Introduction to Systems Analysis of the Female Orgasm System

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Tonight we're going to talk about the female orgasm system. And the reason we're talking about the orgasm system is very simple. When something is complicated, then it really takes a systems analysis to be able to understand how to both make it better or to make it well if it's broken.

For example, if you look at this proposed hierarchy of orgasm, you have at the lower level, the base level, anorgasmia.

Why does orgasm matter?

Now, why does that even matter? If you're able to eat, sleep, have babies, pray, why does orgasm even matter?

I think common sense probably answers that but let's answer it more specifically. It's been shown that the orgasmic response has a huge part to play in the bonding of two people loving each other. It helps with relaxation. It helps with feelings of despair. It helps people feel happier and smarter and more relaxed. It helps people sleep better. Orgasm is hugely important.

Levels of Orgasm

Of course, people can live without it. People can live without many things but the orgasmic response is extremely important but it's also very complicated. To think more about what that means, we'll get to what the systems analysis is shortly but I want you to look at what's possible and not just possible but happens frequently.

This isn't a rare thing but this is a common thing with people who actually think about orgasm and the sexual response in the way we're about to describe it.

At this beginning level or this what can feel like a broken level, there's the inability to have an orgasm at all. There can be love, accommodation. There can be intimacy. There can be a fulfilling life but there can also be all the things I just discussed that can feel broken without orgasm.

Then there's the next level where orgasm is possible but it's difficult to obtain. And it's seldom it's with clitoral stimulation.

But then let's just skip all the way to the top. There can be this extreme peak experience where it becomes spiritual. It can feel like a blending of souls and it can be the melding of two people together so that there can be a bond that's not from a piece of paper or from a promise but from a true blending and melting together, that is difficult to explain but can be confirmed by those who have experienced it. It's been talked about by the poets.

For example, Whitman talked a lot about how everything's about sex, whether you're blackening shoes, he put it, writing a poem, or building a house, it's really all about sex. And sex in this expanded meaning, which is about creativity and spirituality, and breathing. Everything is about sex.
If that's true and orgasm can become this peak spiritual experience and Whitman talked about that as well, that spiritual ecstasy and sexual ecstasy are almost indistinguishable when they are done in the way that we're talking.

But obviously, it's not a simple thing. It's not driving a car. It's not a mechanical thing. It's a complicated thing. When you drive a car, you turn the ignition, the engine starts but lots of things are happening under the hood that you're not seeing. There's a way the gas is burned and the way the power from the engine is transmitted through the transmission to the axles and the wheels and friction, there are lots of physics happening.

If you try to simplify sex or just something mechanical or to one thing which happens even among the experts, doesn't work. And that every proverbial everything's a nail because I have a hammer is seldom seen in other parts of medicine but often seen in sexual medicine.

How the respiratory system helps understanding of systems analysis

For example, no one in respiratory medicine, no pulmonologists just think about the respiratory system. I'm going to move this over where you can see what I'm talking about. The reason there is a respiratory system, by the way, you won't find a picture of the orgasm system unless you go to one of my websites because it's not out there. Although people are talking around it, the systems analysis I'm about to show you hasn't been really developed in the world of sexual response surprisingly, because you cannot do other parts of medicine without thinking about this.

For example, if you look at the respiratory system, here's the anatomy that is talked about as being part of that. The nose, the mouth. By the way, what is the purpose of any system? It's multiple components that work together to produce an outcome.

With the respiratory and that applies not just to medicine but any sort of systems analysis. If you look, people are analyzing healthcare systems. We have a doctor in a hospital, then you have an ambulance and a drug store and you have the home healthcare people and other parts of the system that's meant to keep us well. Then you have people to pay for it. People are really analyzing healthcare systems. It can be applied to manufacturing. Systems analysis is a tried and true method of making things work better and repairing complicated things that are broken.

The respiratory system I'm showing you here what's online. Very simply, as you were told in probably the fourth or fifth grade, it's a network of organs and tissues that help you breathe. Where breathing is described as the exchange of oxygen and carbon dioxide. In this definition, you have the nose and the mouth, the throat, and the larynx and the windpipe and the airways or the bronchial tubes and the lungs and the alveoli.

If you look at a picture of that, what that looks like, you can see this was picked as one of the top pictures on Wikipedia because it shows all the parts. Now you can think in terms of disease and a pulmonologist who thinks deeply about the respiratory system could name a disease for everything that's labeled here. In the pharynx, you can have laryngeal edema from an allergic reaction. In the nasal cavity, you can have allergies that cause disease there. And all the way down to the alveoli, which are damaged in emphysema, or the bronchial tubes, which are functioning poorly with asthma.

If you had someone, for example, who had disease because they had emphysema and you tried to make them better with bronchodilators, that may do something for the bronchial tubes but it's not going to repair the damaged alveoli. It's not going to fix the hyperinflation that happens with the diaphragm so you have a decreased residual, the tidal volume has changed in an abnormal way. The person can't exhale fully, so they can't exchange. There are all these things that happen that once you understand what's happening with emphysema, you can choose the right thing to make it better but you have to know the system or you cannot treat respiratory disease.

Why in the world would people try to treat orgasmic difficulties without understanding the system is beyond me, except that perhaps it hasn't been talked about because until recently we didn't have tools to address every part of the system as we do with other parts of the body.

For everything that's labeled here, there's a drug or a surgery or a method from respiratory therapists. There's a therapist for the respiratory system. There's a doctor, there are medicines, there are nurses that do things and there are devices that do things. You have a ventilator that breathes for you, you have percussion therapy that the physical therapist might do for you. You have lavages that you can do through a tube. All these things you can do to help the respiratory system.

And if you look at here's five different things that happen, gas exchange, breathing, sound, it helps with smell and it protects you from dust. But really the main thing here is the top things listed here. It exchanges oxygen and carbon dioxide with the atmosphere.

That's what the respiratory system does and the anatomy's functional anatomy because if you think about the anatomy, you have to think about how mechanically do these different physical parts that you could touch. You cut them out in a cadaver, put them on the table, and look at them. Thinking about functional anatomy makes more sense when you understand what the purpose of the system is.

The circulatory system also helps understand systems analysis

Now let's look at the circulatory system because it helps you see that there can be overlap. That will come into importance momentarily when we talk about the reproductive system and how there's overlap but it's not exactly the same as the orgasm system. Just think about the circulatory system. This is a system that circulates blood and lymph through the body, through the heart but what's the purpose of it? It's also delivering carbon dioxide to the lungs so it can be exhaled and it's delivering oxygen from the lungs throughout the body so that energy can be produced by burning glucose.

You can see that there's some overlap because the lungs are involved in the circulatory system where the blood flows past the lungs but there are new things that involved the arteries, the veins, the heart, that are not involved in the respiratory system.

If you look at the picture of the circulatory system, it looks like this.

You still see some of the same parts that you would see on the respiratory system but they're working together and not doing exactly the same thing. The respiratory system takes oxygen out of the air and supplies it to the circulatory system and the circulatory system brings carbon dioxide to the lungs and then the respiratory system exhales it.

All this is helping a person breathe and burn energy. Now it could happen, you can have disease, everything from the mechanical parts of the body itself, the functional anatomy down to the cellular level. For example, in the respiratory system, you could have cyanide which would block that oxygen-carrying ability or you could have profound anemia so there are not enough red blood cells in the blood itself to carry the oxygen and the effect could be that the person feels short of breath.

If you tried to treat shortness of breath in someone with profound anemia, so they don't have enough red blood cells, instead of them giving them blood, if you gave them a bronchodilator, which would work great in someone who's short of breath because they had bronchospasm from asthma, the bronchodilator would be exactly the right thing. But if you give the person with anemia a bronchodilator, you're not going to do them much good.

Shortness of breath, to treat that problem, you really need to understand systems analysis. And then if you're looking at a person who says, "I'm short of breath," and says, "Oh, they look pale." Well, are they pale because they're getting hypoxic and about to go cyanotic? Or are they pale because they don't have enough oxygen or enough red cells? And as a clinician, you could then use your systems analysis to decide what to do for them.

The ladder from broken to super function

Now let's take those same ideas and think about the orgasm system. And then well, actually, before they do that, let's think about this: You can treat disease. We can look at this picture of the respiratory system and think in terms of disease and treating disease or dysfunction. You could also look at this picture and think in terms of someone who is completely well but how to turn them into an Olympic athlete. And that could involve everything well, let's do things. Let's do things like have them train in Denver so they get lots of red cells or if we wanted to cheat, we could just give them some red blood cells right before an event. We could do things like have them exercise more frequently, doing what's called the Fartlek system where you exercise until you get anaerobic and you relax and have an aerobic interval. And that would increase the number of mitochondria so that you could burn more oxygen. You could do things like take a bronchodilator right before exercise but you could also do things to exercise the diaphragm so you might have a stronger lung capacity.

The point is that the same sort of ideas if you go back to this picture of the orgasm system, the same sort of ideas that would make disease well in the breathing apparatus could be used to make a normal person into an elite athlete. It's all the same system.

The Orgasm System

Now, if you think about the orgasm system, the same idea, the same system that would help you by analysis of that system, bring a woman or bring yourself from anorgasmic to multiple clitoral and vaginal orgasms, all the way up to never-ending, limitless orgasms with a peak spiritual experience, it's all the same system.

If that feels like something or sounds like something that's worth thinking about, then you're in the right place.

Who am I?

Why am I qualified to think about this? There are lots of people that are qualified to think about this. The reason I think that I might be able to contribute is that I have not only taken care of thousands of women, at least 5,000 women, and had a number of lovers who have given me feedback, I've also trained over 3,000 doctors to help these physicians learn to take better care of men and women's sexual problems. I've created or designed several procedures that help with sexual dysfunction, the Orgasm Shot® or the O-Shot®, the P-Shot®. I have other ideas that I've been working on, Vagina Lab™, combining these different things. I've worked with the designers of different instrumentations, like radiofrequency and laser devices, and talked in-depth about how those things might be combined to help with the systems. I've done research that I've published.

And there are many people that know much about sex but I think that I've after 30 years of doing this, have some ways of combining and thinking about these things to at least introduce a way of thinking about the orgasm system that others could add to and modify as the research progresses and as people see the blanks or the gaps that are sure to be left in what we're going to describe.

This will be one of a number of talks. Tonight is just about systems analysis in general. And I'll give you some ideas about why I've divided the systems up the way I have. And then the next session, we'll talk about different parts of the system.

Let's look at some of the research and then let's talk about some of the different parts.

This is a really nice article that talks about different parts of the phases of orgasm and how they might be produced. It talks some about the anatomy and some about the different phases but I wanted to give you this one just to give you an idea of where we're headed.

This one chart here where it talks about the novel explanation of neuroanatomical, neurological, neuropharmacological mechanisms of single vaginal and clitoral orgasms, multiple orgasms, and extended sexual response orgasms. And you can see these different ideas. The glans clitoris connects to the pudendal nerve, the sacral plexus, to the brain, which gives a clitoral orgasm. For the nipples, they go to the intercostal nerve, to the pituitary, excreting oxytocin pathway through the brain for a nipple orgasm or contributes to clitoral orgasm, vaginal orgasm, and extended sexual response orgasm.

And look at all these different scenarios. Then if you want to look at that in chart form, there it is.

Pulling all this into a way to think about the different systems is a challenge. And to be complete, you have to write a whole encyclopedia. There are whole textbooks written about each part of this. For example, just the nervous system. Well, that's the nerve, it's a whole different system. You can see talking about the orgasm system really completely, you have to talk about, it's this all-encompassing physiology, anatomy because so many things are involved.

But I think as a way to simplify it to a working, practical method of thinking about and tuning up for orgasm, I think that it's useful to divide it up into these categories: You have the brain. Everybody usually answers that's the main sex organ, the brain. Of course, you need the brain to perceive what's happening but imagine a brain in someone with a severe cervical cord injury. You could have a brain by just thinking about sexual things. That's a possibility but functioning as a standalone, not so good.

But we have not just the brain, different parts of the brain that have to do with sex but the different psychology of the brain and what might make different things literally turn on neurologically or through circulatory pathways.

Then you have the breast, which has a sexual response to it. You can see they're listed here through the nipples and the brain through the oxytocin pathway, which leads to the brain.

Then I'll just call it the rest of the body because every part of the brain, the rest of the physical part of the body, the hands, the feet, the spinal cord, all these different parts that are less thought about as erotic zones but still can have huge effects. The spinal cord is so important and the vagus nerve and all these different pathways.

Then the next part would be hormones because these are the messengers that carry not just messages for protein synthesis but also immediate messages. For example, you can have IGF-1, which affects protein synthesis but you can also have adrenaline which causes immediate tachycardia and changes in vasculature.

There are the hormones are not just about say the development of secondary sexual characteristics like a beard or breasts, they're also about immediate responses. Oxytocin is a hormone.

Then you have the clitoris where you have of course sexual response. But the clitoris has not just that tip that you see but you also you have, as you saw on one of these previous diagrams here, you have the clitoris is very elaborate. Here's transection of the clitoris with the corpus cavernosi, the corpus spongiosum, and how it lies along the pubic rami. This is the clitoris, this whole thing, not just this tip that you're seeing.

Some people are starting to think about the genitourinary complex, so that would include the urethra, the vagina, and how it lies along and works along with the clitoris.

And then I think after we go through these different parts, so it would be the brain, the breast, the rest of the corpus or the body, number four would be the glands and the hormones, five would be the clitoris, six would be the rest of the genitourinary complex. And then last, we would cover some of the strategies that can be used to tune up these various parts of the system.

Here you can see another diagram showing the urethral sponge, the Bartholin's glands, or the Skene's glands. You have the anus, you have so many things going on down there.

It's much more elegant, much more complicated than has usually been described. And for something complicated, systems analysis is really the only thing that works.

Dangers of NOT using systems analysis

How's it been done in a simplified, maybe not so as effective as a possible way? Well, of course, let's say that a woman has dyspareunia, it just hurts to have sex. You can have sexual therapy with that woman and counseling, which would be useful and help her learn to have sexual pleasure by having kissing or touch or intimacy in ways that don't involve the vagina if that's where she has pain. And that would be helpful and useful but you could also have someone who just does say some sort of surgery that helps let's say the pain is from a large ovarian cyst but now perhaps the woman has this conditioned response because of the pain she had so now she also needs the counseling after the surgery.

It's a simple example, but it's an example of how either one of those things alone may not be enough, where thinking about all of those things might be needed. For example, now that the cyst is gone, maybe there's a change in the neurological function and there needs to be in an O-Shot® to reestablish the nerves to the genitourinary complex and maybe she needs Her lover to learn a more erotic touch and use one of our arousal oils in the proper way. Or maybe she has some weakness of the pelvic floor muscles in the genitourinary complex and she needs support there through kegals or through an Emsella machine or injecting into the pelvic floor to regenerate muscle fibers.

There are all these different methods that start to make a lot more sense when you think about systems analysis.

Next week we'll go over in detail about the brain and how that plays a part in the system, how it can go wrong, and what can be thought about in terms of both making the system work better if it's broken and making it work in this extreme peak experience if it's not broken.

I hope this has been helpful and you'll see links to the references and links to other helps below the video.

References Considered in the Above Video

Mardinoglu, A., and J. Nielsen. “Systems Medicine and Metabolic Modelling.” Journal of Internal Medicine 271, no. 2 (February 1, 2012): 142–54.
Vittrup, G., L. Mørup, T. Heilesen, D. Jensen, S. Westmark, and D. Melgaard. “The Quality of Life and Sexuality in Women with Lichen Sclerosus – A Cross Sectional Study.” Clinical and Experimental Dermatology n/a, no. n/a. .
Sayin, Umit. “Doors of Female Orgasmic Consciousness: New Theories on the Peak Experience and Mechanisms of Female Orgasm and Expanded Sexual Response.” NeuroQuantology 10, no. 4 (November 29, 2012).
———. “DSM Controversies, Defining the Normal and the Paraphilia: Sexual Pleasure Objects, Fantasy, Variations, Soft-BDSM, ESR, Hypersexuality, Sex Addiction and Nymphomania.” Forensic Science & Addiction Research 5 (August 12, 2019): 371–86.
Stromberg, Joseph. “This Is What Your Brain Looks like during an Orgasm.” Vox, April 1, 2015.
“Systems Medicine: A New Approach to Clinical Practice | Elsevier Enhanced Reader.” .

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