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Alex Kikel

In this episode I had the pleasure to speak with Alex Kikel about female sexual dysfunction.  I started following Alex on Instagram (@alex_kikel) several months ago and I find his work fascinating.  He works with clients to help fix biological dysfunction.  The breadth of issues that he tackles is amazing, and the results his clients get are even more amazing.  He works to make these changes with diet and exercise as a base, but then his forte’ is working on the biochemical side of the body.   He made a progress post on a client who was dealing with sexual dysfunction and he detailed what they did to fix the issue.  Having faced sexual dysfunction in the past, and knowing that there are virtually no resources for women who have issues in this area, I was intrigued.  Thus, this podcast was born and it is a doozy.  He talks about the female anatomy, the brain and all the chemicals that are needed to produce orgasm and intimacy. There is a good bit of science involved so I have created a cheat sheet to help you, and if you have any other questions please feel free to be in touch at  I hope that you enjoy this episode.  Hopefully, it will be the first of many, as this issue is of vital importance to the health and wellbeing of all my beautiful Heaux’s.

To get in touch with Alex follow him on Instagram @alex_kikel or visit his website

Orgasm – From Start to Finish

1.    Foreplay works to get our bodies into a Parasympathetic state of relaxation.  Whereas a penis can become engorged with blood, and therefore ready for sex almost immediately, it takes a female 20-30 minutes for the vaginal bowl to become engorged.

2.    The Hippocampus and Amygdala in the brain get switched on which begins to intensify feelings of arousal.

3.    The Cerebellum begins to switch on which drives up initiation of orgasm.

4.    Then you get a dump of Oxytocin from your Hypothalamus which cumulates in an orgasm.

5.    Post orgasm there is a dump of dopamine which starts the process all over again.  This is why women can have multiple orgasms.

Useful Definitions

1. Parasympathetic State: Your parasympathetic nervous system is a network of nerves that relaxes your body after periods of stress or danger. It also helps run life-sustaining processes, like digestion, during times when you feel safe and relaxed.

2. Sympathetic State: Your sympathetic nervous system is a network of nerves that helps your body activate its “fight-or-flight” response. This system's activity increases when you're stressed, in danger or physically active.

3. Hippocampus: The hippocampus is part of the limbic system, and plays important roles in the consolidation of information from short-term memory to long-term memory, and in spatial memory that enables navigation.

4. Amygdala: is one of two almond-shaped clusters of nuclei located deep and medially within the temporal lobes of the brain's cerebrum in complex vertebrates, including humans. Shown to perform a primary role in the processing of memory, decision making, and emotional responses (including fear, anxiety, and aggression), the amygdalae are considered part of the limbic system.

5. Cerebellum: In humans, the cerebellum plays an important role in motor control. It may also be involved in some cognitive functions such as attention and language as well as emotional control such as regulating fear and pleasure responses.

6. Oxytocin: is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. Present in animals since early stages of evolution, in humans it plays roles in behavior that include social bonding, reproduction, childbirth, and the period after childbirth. Oxytocin is released into the bloodstream as a hormone in response to sexual activity and during labor.

7. Dopamine: What is the role of dopamine? Dopamine is responsible for allowing you to feel pleasure, satisfaction and motivation. When you feel good that you have achieved something, it's because you have a surge of dopamine in the brain.

8. Pelvic Floor: The pelvic floor muscles are located between the tailbone (coccyx) and the pubic bone within the pelvis. They support the bowel and bladder (as well as the uterus and vagina in females). Muscular bands (sphincters) encircle the urethra, vagina and anus as they pass through the pelvic floor.

9. Libido: Sexual Desire

10. Testosterone: Testosterone is a male sex hormone, or androgen, produced in a woman's ovaries in small amounts. Combined with estrogen, the female sex hormone, testosterone helps with the growth, maintenance, and repair of a woman's reproductive tissues, bone mass, and human behaviors.

11. Estrogen: A type of hormone made by the body that helps develop and maintain female sex characteristics and the growth of long bones. Estrogens can also be made in the laboratory. They may be used as a type of birth control and to treat symptoms of menopause, menstrual disorders, osteoporosis, and other conditions.

12. Progesterone: A type of hormone made by the body that plays a role in the menstrual cycle and pregnancy. Progesterone can also be made in the laboratory. It may be used as a type of birth control and to treat menstrual disorders, infertility, symptoms of menopause, and other conditions.

13. Prolactin: Prolactin contributes to hundreds of physiologic functions, but the two primary responsibilities are milk production and the development of mammary glands within breast tissues. Prolactin promotes the growth of mammary alveoli, which are the components of the mammary gland, where the actual production of milk occurs.

14. DHT: A hormone made from testosterone in the prostate, testes, and certain other tissues. It is needed to develop and maintain male sex characteristics, such as facial hair, deep voice, and muscle growth. High amounts of DHT may increase the growth of prostate cancer and make it harder to treat.

15. Exogenous: produced outside the organism.

16. Endogenous: produced or synthesized within the organism.

17. Bremelanotide: Used to treat hypoactive sexual desire disorder (HSDD) in premenopausal women who previously had no problems with sexual desire and that occurs in any type of stimulation, situation, or partner. Drug name Vyleesi.

18. Flibanserin: The Food and Drug Administration recently approved flibanserin, for treatment of female hypoactive sexual desire disorder (HSDD), regarded as the most common FSD, amid great controversy. A novel multifunctional serotonin agonist and antagonist, flibanserin, has been shown to be efficacious in treating HSDD but with a rather tenacious side effect profile. Drug name Addyi.

19. Red Light Therapy: Red light therapy uses photobiomodulation, which is a low-level laser therapy that delivers red and near-infrared light to areas of your body. In doing this, it helps regenerate (or grow back) cells, restore cell function and trigger blood flow. In turn, this helps to heal and relieve pain.

 Clitoral Anatomy

Diagram #1

Clitoral Anatomy

Diagram #2

Clitoral Anatomy

Your Brain During an Orgasm

MRI #1

MRI #2

Diagram of the Pelvic Floor

Pelvic floor