1:12🔗VoiceoverAdam Corolla and Dr. Drew Loveline, Coast to Coast.
1:17🔗AdamYep, it is Loveline. I'm Adam Corolla. That is Dr. Drew over there. Phone number 1-800-LLVE-191. No fax number because it's out of paper and they stopped making that paper in the 70s. So we will just go without tonight. Dr. Drew is a board certified physician and addiction medicine specialist. And speaking of board certified physicians, we have a couple tonight because tonight's topic is vaginal rejuvenation.
1:49🔗AdamYeah. Well, we're going to stay below the belt tonight. And we have a couple of doctors. First, Dr. David Matlock, he's the founder and director of the Laser Vaginal Rejuvenation Center. He's been doing these procedures for 10 years. And I have several thousand questions to ask you. Also, Dr. Alan Altman is here tonight. He's the assistant clinical professor of obstetrics and gynecology at Reproductive Biology Harvard. Yeah, yeah, yeah. But he's a smart guy. This is the real Harvard?
2:24🔗AdamOK, because, you know, there's a... Drew, do you know, I mean, when you hear the word Harvard, how many times is it the real Harvard out of 10 times? Three times? You know what I mean?
2:38🔗DrewYeah, they always say so-and-so studied medicine at Harvard. Well, they took a summer school class there, so, yeah.
2:45🔗AdamRight, but he's the author of Making Love The Way We Used To, or Better, which is out. You can get that everywhere? Correct, Alan?
2:55🔗AdamWell, first, I want to ask about vaginal rejuvenation because this is something that I've only heard about over the last few years, maybe even few months. It's not something that's been talked about too much. Who would be a candidate for this, doctor?
3:12🔗GuestWell, primarily, at the Laser Vaginal Rejuvenation Center of Los Angeles, we do two types of procedures. We do laser vaginal rejuvenation for the enhancement of sexual gratification and we do designer laser vaginoplasty, which is primarily aesthetic procedures for the vulva. The age range will be from around 18 to 40. The patients that are in the younger age, they primarily come in for designer laser vaginoplasty. Some of the other patients, the older patients, will come in for laser vaginal rejuvenation.
3:47🔗AdamIt's a very troubling time we're living in. I just thought about that when I heard about the designer vaginoplasty. I realized we're really running out of things to do as a society. We put the guy on the moon and it's like, well, Christ, what do we do now? Well, let's see what we can do with the vagina.
4:04🔗DrewBut we've had women complaining about the excess inner lip tissue and that that's disturbing to them. Is that what most of you are talking about?
4:11🔗GuestRight. The second most common procedure that we perform is laser reduction labioplasty. What that is is actually the aesthetic reduction of the inner lips or the labia minora.
4:23🔗DrewSome women feel that somehow they're going to be upsetting to their partners.
4:26🔗AdamWell, you know what? Just to jump in here, I realized that in the 70s and even parts of the 80s when women were wearing their hair a little bit longer down there, it's like a guy with a double chin growing a beard. Who cares? But then you clean it up down there, the gardener comes by and all of a sudden you realize you got a problem. Is that what's going on now?
4:52🔗AdamWhat's his opinion? Is it the hairstyle that has something to do with it?
4:58🔗GuestI don't really believe that it's a hairstyle. I think that it's that women are really becoming more self-conscious or aware of these particular types of situations. Really, primarily what the women want, what they want, they don't want the labia minora, their small inner lips.
5:30🔗GuestWe absolutely do. So the younger patients are coming in for the hymenoplasties or hymenoplasties.
5:36🔗DrewNow my understanding is that if you do that, you're actually having to convince by your work other gynecologists that this is a virgin because the cultures apparently that need to prove virginity, sort of pick a doctor to verify the virginity and it's your job to trick that doctor.
5:54🔗AdamWell, those cultures don't have real doctors, thank God. So they're easily fooled by a bunch of crazy guys with towels on their head.
6:02🔗GuestThat's absolutely true. And so the young ladies who come in for those particular procedures is primarily from Middle Eastern descent.
6:08🔗DrewDo they come in by themselves? Are they ashamed? Is their counseling given to them?
6:11🔗GuestNo, they will come in. They will come in. Sometimes they're coming in with their mothers. We've had some patients coming from Saudi Arabia, they're bringing their daughters in to have the procedures. But yeah, that's true that some patients will have to go to the groom's choice to determine whether or not she's a virgin.
6:30🔗AdamHey guys, can we agree at a certain point that some cultures are crappy? Can we just agree on that? Do we have to play the politically correct card all the time? Aren't there just certain cultures that kind of suck? Wouldn't you say that'd be one of them?
6:46🔗AdamPut the towel on the head and kill the wife and send them in to get a new hymen attached.
6:51🔗DrewVery open and lightened way of looking at things. But how do you actually do that? This is what people have always asked me. Where is the tissue coming from that you're putting across there?
6:58🔗GuestOkay, so actually what's going on is that there is, we are, there's hymenal remnants that are there.
7:06🔗GuestYeah, we are denuding a very small edge of the hymenal remnant and then we are using absorbable sutures, fine, as the human hair, to bring the, reconstruct the hymen.
7:17🔗GuestIt doesn't pull apart. And primarily what we're trying to do is just, we wanna be very, very natural. And if you actually see a patient who comes into the office and she is, she's not sexually active, you will see that the hymenal rings are very tight. And it's rare to see the hymen intact in this day and age because of sports and organized gym and sports and so forth. But if we do, we will see the lower third. So we wanna be very natural and we will bring back the lower third of the hymen.
7:50🔗GuestI'm sitting here listening to Making It Natural. Yeah. Couple of problems. Number one, we are taking 18 year old women and operating on their vaginas to make them more natural. We are taking women who have had children and tightening them up to make them more natural and make them more sexually gratified. And while there is no question as a gynecologist with 25 years of practice, I agree that there are some instances where you can have a gaping vagina and you have a problem there. I'm not sure the laser would do that. You may need to do, you know, real regular colparaphy on it. But to put out that women can be rejuvenated, in other words, their vaginas can be rejuvenated, means that women will look at this who may have been perfectly reasonably happy and say to themselves, hmm, I probably should have this done to have my vagina look younger and look more aesthetically pleasing. Now my problem with that is who the hell looks down there, okay? I mean, you know, you remember the old joke of the guy who woke up one morning and he said, God, I feel absolutely wonderful. And he goes and he's brushing his teeth and he looks in the mirror and goes, oh, God, look at me, I look terrible. He gets dressed, he's walking down the street, his friend sees him. He says, Mike, you look awful. He says, yeah, I know, but I feel great. So he's really perplexed by this. He goes in the doctor's office. He tells Doc, I don't know what it is, but I feel great. And the doctor says, yeah, but you look awful. Doc says, just a minute here. Okay, I'm going to look this up in a medical textbook. So he's looking through looks awful, feels awful. No, no, looks good, feels good. No, no, no. Ah, here it is. Looks awful, feels great. Says here, you're a vagina. Now, let me ask you.
10:03🔗AdamWell, I have, now, I have seen movies where there are guys who would look down there and, and.
10:08🔗GuestWell, everybody kind of looks, okay, and kind of feels around and kind of does things around, depending on how graphic you want to get. But nobody sits back and takes a flashlight.
10:19🔗DrewBut don't, don't, don't challenge this guy. Be careful, you might get a little judgment.
10:23🔗AdamListen, I, I, I'm not a big fan of the vagina visually myself, as you know. And I, you know, I've, there's women who have more attractive vaginas than other women. But, you know, on the list of parts, maybe the ass, the nose, the eyes, aesthetically, the vagina falls down in the teens somewhere.
10:46🔗DrewUnless we have women calling about the, the inner lip problem that really disturbs them.
10:50🔗GuestI, I, as I've said, there are certain instances, no question about it. If I see patients with really heavily flowing labia that are interrupting their ability to achieve any kind of sexual pleasure, even penetration, when there's penetration, it's painful.
11:04🔗DrewOr even just aesthetics. I mean, that's unpleasant for the young girl.
11:08🔗GuestBut when you say aesthetics, that's when we, we, we get a little uncomfortable. And I say that because are we, as opposed to, you know, on your website, it says you're empowering women. I'm worried that we're kind of enslaving women with this kind of thing. Because look at the cultures that mandate this, as you were talking before. You had the Chinese culture, the ancient Chinese who used ben lo balls to tighten their concubines' vaginas. Was that what that was all about? And also to tie their ankles together, too. If a woman wants to have something like this done, I'm more concerned about why she wants to have it done. What about her body image is making this a problem for her? Unless she's got, as I said, the maybe 10 percent of folks who really have a problem.
11:58🔗DrewCouldn't you say this of any of the or many of the cosmetic repairs that are being done?
12:05🔗DrewI've always said that I believe that when our culture is dug up by our archaeologists, they're going to find women with these silicone sacks on their chest and go, oh, some sort of a burial ritual. They must have never heard of them that they were put in during life, ever, no way.
12:20🔗AdamDr. Altman, I'm just curious, where do you come down on gender reassignment?
12:26🔗GuestYou mean whether my city should pay for it if their public employee wants it like it's going on in San Francisco?
12:32🔗DrewEthically. The people that perform gender reassignment surgery is what Adam does.
12:44🔗GuestPersonally, I mean, if that person wants to have that done, I really don't have a problem with it.
12:53🔗AdamWhat if I came to you and said that I believed my right hand was possessed and that it kept picking at me and attacking me and flying police officers, the bird, would you cut it off? I mean, it's possessed. I truly believe it. Wouldn't you just say I needed some psychiatric work?
13:10🔗GuestYeah, well, I mean, that's a completely different situation.
13:11🔗AdamWell, I said my penis needs to be cut off. That's something that doctors will do. I never understand that. I never understand the one-year evaluation before you lock the guys' Johnson off. That always seems like a very, very ridiculous time spent for me. But listen, I don't want to go there. I'm going to switch subjects. I just want to ask one more question. We'll go to some calls. I'm curious. We're talking about the aesthetic part. We're talking about putting the hymen back, essentially. But what about the rejuvenation in terms of the feeling for the man? How does that? Now, I'm curious. I'm curious what we're talking about tightening it up.
13:47🔗DrewDo they report considerable improvement in feeling?
13:52🔗GuestFor the woman and the man. For the woman, because we get a lot of feedback also from the, obviously from the partner, but I mean, obviously being an obstetrician, gynecologist, our concern is with the woman.
14:20🔗AdamI will take some calls and don't worry, we got plenty of time to talk. Hey, the man shows on right now, by the way. I just forgot about that. Comedy Central. Oh, Jessica.
14:33🔗CallerYeah. Like everything, it only happens when I get my period, but not every month. I get like severe anal cramps, like my anus hurts like I'm getting frontal cramps.
14:50🔗GuestAnal cramps are, you're feeling them in your anus, and what's happening here is that your uterus is cramping. When many women get menstrual cramps, some of them will feel it into their legs, their thighs, some even lower.
15:05🔗DrewNow, the thigh and leg thing is the round ligament irritation.
15:08🔗GuestWell, round ligament or some women just feel their uterus down there.
15:12🔗DrewNow, why would this not trigger thoughts of endometriosis or other extra uterine?
15:16🔗GuestThat would be another concern. But there have been patients with no endometriosis whatsoever who notice this more rectally than they do abdominally. But endometriosis, which is the lining of the uterus growing elsewhere, like in the wall of the intestine and the colon, can be a problem as well.
15:37🔗CallerLike when I get my pepsumers done, I remember on the show, Dr. Drew was saying how it's common for the doctor to go in your vagina and in your anus, but that's never happened to me. He never goes in my anus. He only goes in my vagina.
15:52🔗GuestYou know, what I would say, it really depends upon your gynecologist and it depends upon the situation that you're under at that particular point to determine whether or not he needs to do what we call a rectal vaginal examination.
16:03🔗DrewIf you remember that, I know exactly what you're talking about. I'm almost freaked out that our doctor believed he was doing something inappropriate. And I was telling him, no, that's part of a thorough pelvic exam.
16:11🔗GuestAlso depends on the age of the GYN. The older the GYN, the older the gynecologist, the more rectal vaginal exams are going to be.
17:11🔗CallerOh, well, I just wanted to ask the doctor about these headaches I keep having.
17:18🔗AdamWell, we got a whole bunch of doctors tonight, so go ahead.
17:20🔗CallerOkay. Well, it only seems to happen while I'm masturbating.
17:25🔗DrewAnd when you climax or just while you're masturbating?
17:27🔗CallerYeah, right about the climax time or like right before it. Yeah.
17:31🔗AdamMaybe the lighting is not good and you're trying to read The Hustler and you're squinting and that can happen. It happened to me when I drive and masturbate. And sometimes when I look at pornography and I'm on a bumpy road, I have to really focus and I'll get a headache.
17:47🔗CallerTrying to focus on too many things, I guess.
17:51🔗GuestWe might have a different view of that. What I mean to say is that with the act of ejaculation, there's an awful lot of neural stimulation going on. There's also a lot of blood flow going to the penis. Blood flow goes where it's meant and where it's needed to go. And the brain is really very efficient when it does that. When you're eating, it goes to the intestine. When you're masturbating, it's going to go to the penis as well. Sometimes that can drain blood from elsewhere, although that's not going to be a big deal. Other times it can set off what we call a vasovagal reaction. An vasovagal reaction, which some men have when they urinate, can cause this kind of headache.
18:37🔗DrewIt makes you feel like you want to pass out, that kind of thing, too.
18:41🔗DrewWhat about migraine? Maybe anything with vasospastic?
18:44🔗GuestProstaglandin, possibly, a prostaglandin effect.
18:46🔗DrewBut nothing in women that people think of when they think of headache with intercourse or with orgasm.
18:52🔗GuestWomen with headache is estrogen withdrawal really frequently, not something that we see frequently during orgasm.
19:00🔗AdamHey Paul, maybe Paul should see a doctor.
19:04🔗DrewYeah, I think you should Paul, not a bad idea. I remember reading an article about this once where they did talk about it occasionally being associated with aneurysms and things and so it's something that if it's associated with any other neurologic symptoms definitely needs to be checked out.
19:16🔗AdamHe'll have to beat off in the doctor's office, right, in order to sort of recreate it.
19:53🔗CallerThe other day I felt like a pebble thing there.
19:57🔗DrewWell, get back to your doctor. Now you've detected something. It may or may not be anything. Pebble, hard rock like pebble, that kind of thing is stuff definitely to pay attention to. And you know, maybe you found something. And if you did, you found something very early and will be curable, I assure you.
20:11🔗GuestYou know, this is a good point to bring up about self-breast exam as well as self-testicle exam because the idea is to learn first what normal is. And it takes a while to learn what normal is because there's lumps and bumps in the breast, the lumps and bumps normally in the testicle. If a doc has done this and tells you it's normal, then you go and you learn over a year or so. So what does normal feel like? And then you pick up something that's different and then you go get it checked out. So it's a good point.
20:40🔗DrewWe've never made that point. That's a good point about it.
20:42🔗AdamYeah, it is. Yeah, I guess if you don't know something, how are you going to know what the average and normal is?
20:48🔗DrewThat's basically how doctors are trained. They see a zillion normal and then they see sick.
20:54🔗AdamHow about me just resting my sack on the camping flashlight, the lantern kind, the big high watt ones and just sort of, what do they call that? What illumination?
21:04🔗DrewTranslumination. How about you then hold a screen above it and see what kind of patterns develop?
21:10🔗AdamYeah, see if I see Orion's belt up in the bathroom ceiling.
22:07🔗DrewAnd why did they take the kid away from?
22:11🔗AdamClear everyone out, have the paramedics and say, you know, he's sick, he's going to be away for a little while. Same stuff you tell them when the cat kicks off, you know, he went to the ranch.
22:20🔗Really? That's never what I never really thought of that. She just, it wasn't, she didn't even act like anything had happened.
22:28🔗DrewWell, she doesn't have a way to process it, really. The school should be providing counseling for this sort of thing, this sort of, because there's a risk of all sorts of little reactions.
22:36🔗See, it was just an in-home daycare, it wasn't at school.
22:40🔗AdamWell, isn't it better, though? Is this better at four than it is at ten or eleven? I think it is.
22:47🔗DrewSometimes it is, sometimes it's worse. You know how those things are.
22:50🔗AdamSee, but as a four-year-old, I just don't know if you could process that fully.
22:55🔗DrewYou can't, but sometimes all sorts of fantasy can fill in.
23:01🔗DrewYeah, it's a real threat to her, something's going to happen like that to her. I would urge you to have at least somebody just talk to her just to see if a therapist can evoke, even in play therapy, some opportunity for her to express herself. She can't do it in words and she won't be able to respond when you speak directly to her, but people are trained in helping kids express feelings after traumatic events should be helpful. It might not be more than just a visit or two, you know?
23:25🔗AdamIt's still not too late to play the BS card. It isn't. Santa took her somewhere, took the kid somewhere, you know, to the North Pole or something. I'm not kidding. I mean, the kid does not have to know the other kid died.
23:39🔗DrewI agree with you, but it's sort of the cat's out of the bag, and why not take this opportunity to make sure there's no trouble from it?
23:44🔗Well, I got a call from a detective who wants to have her come in and wants to talk to her about, and that's my main concern, because I don't want, I don't know how I feel about her going in and having...
24:17🔗AdamListen, I did that play therapy when I was like eight or nine or something.
24:22🔗DrewOh, for God's sake. No more play therapy. I refuse to allow anyone have that.
24:26🔗AdamLet me tell you kids who are listening. You want a gig even better than a government gig? Play therapist. Here's your job. You sit on an undersized chair while some kid plays with clay. And then you just watch him. You just watch him. He makes an ashtray and you go, how did that make you feel? And he says, I don't know. And you go, all right, this session's over. That's it. That's what you do as a play therapist. You just, you never question. There's a six or seven year old kid who's wetting his bed, who's sitting there playing with clay. And your job is just, you're basically getting 70 bucks an hour just to sit there, make sure the kid doesn't swallow his wallet or something. That's it. You really, I don't know what, what the hell can they tell the parents? I mean, unless you got an extraordinary cage where the kids have nightmares and really freaking out and yelling about killing and stuff, basically the kid sits there and draws and you watch it. You could really get anybody. I go to the side of the freeway, get a Mexican, sell an orange, sit them right in there, get the same goddamn results. Same results. Yes, Mr. Dodd. You work with clay. It is a non-job, everybody. Therapist before you can speak is no good. Therapy like before ten, useless.
25:32🔗GuestWe have a special number for therapists to call instead of this line.
25:37🔗AdamYeah. And most of them are wacko, right?
25:44🔗DrewAnd you certainly are a great example of the outcomes of play therapy. Yes, indeed, there are some failures out there.
25:49🔗AdamYou know what you want to know the truth is, is I worked with clay and then I became a ceramics major in high school. That was the manifestation. I swear to God, I was a ceramics major. I learned to work with clay at eight years old and then I carried that into my teen years. Fantastic.
26:04🔗DrewYou were making toilets there, obsessing about these things. You were in there for a wedding, you're bad. I mean, what do you expect?
26:11🔗AdamHow dare you bring this up on the air and try to humiliate me in front of my doctor? Dr. David Matlock is here and also Dr. Alan Altman. They both have been around just millions of vaginas and if you have any questions about rejuvenation or anything that's going on with yourself inside or out, give us a call.
27:03🔗Hi, this is Tori Amos, and you're listening to Loveline with Adam Carolla and Dr. Drew.
27:09🔗AdamYes, you are. Phone number for Loveline, 1-800-LOVE-191. We're talking about vaginas tonight. We have Dr. David Matlock and Dr. Alan Altman.
27:21🔗CallerDavid Matlock is the founder and director of the Laser Vaginal Rejuvenation Center, and Dr. Altman is a, I'm going to forget that assistant.
27:32🔗AdamHe's a clinical professor of obstetrics and gynecology. He did the reproductive biology at Harvard Medical School. These guys, really, there's more vagina knowledge in this room than I believe anywhere else on the planet right now. Who knows what goes on in the old vagina? Oh, that's my song. The old vagina, the old vagina.
27:56🔗AdamYou may want to pipe that into the waiting room. John Drake is reporting from... Everyone at ease. Nice minor song about vaginas. All right, so we're talking all about rejuvenation and just anything that has to do with that particular area. Pam?
28:36🔗Okay, back in the 50s, my mother was going to have a miscarriage and the doctors gave her some kind of medication and they're calling the daughters and the sons.
28:51🔗AdamThis is Agent Orange for chicks basically, right? This is their version of that.
28:55🔗DrewNo, it's actually a little more legitimate.
28:57🔗AdamWell, Agent Orange is legitimate. And so, did it harm you or are you aware of it?
29:06🔗I'm not sure of any harm or anything. Well, I was just told, I just read that you're supposed to ask for clear cell pap smear, that we're supposed to have a special pap smear.
29:21🔗GuestOkay. Did you try and have any children? No. Okay. What you actually want when you're a DES daughter, have had some, even a question of DES exposure, is not so much a clear cell pap smear, but a pap smear of not only the cervix, but four quadrants of the vagina. And that means taking, a pap smear is basically like sticking your nail in your mouth and scraping your cheek and getting cells from it. And you look under the microscope, that's really what a pap smear is. And with DES prior exposure in your mom, they're suggesting that you get more widespread pap smear basically. It's not called a clear cell pap smear. What they're looking for is clear cell adenocarcinoma or some kind of cancer of the vagina, which you don't have. But they're looking for signs of that or precursors of that. But I will say in most of the women your age, nowadays we're moving a little bit off and away from that, because that was very concerning in your 20s and 30s, and we're finding that these changes are not occurring in the 40s and beyond. So it's still a good idea to follow it up.
30:36🔗DrewSo the ones who we had screened during their 20s, the ones who moved past that are not in the kind of danger we thought they were at that level. Not at that level.
31:20🔗GuestThen you should have a pap smear from the top of the vagina every three years. Unless your uterus was removed for a cancer, which I hope it was not.
31:30🔗DrewThis is for the recommendation for all women or DES?
31:36🔗DrewAge what? Because I know after 75, there's all kinds of babies.
31:39🔗GuestWell, after 75, they're talking about every three years and women with the cervix. I would say every three years.
31:45🔗DrewIn the medical literature, they're saying, don't do it anymore. Well, Medicare is sort of getting on board with it.
31:49🔗AdamLet me explain something here, gentlemen. Dr. Alan Altman over there, it's sort of like, oh, I'm sorry. Yes, I'm sorry. I thought I confused you too. It's like what Jiffy Lube does. They say you should get your oil change every 3,000 miles. And then you look at the manual for your car and the car says six or 7,000 miles. And you think, well, why does Jiffy Lube want it every 3,000? And then you realize that's their business. That's how they make money.
32:15🔗DrewLet me come to your defense. In HMOs right now, the less frequent the doctor sees you, the more money they make. So you want them not to be seen.
32:31🔗GuestPatients get a little bit taken by this and they get a little bit confused. They are told Medicare will not pay for your PAPS mere except every three years. And then they say what that's translated to them is I don't need a PAPS mere except every three years. Medicare does not set medical practice. Medicare is in the business of money and of trying to survive. You need a PAPS mere once a year. If you've had totally negative PAPS mere, there's some talk about maybe every other year, every three years, even when you're in your 40s and 50s, never mind over 70. But let's not confuse what Medicare wants with what's good medical practice, as I know.
33:10🔗AdamHow much is a PAPS mere these days if it's just got to come out of someone's pocket?
33:14🔗GuestIt used to be about 30 bucks. Now they're up about 60 because there's a newer PAPS mere over the past couple of years called a thin prep.
33:22🔗AdamThat's pretty reasonable as far as medical procedures go. I mean, our tests, our evaluations, 60 bucks?
33:29🔗GuestWell, remember, there are how many women in this world, in this country between the ages of 17 and 70? That's a whole lot of people getting one test.
33:40🔗AdamYeah. Well, I was surprised. I thought you were going to say it was 200 or 300 bucks.
33:44🔗DrewAgain, if you're Medicare age, it's 35 bucks.
33:48🔗AdamYeah. I mean, that's that's really makes me wish out of a vagina just to cash in on that kind of discount testing.
33:55🔗GuestIt really sounds great to figure out somewhere to do a gender change on you if you want.
33:59🔗AdamYeah. Reassignment like that bus driver in San Francisco is now getting the city to pay for his penis to be taken off. And by the way, isn't going to be a worst bus driver when he becomes a woman?
34:27🔗And I used to be on the pill, but that was a year ago. I quit taking it last June. And I thought it was just because I stopped taking a pill, but it's been going on for obviously quite a while now.
34:41🔗GuestYeah. Kelly, you have a situation most probably of having irregular ovulations or no ovulation at all. This is a kind of situation that you should see your gynecologist for.
34:55🔗DrewDoes having been on the pill set her up for that in any way?
34:57🔗GuestNot at all. Not at all. In fact, being on the pill...
35:00🔗GuestFrequently, not only stabilizes when she's on the pill, but when she has come off the pill, there's still good ovarian function because it's been resting for so long, and then it starts to screw up again.
35:11🔗DrewIs there any... The fact that she... Presumably, according to her history, she did not have it, then she was on the pill, now she's got it. Does that suggest anything else?
35:20🔗GuestNothing specific. She might have had a little bit of what we call hypothalamic amenorrhea or dysfunction of the cycling mechanism. The mechanism that controls the cycle is not working so well.
35:35🔗GuestShe should seek her gynecologist's help in doing some blood tests and just making sure there's nothing wrong with the thyroid, nothing wrong with the pituitary.
35:44🔗DrewShe gained a lot of weight or lost a lot of weight.
36:11🔗DrewOh, yes. And the problem is everyone wants to kill me.
36:15🔗AdamYeah. What are you doing sitting there and letting me say how it's for?
36:19🔗DrewThat's the deal. How dare you allow him? Like you can stop him.
36:23🔗AdamWell, that's a funny joke, though. The HIV mobile is a pink Miata. That's a good comment. But is there such a thing? I mean, it seems like one of the biggest problems this country has, forget about Pabst Mears, is just contraception for young women. That whole area down there, which a lot of women don't understand. A lot of people who come from a different, certain places in this society who may not have the money or the means to take care of things. Can't we bring it to them? Can't we do something like that?
36:57🔗GuestI'm absolutely fascinated by your use of the term that I hear from time to time, down there.
37:04🔗GuestThat's great. Anyway, it's more than just a Pabst Mear. The Pabst Mear is important, but it's also an entrée into dealing with all the other stuff whether it be contraception, family planning, whether it be some sort of counseling for relationship problems, whatever it is.
37:22🔗AdamBut the argument still remains that a lot of these people, we talk to them every night, they just won't go out. They're scared. They don't have money. They don't have to initiate anything.
37:30🔗GuestThey would have to go out for your Pabst Mear mobile. And probably within their neighborhood, the horn within their neighborhood, they've got a community health center. This probably help.
37:40🔗AdamMaybe a Pabst Mear shuttle mobile or something. I could just shuttle them with the horn.
37:57🔗AdamNobody Does It Better. For starts, we'll just start with the Mexican Roach Coach to Cucaracha song. Because why embarrass them? Right. Why alert the whole neighborhood as to what's going on? People think they're just going out for like a chimichanga or something.
38:20🔗AdamWe'll take ourselves a little break. The Doctors are in tonight. We'll be back with your questions after this. Yep, it is Loveline. I'm Adam Corolla. It's Dr. Drew over there, the one with the kooky ideas. Oh, yes. Drew is out of his mind tonight. He has a boner because we have a couple of doctors here.
39:19🔗AdamYou're very excited to have a couple of doctors, usually a bunch of guys in here smoking weed and talking about nailing hookers on the road. Right. Which is compelling, but this is really exciting for you. Dr. David Matlock is here. He's the founder and director of the Laser Vaginal Rejuvenation Center. Still, well, I had thousands of questions for him now. I'm down to about 1800.
39:44🔗DrewDo you want to give out your phone number over there?
40:17🔗GuestMaking Love The Way We Used To, or better?
40:21🔗DrewAnd that's really a book about midlife biological changes.
40:24🔗Guest35 and over, biological changes, relationship changes, affairs, viagra use, all sorts of that. Body image, which is, you know, I mean, body image is real important.
40:34🔗AdamI'll give you my assessment of Dr. Altman. Good guy, probably embarrasses the hell out of his kids with the vagina stories.
40:43🔗AdamReally? I know. Oh, Christ, not the thing with the mouth and the vaginas at the different ages. I'm going to go. I'm going to go to the bathroom. Dad's had a couple of glasses of Chardonnay. He's getting in the vagina. Talk again.
40:59🔗AdamI bet. And I want to ask another question about rejuvenation. How long does it take? And it may vary, but how long to do the Hymen restoration, for instance?
41:39🔗GuestAnd let's look at that for a minute. Let's look at that for a minute. It's real bothersome, probably to these women, if they stopped and thought about it. Why am I doing this? Am I doing this because I need to show that I'm a virgin in order that this man's family and this man will accept me?
42:08🔗DrewIt's a horrible culture. But it's the parents of the women that are really having locked in.
42:13🔗GuestIt's just outrageous and then they're having something done that exposes them to risk, which they certainly wouldn't need to face otherwise. Now, it's not great risk, certainly, but it's still risk and there's risk of infection, there's risk of pain afterwards, a little scarring afterwards. It's rare.
42:34🔗GuestWell, I have a different opinion of that. Our procedures are very, very safe. We have had no particular complications with the procedures at all. It's an outpatient surgical procedure.
42:49🔗DrewDo you feel the women are being disempowered or taken advantage of by the cultural attitudes? Or do you just feel that that's their culture and that's their business?
42:59🔗GuestThat's their culture. That's their business. We would think differently if we were actually in their culture. If you're in my office and you see some of these patients come in and they're hysterical and they're saying, are they going back to the Middle East or back to Iran? They say, Doctor, I need to have this done or I can have bodily harm done to me. There's a lot of social, cultural, and religious implications.
43:25🔗GuestWell, it sounds like the government should do that for free, then.
43:28🔗AdamBut look at it this way. I mean, not that I want to argue for putting the hymen back, but I work with a good-looking blonde lady who's marrying a Jewish guy and just spent four hours talking to a rabbi over the weekend because she's got to convert for the marriage. She couldn't be less interested in spending four hours with a rabbi, but it's a cultural thing.
43:47🔗DrewSo what you're saying is it would be easier to have a 20-minute hymenoplasty and convert it into Judaism. Is that what you're saying?
43:53🔗AdamI would rather spend 20 minutes in the stirrups than six months meeting, killing a goddamn Sunday with a rabbi studying the Torah. I mean, think about it. Get it all over with. There's a lot of bizarre cultural stuff that goes on. This involves surgery, but really, 20 minutes? I'd do it.
44:22🔗CallerWell, I had a question. My girlfriend had been suggested to her by her gynecologist that she have a surgery to loosen up her vaginal opening.
44:48🔗AdamAnd how are you downstairs? Are you bigger and average?
44:53🔗CallerI'd say I'm average, but when we started, it was uncomfortable for her.
44:58🔗AdamAnd what's, is that pediatric speculum? Is that like Donald, that dude of mine, like Donald Duck? Do you know what I'm talking about? Just the device?
45:05🔗DrewGoofy's nose, yeah. Goofy's nose or Donald Duck's?
45:07🔗GuestYeah. Of course. Well, Donald Duck would be too wide. We're talking about one of the little guys.
46:54🔗CallerIf she were to go through a surgery or something like that, I'm going to have her talk with her gynecologist to re-evaluate. And she hasn't really.
47:03🔗AdamWell, would they give her c-section if she was a small person down there?
47:07🔗DrewWell, there is that what you call that cephalopelvic disproportion. Does that actually exist?
47:13🔗GuestIt's got nothing to do with the vagina.
47:40🔗AdamI'd like my behymen put back. How much for that? How about I offer myself up as a guinea pig and you do me a freebie? My vaginas the size of a 50-gallon drop.
47:51🔗DrewOf course, they're gonna need like a sheep shear specialist to get in there.
48:12🔗AdamWe'll be right back. Yep, it is Loveline. I'm Adam Corolla. That is Dr. Drew over there. Phone number 1-800-LOVE-191. Dr. Alan Altman and Dr. David Matlock are both here. Not in that order. Tonight, we're talking about vaginal rejuvenation and all the stuff that has to go on with the gynecology. Also, Dr. Altman is the author of Making Love the Way We Used To or Better, which is find on amazon.com and all the bookstores and right. Not as many pictures as I'd like to see in a book. None at all, as a matter of fact. I'm pretty disappointed in that. But the words seem to be in order. Drew has skimmed through the book. Drew can read a book this big. What is this? 300, 400 pages?
49:54🔗DrewAnd I was saying, because this is a topic near and dear to our heart, and I was saying that I believe, if I read the literature correctly, that the predominant effect of that pill is its effect on ovulation, and that the issue with implantation is really not significantly different than the same effect from Vioxx and Celebrex, and the pill taken normally. What do you guys think?
50:17🔗GuestThe lower level pills, such as the 20 microgram pills, allow ovulation in 18% of patients who take them. And they're still extremely as effective contraceptive wise as are the 30, 35, and 50 microgram pills.
50:35🔗GuestThey impair cervical mucus production, which can prevent not only penetration of sperm, but also nourishment of sperm, which is a very important capacitation and stuff like that.
50:52🔗DrewSo indeed, if people were going to attack emergency contraception for, because of its effect of implantation, they should also be talking about the birth control pills, particularly low dose pills.
51:06🔗GuestBut remember that there's more to contraception than just the lining or than just the prevention of ovulation.
51:12🔗DrewI understand that, but there are certain powers that be that choose to take issue with emergency contraception. And when you really nail them down on how these pills work, their real problem is that we're treating kids after they've had sex. That's the problem. Not that there's anything really different about them.
51:30🔗AdamWell, one of those Bible thumpers ever been interested in science. You know what I mean? These are guys who are still looking for the arc. You know what I mean? What kind of scientist is here? He rose from the ground and Noah built an arc and they turned the water into wine. They're not dealing with scientists.
51:47🔗DrewIf we were going to logically talk about eliminating emergency contraception, we should be talking about getting rid of all contraception.
51:53🔗AdamThese people aren't interested in making sense, Drew. They're interested in writing letters.
51:57🔗DrewOur government should be interested in making sense.
51:59🔗AdamWe're worried about the idiot's voting form.
52:01🔗GuestThere is something new that we have been dealing with as gynecologists, and that is in prescribing emergency contraception. The patient then goes to the pharmacy and she is told by the pharmacist, I will not give it to you, and that outrages me.
52:18🔗DrewListen, how about Wal-Mart getting rid of it entirely? Because it's an abortion pill, but you did not.
52:23🔗AdamWell, wait a minute, they had to make more room for ammunition in the gun department, police had nothing to do with a moral decision.
52:35🔗AdamAnd listen, if there is any, who were we talking about before? Oh, the pharmacist. Listen, you lackeys, you do what the doctors tell you to do. Please, you guys are a bunch of flunkies who couldn't make it to medical school. Who are you kidding? You're right. They're really...
52:51🔗GuestAdam, I got to disagree with you here. There's some awful good pharmacists out there.
52:55🔗AdamNo, if they were good, they'd be doctors. They're really right up there with chiropractors, which is it just quacks. They couldn't cut it in medical school, so they had to take another avenue.
53:44🔗GuestBy themselves, because if you went to the gym and you wanted to work your bicep and you flexed your arm 100 times without a weight, without any weight at all, you're not going to build that bicep. If you put the weight in your hand, which is resistance to what you're doing, you'll build a bicep. There are vaginal weights now. You can put weights, not dumbbells. He's the dumbbell that you put in the vagina. But what I'm talking about are little tear-shaped weights that you put in the vagina that you use 15 minutes twice a day. You feel the urge to hold the weight in, and that's doing a Kegel against resistance. You get to a point where you no longer feel that urge, and then you go to the next weight, the heavier one.
54:34🔗AdamWell, they max out at 60. They start at 25, but they max out at 60. No, they don't.
54:38🔗GuestThey really don't. We're talking about the heaviest weight is probably 50 grams, which is pretty light. By the time you no longer feel the urge to hold in the tightest weight, then you've done some good work as far as muscle tone.
54:55🔗AdamSo where does one get these weights, by the way?
54:57🔗GuestYou can get them online. You can get them in medical catalogs. I will tell you, since I didn't know whether this program was on TV or radio, I spent Sunday mid-morning with my 25-year-old son going to every sex store in Los Angeles looking for these weights and nobody had them.
55:38🔗AdamWould one have to stand to use these weights?
55:40🔗GuestYes, you have to stand. And you want to wear undergarments, you want to wear panties so they don't fall out and break your toe, but they're not that heavy.
55:47🔗GuestYou know, I think what you would find, and what we have heard from some women or women throughout the nation and other parts of the world, that they will say that, you know, kegels don't work. We've heard this time and time again. And sometimes the women can be so relaxed that, as far as I'm concerned, you would need surgery to correct all this relaxation.
56:08🔗GuestYou couldn't even keep the weight in sometimes.
56:10🔗DrewThose are multi-multiparous women, though, right? Many babies.
57:03🔗AdamYeah. You can also use a one gallon milk container. Don't fill it up all the way to the top at the beginning, about half full and then work, put a glass in every week. That's the way I do it.
57:17🔗CallerThe long term. So long term they do work and based through your with resistance. Okay, cool.
57:24🔗GuestBy the way, by the way, you need to once you've gone up to weight number five and you've got reasonable strength, you need to do that once a month for three or four days, put number five in again to maintain it. It's like weight lifting where if you stop, you lose the tone.
57:44🔗CallerThree. But two were normal and with episiotomies and the other one was cesarean.
57:50🔗AdamAll right. And you know it's time to graduate to the next way. The test is I think you have to pop the cap on a root beer. That's how you know. That's what it said, at least on the website.
58:22🔗DrewI was actually telling someone a story about how you before I started speaking at colleges by myself, how you told me that you were such a genius. Only when I went by myself would I realize how you carried me. That's right. Very true.
58:35🔗AdamAnd now that's come to fruition, right? You've gone out on your own.
58:39🔗DrewIt's been a terrible failure. Thank you. No, it's been a raging success.
58:47🔗CallerYes. I was calling me because I wanted to know, I have an 8-month-old daughter and I want to know how long does it take for your body, you know, for your vagina to close back up and does it ever go back to normal where you never had a baby?
59:03🔗GuestWell, you know, the, what we will say is that the genital urinary tract will return to normal six weeks after your delivery. But I mean, if you feel that, do you feel that you have vaginal relaxation?
59:17🔗DrewIt's different than when before the baby?
59:19🔗CallerYeah, because like me and my boyfriend, we did it probably about three months after I had her. And he said it was like, it didn't feel tight. It felt like open.
59:31🔗GuestI think it's fair to say that when we use the term gets back to normal, that doesn't happen. It doesn't go back to normal. It goes back to a new state of normal, potentially. But once things are stretched, first baby, it can, it can. But it depends on what kind of problem she had in delivery, what kind of episiotomy, or if not what kind of scarring in the whole deal, how big the baby was.
59:53🔗AdamLet's talk percentages for a minute. First child, a young woman, I know it varies. But basically, six weeks after the delivery, could you be at 80% or can you put it into a percentage?
1:00:08🔗GuestI don't think you can really put it into a percentage. What we say is that the genital urinary tract is back to normal.
1:00:22🔗GuestNo, it doesn't. And remember that you have, especially if you have an episiotomy, you've got scar tissue there. Now, a scar tissue can, the cut can heal. It's never quite as elastic and as returning back to where it was as normal tissue. So just like your abdomen is always going to have that little bit of a puff down below because you stretched it before, vaginal changes occur too that are perfectly natural and normal. The question is, you know, if you need somebody like David here, if things are so abnormal, so wide and so distorted, then...
1:01:02🔗DrewWe have some males that make a big deal out of this.
1:01:05🔗GuestWell, that's what I was talking about before.
1:01:08🔗DrewI understand that. Miyaka, is that right? Miyaka. Miyaka. But we have men that are sort of, I don't know, unrealistically demanding about that.
1:01:16🔗GuestWell, let them go and get their penises fattened as opposed to getting the vagina tight.
1:01:20🔗DrewBelieve me, they would if it really were. Yeah, we get that all the time too.
1:01:27🔗AdamYou guys just seem to know your way around a vagina, but I say let's stop wasting time on that. I mean, that's territory that's been explored over and over again. Let's work on fattening that penis. I mean, really, that's what the money is.
1:01:41🔗DrewI know, Adam, you would spend a fortune on that. It's been a great fancy of yours, but relax.
1:01:45🔗AdamWell, I wouldn't mind. I wouldn't mind a little extra.
1:02:01🔗GuestWell, you have a fat pad in that mons, and if you slim it down, if you lose that kind of weight, it sticks out.
1:02:07🔗AdamYeah, I've always said that. I've likened it to trimming the high grass around your male box, which is it's not that your male, it's not that the pole got pulled out farther.
1:02:19🔗AdamThe grass got lower, and it looked, gave the illusion that it was sticking out further. Look, you see fat guys at the gym, they have no penis.
1:02:27🔗DrewI've always said that the estrogen levels drop too. The adipose is creating estrogen, and maybe there actually is some change in penile size.
1:02:33🔗GuestLose weight, lose weight, not too much.
1:02:36🔗AdamYeah. All right. Also, if you do vertical striping on your penis, it'll look longer. So I had my penis wallpapered, the pinstripe, it wasn't, it's worked. Yeah. Julie?
1:02:54🔗CallerYes, hi. I had a question actually for the doctor that has the, the center. Yeah. As far as female mutilation goes, could you repair that?
1:03:07🔗GuestYou know, some of those problems are very, very difficult. And unfortunately, we have had some patients come to us, but it's very, very difficult. And we really don't try to approach that.
1:03:21🔗GuestWhat that is, what we will see for female mutilation, we can see that probably in certain particular cultures, such as some African cultures where they do very certain things to the clitoris, to the labia. I have seen patients where the labia are completely removed, maybe a portion of the clitoris is removed.
1:03:59🔗GuestBut primarily what we would like to do is just refer them to, say, a university sitting or someone who has some experience in dealing with this.
1:04:08🔗GuestHarvard actually has a group working with that as well.
1:04:10🔗DrewWell, now, I've only read about this. I've not seen it, but my understanding is that the orgasmic functioning and arousal functioning tends to be normal in almost all these cases. Is that accurate? But the big issue is the penetration and the actual comfort of the sexual act is affected by what's happened to them.
1:04:26🔗GuestI'm not aware that in all cases the orgasmic function is the same. In fact, I think there can be pain and quite a bit of pain, at least in some cases, maybe not in all the cases. But we're talking in many cases about slicing off the clitoris and the labia.
1:04:43🔗DrewWell, the Journal ran a huge review on this about four years ago and maybe three years ago and the thing that I took away from that review was that they did all the different kinds of general relation out there and that they didn't find orgasmic function was altered even in the complete clitorectomies.
1:04:59🔗AdamWell, wouldn't it make sense, I mean, you're talking about sort of mechanically, but emotionally we talk to people that have been scarred and certainly a young lady who goes through this may have difficulty with the orgasm just on an emotional level.
1:05:36🔗CallerReal quickly, tongue is green in certain areas, like a light colored numb and there are bumps here and there, like white bumps, haven't had oral sex in about eight months.
1:05:52🔗DrewI don't know why guys, if they have a medical problem, they immediately have to think in terms of-
1:07:28🔗DrewAnd, um, where there, but they are not now. You don't have, you don't have ovaries there?
1:07:33🔗CallerNo, I mean, I do. It's like, it's like, there's a lot of pain there. It started on Friday. I was at my friend's house and I woke up at like three in the morning and there was just severe pain on my right side in my lower abdomen. And my parents and I thought it might be my appendix, but then it switched to the left side.
1:07:57🔗DrewYeah, but let's see, gynecologically, um, where is it, Chrissy?
1:08:02🔗GuestYeah. Chrissy, where are you in your cycle?
1:08:05🔗CallerUm, I just finished menstruating last Tuesday.
1:08:08🔗GuestAnd you, last, this past Tuesday, you finished menstruating. Yeah. Which was, uh, a week ago. Yeah. All right. And is the pain still bothering you?
1:08:17🔗CallerUm, it hurt for a little bit on my left side earlier tonight, and it stopped now.
1:08:23🔗GuestWell, it sounds like it's less than it was a couple of days ago.
1:08:26🔗CallerWell, yeah, I'm not crying on the couch, so that's that.
1:08:29🔗GuestWell, it sounds a little less. You probably ought to get it checked out.
1:09:13🔗AdamOh, it was? No, no. This was another one. This was one in Sherman Oaks where she was calling from, actually, the county when I sat there for six hours. They were x-raying my ankle. It's like after six hours, I was praying to Christ that my ankle was broken. Like if I sat here for six hours with a sprain, I'll kill myself. I hope there's a compound fracture. I really was praying for that x-ray to come up. A couple of good breaks in there. Yeah. All right. We will take ourselves a break. The doctors are here tonight and we'll be back with Claudia's 27. His information on Cagle Cones. Will I talk to her after this?
1:10:31🔗CallerHi, this is David Arquette, and you're listening to The Loveline with Adam Corolla and Dr. Drew.
1:10:40🔗AdamPhone number 1-800-LOVE-191. Dr. David Matlock is here, and also Dr. Alan Altman are here, and they're both know more about vaginas than God. They really do. I've never met anyone who knew as much about vaginas.
1:10:58🔗DrewThe guy didn't like to look down there.
1:11:00🔗AdamNo, he did his inventing, and then they moved on to lepers or something. I didn't get all that straight, but I know he's a busy man. Claudia?
1:11:13🔗CallerI'm calling because I found this really great book called Women's Bodies, Women's Wisdom. It has some information on the Kegel exercises and the cones and stuff. There's two different things that people can use or women can use. There's Kegel cones and there's Kegel weights. So I guess traditionally the weights were like these oval shaped little balls. So cones are used now. So I have a bunch of 800 numbers on the way.
1:12:11🔗AdamYeah. You know what I love? I know it has nothing to do with this show, but I love the angle at these ballparks, which is, listen, we charge $8 for 12 ounces of beer, people won't get drunk.
1:12:32🔗CallerOkay. It's called the Samina Cagel Cone Kit, and it's available through the Phillips Products and Services at 1-800-705-5559, and it's offer NF020.
1:12:48🔗CallerIt doesn't say on there, but I mean if they grab the book, then there's like a whole list of resources, and it's a really great resource for women to learn all about their vagina.
1:12:57🔗GuestThe cost of the cones are anywhere from $40 up to $120, $130, and there's really not much difference between them, so try and stick with the $40. Yeah.
1:13:06🔗AdamStick with the cheap ones. Hey, Claudia, have you used these cones?
1:13:10🔗CallerNo, I haven't actually, but I figured I'd call and give you guys a heads up on where to get them.
1:13:34🔗CallerThis is kind of an odd question, maybe. But I was wondering, it seems like when I have sex with somebody who's more well endowed, that my vagina is not as tight automatically versus somebody who's smaller.
1:13:52🔗CallerSomebody who's smaller overall feels tighter on my end.
1:13:57🔗CallerAnd I don't really see it. It's like backwards of how it should be.
1:14:00🔗DrewWell, maybe there's a point at which muscle stretches, if not as able, the force of contraction is less. Is it something like that with the vagina?
1:14:08🔗GuestWell, I tell you that it's unusual to hear what she's saying. It's very, very unusual.
1:14:13🔗AdamShe's saying a bigger penis, it feels less tight.
1:14:17🔗CallerYeah, and I'm not just making this up. I usually don't call it a radio talk show. It's kind of fun, but I mean really, you know, that was the subject.
1:14:26🔗GuestSo, yeah, no, it's I have not heard that frequently. I suppose what Drew is saying is very reasonable that you can get a stretch beyond a point where you have less of a feeling of tightness. But again, it's just, it's unusual.
1:14:42🔗AdamYeah, I'd like to get to that point just once. All right, Tonya.
1:14:52🔗AdamWell, you thank these guys and thank the parents. Well, they brought you here and I'm sure they steered you toward medical school. Is that Sonya?
1:15:03🔗CallerSonya? Sonya, huh? I want to ask the doctors what they think about the herbal supplements that are supposed to increase your breast size. Do they work?
1:15:15🔗GuestYou know what? What I would do, I would be very, very cautious about these particular types of supplements that you can buy just at the health food stores because some people can get in trouble using these particular types of things if you don't really know exactly what's in it. So I wouldn't do that.
1:15:35🔗DrewThere's a lot of it being advertised for breast enhancement now. Yeah.
1:15:42🔗AdamThey really do. They go to med school to have some quack from the orient.
1:15:46🔗CallerThis is a multi-billion dollar, totally unregulated industry in this country.
1:15:52🔗GuestWe now have studies demonstrating that what is on the label is often not in the jar. What is in the jar is frequently not also on the label. It is a bit of a leap of faith. There are products like Yohimbine and Yohimbine being used. There are products like L-Arginine. There are products like Ginkgo Biloba, products like DHEA that are being touted. But we have no real good studies on these.
1:16:23🔗DrewNow, there's also this craziness of these creams increase clitoral blood flow. You heard about this crap, Dan?
1:16:31🔗GuestOh, this is from the New York Magazine.
1:16:37🔗DrewYeah, well, the answer is no. If there really were something that worked safely, we would know about it. I imagine some of these must have estrogenic effects.
1:16:45🔗GuestWell, some of them are testosterone creams, but that usually is prescription-wise.
1:16:49🔗DrewSo, but this stuff for the clitoral engorgement, is that anything? And by the way, if there were something that really did, let's say, Viagra use for women, that doesn't necessarily correlate with sexual arousal in women, does it?
1:17:03🔗GuestThe use of Viagra in women and in men affects the same result, and that is an increase in blood flow to the genital organs.
1:17:12🔗GuestNot, well, arousal is part of increase in blood flow. Not libido, not desire, no, not at all. Unless you get more arousal and orgasm, therefore you desire it more, but it's purely towards blood flow to the, oh, you know what the female sex organ is called?
1:17:29🔗GuestNo, aside from that, male sex organ is, most important sex organ in the body is the brain. The male sex organ is called the penis. What is the female sex organ called?
1:18:48🔗GuestI don't know. I don't know. I mean, I never really have sex or anything like that a lot, but I don't know, it's something I just wanted to have done.
1:18:58🔗AdamHold on a second. Terry, what kind of nut job are you? What the hell is going on with your vagina? How long ago? Let me talk to this Terry. I'll straighten it right out. How long ago did you have your child?
1:19:11🔗GuestOh, he's six. He'll be six this year. All right.
1:20:22🔗AdamAll right. Well, then stop acting stone, please. You know what we're talking about? We keep adding, you know, where's he? If we say, listen, when's the last time you talked to your dad and then we say, where's he? Assume we're talking about your dad. Screw balls. Call the show, try and give me a goddamn aneurysm with all this double talk. Now, what's up? Why'd he leave? What'd he do to you?
1:21:19🔗AdamNow, and then you want to have this surgery. It's like going in and getting your car detailed and putting it back in the garage and disconnecting the battery. You know what I mean? It's like, why bother? Why did you have this procedure done?
1:21:31🔗GuestOh, my friends, they think I'm crazy. Yes.
1:21:38🔗DrewYeah, it's a crazy thing to do. We take issue with the doctor that would do that.
1:21:42🔗AdamUnless there's something we don't know about.
1:21:45🔗GuestLet's really ask you, why did you have it done? Did you see something that made you think that you might want to have it done? Let's really look at this. Why did you have it done?
1:21:56🔗GuestWell, because it's like the first thing I've probably considered besides any kind of plastic surgery. Like I don't have like boob jobs or anything like that. But there's something about that. I don't know. Just kind of the first thing I've ever really wanted to do.
1:22:39🔗GuestCarrie, you do understand that we were a little concerned about the fact that you woke up one morning and said, hey, I think I'll have my vagina tightened today. I mean, we're just trying to...
1:22:48🔗DrewAnd that you're in such denial about your relationship. There's something disturbed about this relationship, too. You're insane. And you're not questioning it. You're not looking at the reality. And you're engaging in behaviors that don't make sense to other people. Your friends are telling you it's kind of a peculiar behavior. We're taking issue with a doctor that performed a procedure like that and someone that really doesn't need it.
1:23:13🔗AdamOn behalf of your six-year-old, why don't you, you know, look into some therapy and get a little more into reality? You know what I'm saying?
1:23:23🔗GuestWell, yeah, that's probably something I should look into.
1:23:32🔗AdamWell, now spend the money on your brain and talk to a therapist, all right?
1:23:38🔗GuestThe kind of therapist is going to be important because somebody she might want to see would be a body image therapist, which is something relatively new now.
1:24:09🔗AdamAll right. And listen, focus on that six year old, please. Oh, this kid could be raised by a family of beaver. I really just go drop them in a river in Oregon. Be better off. Yeah, I got the records. What the hell is going on with this doctor? And I'm sure if we talk to him, he'd tell us whatever. He'd tell us a story that would make us not hate him quite as much.
1:24:34🔗DrewI'm sure he would put something to it.
1:25:09🔗AdamYep, it is Loveline. I'm Adam Corolla. That is Dr. Drew over there. Phone number. We don't want to give that phone number, Drew, it's gonna be more people calling. Dr. Alan Altman is here, and so is David Matlock, both doctors, both experts in the realm of the vagina, or as I like to say, down under. Though Dr. Matlock runs the, he's the founder and director of the Laser Vaginal Rejuvenation Center. And something that sounded a little dicey really, quite frankly, at the beginning of the show, I'm starting to get down with. I now think you're doing God's work. Jordan?
1:26:27🔗DrewNot in the middle of your bleeding, not in the middle of your bleeding cycle, but in two weeks after you've bled. Is that when it's its heaviest?
1:26:39🔗DrewOur listeners consider cycle when they're bleeding.
1:26:42🔗GuestOkay, and let's look at the 28-day cycle of which maybe three, four, five days are bleeding. Two weeks after you finish bleeding or 12 days after you finish bleeding, you're about to ovulate. And when you're about to ovulate, Mother Nature wants to make the mucus in your vagina and in your cervix, which leads up into the uterus, user-friendly. And that way, it's kind of very liquidy, and it allows the sperm to get up into the uterus more easily. After ovulation, Mother Nature wants to close shops, so more sperm don't get in to cause problems, and she makes that mucus thicker, so it doesn't dribble out. So you'll get more coming out. And in fact, that's how a lot of women, young and middle-age, know that they're ovulating because their mucus that comes out of the vagina is very sticky, like egg white.
1:27:43🔗GuestThat's the thinner form, right. It stretches because it's...
1:27:46🔗AdamDr. Altman, let me ask, because we always talk about this, what percentage of women ovulate in that time period, that 12-day to 14-day after the period? Do you know?
1:27:56🔗GuestAll. All those who are ovulating, all women who ovulate, will ovulate approximately day 14 of a 28-day cycle.
1:28:05🔗DrewSo if they're not ovulating, it's the only way it occurs at other times?
1:28:09🔗GuestNo. If they're not ovulating, they're not ovulating.
1:28:12🔗AdamYeah, how could it occur if they're not...
1:28:13🔗DrewHere's your head there, Drew. But, I mean, that's not as...
1:28:17🔗AdamNo, no. We've talked to, and again, it's my fault for listening to that doctor. I should talk to some real doctors like you guys over here, instead of this, you know, TV personality, so-called doctor. But we have heard, or at least Drew was feeding me this erroneous information, that women could ovulate, could vary, and do it at different times, even as close as a few days, let's say, after the period. Is that possible?
1:28:43🔗GuestYou can ovulate at different times. The solid marker here is that after you've ovulated, two weeks later, you'll have your period. What varies amongst women as to whether they wind up with 28-day cycles or 35-day cycles, is the time before ovulation that can vary. So somebody can have an ovulation cycle that the whole thing is 28 days, others can have it 35 days, other 32 days, but once you ovulate, two weeks later, you'll get your period.
1:29:16🔗GuestNow there can be women who don't ovulate, who still have somewhat regular bleeds, bleeds, but we don't call that a period because it's not an ovulatory cycle, it's what we call a non-ovulation bleed that happens to be somewhat regular.
1:29:34🔗DrewAnd then that person may suddenly release an egg at some point.
1:29:55🔗GuestIt's probably a good idea because sometimes you can have a mild infection, you can have other problems like that. It's reasonable to take a look.
1:30:02🔗DrewNow, we've had this call in the past, the women are asking us how can they get it to stop? Would going in the pill make it less? Or is there any other ways that women can produce it?
1:30:10🔗GuestYou know, I think really what they should look at, that this is something physiologic.
1:30:16🔗DrewBut they complain it's pads and it's this and it's all month long.
1:30:19🔗GuestIf there's no infection and if they have this wetness, especially mid-cycle, the pill definitely would take care of that because it thickens the cervical mucus just like after ovulation.
1:30:30🔗DrewWould you hate to see somebody go in the pill just for that?
1:30:33🔗AdamSylvie, you're 19, turn your radio down.
1:30:37🔗CallerI know, I just had him turn it down. Basically, I'm kind of embarrassed by this question. OK, for 18 years, I had been a virgin my whole life. I've never seen a gynecologist, never wore tampons, nothing. And just recently, I've been with my boyfriend about six months and we did not have sex until about a month ago. And we've been doing it periodically, probably like three times a week, four times a week at times. And it's gotten at first really hurt, really bad for about the first, you know, I don't know, four or five times. And now it's gotten to where I can bear it. It is uncomfortable, but I'm not in a lot of pain. But I get no pleasure from it at all.
1:31:23🔗AdamAnd you say you didn't have a tampon, is that because you used a pad?
1:31:27🔗CallerYeah, I've worn pads, and I never felt comfortable with putting anything up there.
1:31:31🔗GuestNow, it's very hard to answer this kind of thing just with this kind of much of information and do it over the radio. But number one, I would use a lubricant like Astroglide to make it a little bit easier. Number two, with time it will stretch. If with time it doesn't stretch and you're still getting either discomfort or lack of enjoyment you can go to a dilator by seeing a gynecologist to try and widen it. But I think there's something deeper here.
1:31:59🔗AdamHow about a slimming condom, a girdle type condom?
1:32:22🔗AdamOh, Jesus Christ. Sorry. How stupid do you guys got to be? What the hell is wrong with you people? Jesus Christ. No wonder you're all making six bucks an hour. It's all a simple, simple instruction. Now, let's talk, let's talk about this. Okay. What's up with you and sex? Why so uptight?
1:32:47🔗CallerI guess I had a preconceived idea of how it would be like.
1:32:50🔗AdamAnd it just, you know, now, I mean, why? Why so long? No tampons? You know what I mean?
1:33:22🔗DrewWell, it's not truly vaginismus. It's just anxiety, really, as we're talking about here. And as what I was picking up on is you really don't want to be having sex. It's not a value. It goes against your values a little bit. You wanted to wait until marriage and you're very uptight about it. You have a lot of anxiety about it. You're not prepared for it yet.
1:33:42🔗DrewYou're doing it to please him. That's why you're doing it. He wanted it and you're going along with it. But it's not something you really want to do.
1:33:50🔗GuestWell, another thing is that when you have your first glass of wine, it's OK. And then you start to drink wine a little bit more frequently and tastes a little better. You have to develop a taste for it. You have to learn a little bit about your body and how it responds. Have you ever I'm going to ask you something terrible now. Have you ever masturbated? Oh, yeah.
1:34:11🔗CallerI mean, I'm able to orgasm and he's able to make me orgasm other ways.
1:34:15🔗GuestYeah. Yeah. Well, continue with that and keep trying with it just from the physiologic point of view, meaning anatomic and your body. Keep doing this and don't expect it to be lollipops and roses right away and grow into learning what's important for you and what makes you feel good. But from Drew's point of view, I think, I think it's very right. There's, you know, there's a lot of stuff going on here upstairs in the main sex organ, which is the brain.
1:34:41🔗AdamAll right, Sylvie, you got a late start. You're making up, but just take it slow. And I agree with everything everyone's saying. Just ease into it.
1:34:49🔗DrewSee a doctor, you're sexually active now. You got to get a proper examination.
1:34:54🔗AdamYou know, OK, well, send me out a windbreaker and a certificate for a new Hyman. Compliments of Dr. Matlock.
1:35:09🔗AdamYeah. Hey, isn't that how how how nature works? You know, you don't put a tampon in for, you know, ten years and then you get Mr. Huge Penis first time out of the shoe. You know what I mean?
1:35:41🔗DrewI'm surprised you haven't thought of this before.
1:35:42🔗AdamYeah, I'd get the first batch and I wouldn't mind being there. I wouldn't want to be the guy who came in last and mopped up.
1:35:49🔗DrewMention the book in the center again, please.
1:35:51🔗AdamNo, we'll take a break and then we'll... Good job. All right, let's give plugs to our two doctors who came out here tonight and did a wonderful job, by the way.
1:36:22🔗AdamYou guys are really excellent. You really hit the mark. And we do have a lot of so-called experts on this show that don't turn out to really be experts, but not you guys. First off, Dr. David Matlock, if you want to go down, you got a number you can give for the badge?
1:36:39🔗GuestThe badge is on the website, drmatlock.com. And the toll-free number is 8888-0B-GYN.
1:36:48🔗AdamAnd that will tell you anything you want to know cosmetically about the vagina area there. And also, Dr. Altman's book is Making Love The Way We Used To or Better. And that is everywhere you get books, correct?
1:37:05🔗GuestEverywhere or the website is alanaltmanmd.com.
1:37:09🔗AdamAnd these guys are the real thing, not the normal quacks we have on this show.
1:37:16🔗AdamSo, thanks very much, Showman. Until next time, this is Adam Corolla for Dr. Drew saying mahalo.
1:37:21🔗CallerOkay, I don't have my vagina anymore.
1:37:25🔗CallerThis has been Loveline. The opinions expressed on this show are not necessarily those of the staff, management, sponsors, or this station. The producer for Loveline is Ann Wilkinson Engel. Loveline is a presentation of Westwood One Entertainment.