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OB-GYN Physicians' Activities

• Surgical Residency
• Diagnose Disease
• Treat Disease

Physicians are Less Concerned About "Quality of Life Issues"

Sexual Satisfaction/Dysfunction Not Taught In:

• Residency
• Medical School
• Gynecology Textbooks
• Journals

Patients expect OB/GYN Physicians to be an expert about anything concerning women. They: are NOT! But you can help each OB/GYN to learn about how women achieve sexual satisfaction, only in a non-confrontational manner. OB/GYN physicians might be "defensive" about the fact you know more about sexual satisfaction than they do.

A normal response from a physician when you mention La Crème d'Amour™ will be:

"Show me your double blind clinical studies that will convince me of the value of La Crème d'Amour™ ."

You should respond:

"The clinical trials do not accurately reflect a woman's ability to achieve orgasm, and therefore sexual satisfaction, because of the multiple variables involved like;

1. Testosterone Status/Estrogen Status
    
2. Aging, Perimenopause and Menopause Birth Control Medications
    
3. Antidepressants like Prozac and Zoloft Stress and Fatigue Uncaring Partner"
    

At this point you should show the OB/GYN some literature

• The patient education brochure
• The physicians/nurse practitioners letter from RJT

Then ask the OB/GYN for a "trial":

"If you or your office personnel would direct one or two women with a sexual problem to use La Crème d'Amour™ I will;

And you can ask the referred patient if she thinks this approach has merit!"

OB/GYN Offices

• On average are visited by 18 drug reps per week (twice as many as other specialties)
   
• Physicians become immune to drug "claims"
   
• Physicians have a very strong commitment to their patients and only what is best for their patients
   
• OB/GYN physicians always say, "I will use this with several patients and if they say good things about your product, I will recommend it to other patients."
   

Midwives, Practitioners and Assistants

Nurse Midwives

• Provide all of the services in OB/GYN offices (except surgical interventions)
   
• Work independently in some states
   
• Work under an OB/GYN in other states
  • Trained first as a nurse,
  • Then as a midwife
• More concerned about "Quality of Life" than physicians
   
• Always female
   

Nurse Practitioners

• Provide non-OB/non-surgical, in office care to women (birth control/well-care)
   
• Very concerned about "quality of life"
   
• Usually work under the direction of an OB/GYN
   
• In several states can work independent of an OB/GYN
   
• Predominantly female (95%)
   

Physicians Assistants

• Not trained as nurses
   
• 30% female -70% male
   
• Always work under the direction of a physician
   
• Few in OB/GYN specialty
   

All of These Professionals Who:

• Care about patients
   
• Are directly involved with quality of life issues
   
• Have longer appointments with patients
   
• Discuss concerns in depth with patients
   
• Do not have the stress of the business of medicine
  • Insurance companies
  • Medical malpractice
  • Hospital staff responsibilities

Medical Practitioner Office Dynamics

Each member of the office staff care about patients needs and healthcare or they would be working in a business office, not a doctor's office.

The Receptionist

• Will work in most patients that call with a medical problem.

The Medical Assistants

• Will help patients with answers and suggestions about health care concerns

The Office Nurses

• Care for their patients when the physician is working in the hospital
   
• Take emergency phone calls
   
• Call in prescription refills
   

Most Important Note: La Crème d'Amour™ was designed not to require a prescription and can be recommended by the office staff, but intense personal care to help each woman achieve sexual satisfaction will ~ recurring referrals from the office staff!

It is quite common for the office staff to also be patients within the practice. When OB/GYN physicians want the "trial" and the endorsement of their patients, the office staff's endorsement will be of the utmost importance. The office staff will first use the free samples. The office staff will first evaluate the patient education brochures.

It is extremely important that you completely explain steps 1-5 to the office staff.

You are not selling La Crème d'Amour™ as a "magic bullet"!

You are helping women to achieve sexual satisfaction, and in doing so; you will sell many times the volume of La Crème d'Amour™ . You are also identifying women who are impassioned to help all women achieve sexual satisfaction (building down line).

The OB/GYN physicians will respect the opinion of their office staff. The physicians will realize that the office staff "cares for their patients".

Important Note:

• Each patient is a patient of all the office personnel, not just a patient of the physician.
   
• Each patient is a patient of the practice.

An example of a "quality of life issue;"

A pregnant patient with lower back pain will usually ask the office staff what she can do to help treat her pain. The office staff with medical authority will recommend massages, heat, certain exercises, certain safe topical preparations (Bengay) or even refer the patient to a chiropractor for back pain specific care.

This example represents how the office staff could also refer a patient with sexual problems to the La Crème d'Amour™ agent to help achieve sexual satisfaction.

Initial Office Contact

A personal appearance will be most effective.

Several pharmaceutical companies are very successfully promoting their drugs via telemarketing and with intense patient support.

Some combination of the two may be best.

Personal Appearance

Appearance (business dress)

Attitude (caring)

Aptitude (knowledge and teaching)

(These are the 3-A's that pharmaceutical companies teach their sales reps.)

Weekly or bi weekly visits

Know the schedule of each office so that you don't visit during a busy time

Never visit an office in the afternoon that the OB/GYN had surgery in the AM.

There is a 50% chance that the office will be 1 hour late for patient appointments. Visit when the schedule is light or visit during administrative time for nurses.

Forge a relationship with the office staff -especially the receptionist!

Let's Do Lunch

The teaching session with the office staff should include a lunch

All drug companies do this -this is expected

Deliver free La Crème d'Amour™ samples.

Give and teach with directions for use cards with questions and answers

Give and teach with the patient education brochures.

Give referral cards with your phone number and outline steps 1-5 again

Reassure the office staff that they will be kept abreast of each patient's progress but to achieve sexual satisfaction is complicated and will take time.

Teach with the letter to the OB/GYN and nurse practitioners from RJT.

Leave the letter as a "cookbook" for the nurses, office staff and physicians.

Build confidence with constant u dates to the office staff. This will increase our business with each patient's success.

Telemarketing

Should involve teaching

Should involve steps 1-5

Should involve patient updates

Send:

Samples (with DFU/Q&A)

Referral cards

Patient education brochures

Physician/nurse practitioner letter

Intense Personal Support to Help Every Woman Achieve Sexual Satisfaction

Step 1: History (and teaching)

• Teach where the clitoris is located.
   
• Teach that the clitoris must achieve a clitoral erection, like a man must have a penile erection, before orgasm can be achieved.
   
• Teach that sexual satisfaction is only achieved by achieving orgasm and orgasm consistency (every time).
   

Patient History

1. How old are you?
    
2. Are you taking medication for birth control?
    
3. Have you experienced menopause (age 50)?
    
4. If so, are you on replacement estrogen? What kind? What dosage?
    
5. Have you had any surgeries on your ovaries?
    
6. Are you under unusual stress?
    
7. Are you taking antidepressant medication? What kind? What dosage?
    
8. Is your partner caring, and does he have the desire to help you achieve sexual satisfaction?

With your Knowledge and Personal Experiences, use the answers to the above to establish Step 2.

Step 2: Set Expectations

Each woman needs to understand La Crème d'Amour™'s impact to achieve sexual satisfaction during her first several uses.

Example;
A 45 year old woman, mother of three on no medication with no prior surgery, can be told that La Crème d'Amour™ should become more effective after three or four uses over a period of 10 days to two weeks.

Reason 1:
The proper application of La Crème d'Amour™ to the underside of the clitoris is of utmost importance. La Crème d'Amour™ will not cause the desired effect if it is not placed properly. A woman's partner should accomplish this, and the La Crème d'Amour™ should be rubbed in thoroughly for more than five minutes to help with absorption. By the third or fourth use, the woman's partner should know precisely where and how to apply the La Crème d'Amour™.

Reason 2:
"Use it or lose it", is a dictum of medicine. Just as the muscles of the arm are thin, weak and atrophied after a cast is removed, the clitoris becomes less responsive with less use and with age. This will improve after multiple uses of La Crème d'Amour™.

Example;
A 27 -year-old woman on birth control pills has a low estrogen level and therefore the La Crème d'Amour™ might not be well absorbed. Also, the birth control pills are well known to decrease libido by decreasing a woman's testosterone levels. This is the most prevalent cause of female sexual dysfunction or arousal difficulties. Reassure thatLa Crème d'Amour™ will probably be effective for 50% of women on birth control pills to achieve sexual satisfaction. The other 50% of women on birth control pills can achieve sexual satisfaction when estrogen and testosterone are given and used in conjunction with La Crème d'Amour™ . (Breast-feeding women and menopausal women not on estrogen replacement cause the same problems as above, decreased estrogen and decreased testosterone.)

Step 3: Reassure

Every woman has an excellent chance (90%) of achieving sexual satisfaction, but La Crème d'Amour™ is the first option. If La Crème d'Amour™ alone does not achieve the desired effects, estrogen and testosterone should be supplemented to restore these hormones declines caused by normal aging, birth control medications and antidepressant medications.

Reassure:
Once again, your goal is to help women achieve sexual satisfaction whatever it takes!

Reassure:
Each woman can expect frustration. Decreased sexual satisfaction usually evolves over years and years. It might take several months to again achieve sexual satisfaction.

Step 4: Establish Follow-up Contact

Every woman needs to be contacted 2 weeks after initial teaching and steps 1-3 need be revisited. This is to access progress and prevent frustration. If sexual satisfaction has not been achieved, your options include:

• Try and try again. More time may be the answer.
   
• Add testosterone to restore libido.
   
• Add estrogen (pill or cream) to improve the absorption of La Crème d'Amour™ (if it's not absorbed, it can not help).

Step 5: Teach and Reassure

We all change with time and aging. What helped achieve sexual satisfaction years ago can be expected to decline with normal aging. The decreased levels of testosterone and estrogen will affect the potential for sexual satisfaction.

If you just provide La Crème d'Amour™ to a woman without your personal support of the selling steps outlined above and if your prospect does not have an initial positive response, she will not even be given the opportunity to achieve sexual satisfaction. She will not be given the opportunity to become a loyal La Crème d'Amour™ devotee.

Remember

You are not selling La Crème d'Amour™ as a magic bullet!

You are helping women to achieve sexual satisfaction, and in doing so you will sell huge quantities of La Crème d'Amour™.

There is no substitute for Personal Service and Caring!

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