient interview to share with you today.

A little background information first. I was a board-certified family doctor in a little town on the prairie for 10 years, joined the military to do an OB residency, and I've been a practicing OB/GYN doctor, board certified since 1998. I have for about the last 10 years focused on the care of the mature woman, and for the last year and a half or two years have refined that to additional care for intimate wellness.

I have found over the years that as we age, there are things that just don't work as well as they used to that we really want to be able to maintain. We want to be able to think. We want to be able to be physically active, and many of wish to maintain sexual intimacy. Well, the patient that I am going to have you listen in on recently received an O-shot. She received an O-shot in September, and I interviewed her in February.

The O-Shot is a very interesting procedure where we take your own blood, spin it down, separate the plasma and the red blood cells, activate the plasma, and then insert it back into your own body. Now, think about this, and I want to credit Dr. Charles Runels of Fairhope, Alabama for inventing this procedure. If you get a cut and let's say it bleeds a little bit and it coagulates, a scab forms, and then that tissue disruption gets healed and it bridges across. Well, that happens because of the regenerative properties of the plasma cells that are circulating in your blood, and it allows those tissues to heal.

Well, you can take those same plasma cells, concentrate them, activate them with some calcium chloride, and then inject them into critical tissues. This has been done in Orthopedics a lot and other areas, but no one had thought to use this in gynecological procedures until Dr. Runels came along to show how this could be used gynecologically. Well, what we know from the female anatomy is that with aging anatomy, a lot of women will find that they have diminished sensation for sexual pleasure. They find that they have problems with bladder leakage, dryness, and the O-shot infuses these regenerative cells back into the body.

After getting the tissues completely numbed up, we use a really skinny needle and numb up the tissues as mentioned, and we infuse the enhanced platelet-rich plasma into the clitoris and underneath the urethra between the urethra and the wall of the vagina, and we find that this helps a lot of things.

I'm going to let this patient in this interview tell you kind of what has happened with her, and then we'll have a little bit to talk about after the interview. Thank you very much. I hope you enjoy it.

Dr. Clark: Good morning. How are you doing?

Patient: I'm great. How are you?

Dr. Clark: So how did this, thank you, how did this process work for you? You had an O-Shot in September, right?

Patient: Yes.

Dr. Clark: What was that like?

Patient: It was a very easy experience. I did some research and I was enticed by the fact that it was not a drug or something different that I was putting into my body.

Dr. Clark: Sure.

Patient: I thought it was great. The research that had been done and the reviews, everybody seemed pleased. Anytime you can use something of your own to make it better, I think is a great thing.

Dr. Clark: Wonderful. So can you tell us kind of what you were experiencing that led you to want to get this done?

Patient: I've always had a difficulty reaching a climax. And then also after having my daughter, I had incontinence, a little bit if I sneezed or coughed or laugh too hard. So that was concerning too, so those were my reasons.

Dr. Clark: Right. I think we did the O-Shot maybe in September, was that?

Patient: Mm-hmm (affirmative). Yes.

Dr. Clark: Was there any negative effect from it that you noticed?

Patient: No, not at all. The first day I was a little swollen, tender but the next day I was fine. I went back to work when I left here, after having the procedure.

Dr. Clark: Cool.

Patient: It was very simple.

Dr. Clark: Okay. Fast forward to today, on a scale of one to 10, let's say pick a number that you were feeling if where 10 is the maximum that you'd want to feel and one is the least you'd want to feel. What were you in September?

Patient: Probably a three.

Dr. Clark: And now?

Patient: An eight.

Dr. Clark: Wow. Cool beans.

Patient: Yeah.

Dr. Clark: So what do you notice now?

Patient: More sensitivity. I feel like I have more control I guess you could say.

Dr. Clark: Of your bladder?

Patient: Yes.

Dr. Clark: Wonderful.

Patient: Yeah. My biggest thing is sensitivity and control.

Dr. Clark: Yeah. So now what about sexual satisfaction?

Patient: Yes, definitely better. Faster, happens faster.

Dr. Clark: Is it too fast?

Patient: No, no.

Dr. Clark: I had a patient the other day, said, "Doctor, this worked great but it's happening too fast now."

Patient: Oh, yeah, no, not too fast. No, it definitely is a benefit. Yeah

Dr. Clark: Yeah. Good. So now, we talked about this a little bit while we're waiting for Erica to come in. There's a process where all these healing agents that are in the plasma that you received back into your body work over a little bit of time that tends to build up, build up, build up for about three to four months to get to your peak effect. This can last a long time. You may need to do this again in a year or two. It's variable but among the things that are real important to maintain good hormone balance, so I'm not sure how much we talked about that, but we'll come back to that a little bit. And then we have patients that want to get two or three injections of PRP with the O-Shot over a shorter period of time just to get things built up a little bit more. But it sounds like you've got a pretty good effect.

Patient: Mm-hmm (affirmative). Yes.

Dr. Clark: Yeah. Good. So you're satisfied?

Patient: Yes.

Dr. Clark: Congratulations.

Patient: Thank you.

Dr. Clark: Well, thank you for letting us interview you.

Patient: Yeah.

Well, now that you've heard from a real life patient, I'd like to discuss the O-Shot, this patient and you're potential opportunity to participate in the wonders of the O-Shot experience that might change your life. This patient is a middle aged woman who's become menopausal. She had a couple of kids with vaginal delivery, and she noticed that over time she was losing control of her bladder, in part because of the aging process and in part because of the tensional forces that happened with a vaginal delivery. She was beginning to lose some sensation with stimulation of the clitoris during sexual experience. Now, this happens to a lot of women over the aging process, and some more than others. Some of it's in part related to hormonal decline, and some of it just part of the aging process. The PRP injection that she experienced is a remarkable utilization of a process has been in use in medicine for a long time.

PRP stands for platelet rich plasma. We take blood and put it in a special FDA approved vacuum cleaner, spin it down in a special FDA approved centrifuge, and separate the serum from the red blood cells, activate that plasma or serum with some calcium chloride, and then it put it back in the body. This has been used in orthopedics for a long time to help improve injured tendons and ligaments, and about eight years ago, a remarkable physician from Alabama named Charles Runels discovered that this could actually be used in the female genital system as well as the male genital system to improve bladder control and sexual satisfaction. Dr. Runels was a real pioneer and still is a real pioneer, and he has used this in hundreds of patients and has trained hundreds of physicians and practitioners to utilize this procedure as well. I think that it's to his great credit that he has not selfishly kept this procedure to himself.

I have taken both his online training courses and his hands on training courses in order to be able to provide this procedure for my patients, and many patients have benefited from this. In particular, this patient had improved of sensation and bladder control from a three out of ten to an eight out of ten. She's just absolutely thrilled. We did her O-Shot in September, and interviewed her at the beginning of February. This is a pretty common interval of maximum improvement that happens with the infusion of these PRP injections. The PRP a serum contains a number of cells and healing agents that are existing in all of us. Imagine if you would, you suffer a small laceration. That laceration bleeds, the bleeding stops scab, if you will, forms and the scabs sloughs off and those wounded edges heal back together. That's because they're all of these regenerative cells and platelets live in, in your natural circulation, so the platelets and these agents seek to let your blood coagulate in an appropriate manner, a scab to form, and then these tissues to heal.

What the the PRP seeks to do is to concentrate these same healing agents in a small package of fluid, which is your plasma, and then we reintroduce that into your body. Those same processes are in play depending on where they're put in your body. In orthopedic cases, that might go in your knee, or it might go in your hip. In the female reproductive system, this might include the clitoris or the space between the wall of the and the urethra for bladder control and sexual sensation. It's also used for inflammatory processes such as interstitial cystitis and the overactive bladder.

In this particular patient, she started to notice relief right away, and this achieved its maximum benefit over the course of several months. This may last forever. It may need a boost after many more months or a year or two. It depends in part as to her natural aging processes or physical activity, her hormonal status, but it's not uncommon, particularly in women after having a child birth naturally and the aging process, that the tissues become distorted a little bit because of strain intention in the vaginal canal with a vaginal delivery, and a decline in hormone production over time that diminishes the effect of the hormones on tissues and allows them to age faster than they would if hormone levels were maintained and these regenerative cells were maintained.

You can find out more about this process if you would like by looking at our website, www.doctorbritain.com. You can visit our web page, Vibrant Life, on Facebook. You can call our office at 812-331-9160, and we'd love to hear from you. You might want to make an appointment or just call and get more information. Again, it's doctorbrittain.com. Vibrant Life on Facebook, and 812-331-9160 for our office number. We'd love to hear from you. Thank you for listening.