Instructional Course - Requires Course Pass or Individual Course Ticket, Additional Registration Required

036IC: What the Urologist Needs to Know to Manage Female Sexual Dysfunction

Instructional Course Director(s)

• 

  Irwin Goldstein, MD

  MD
  University of California San Diego

Instructional Course Faculty(s)

• 

  Eric Biewenga, MD

  Naval Medical Center San Diego
• 

  Noel Kim, PhD

  PhD
  Institute for Sexual Medicine
• 

  Rachel Rubin, MD

This course will teach the urologist and the advanced practice provider how to manage women with desire, arousal, orgasm pain and PGAD issues, including how to use the latest FDA approved drugs and CO2 fractional lasers. Women with distressing sexual health concerns need to undergo biopsychosoocial diagnostic evaluations to assess pathophysiology. This course will explore normal physiology, pathophysiology, and treatment options, including FDA approved, off label, device and surgical therapies. This will include a risk benefit discussion of hormone therapy for pre- and post-menopausal women, as well as information about neurologic issues. Also discussed are risk factors for female sexual dysfunction and co-morbid conditions such as genitourinary syndrome of menopause, interstitial cystitis and sexual dysfunction, clitoral phimosis and previous genital surgeries including mid-urethral surgical slings.

 

Learning Objectives:

• Associate basic science principles with physiology and pathophysiology of female sexual function and dysfunction
• Apply principles of history and physical examination to the woman with sexual dysfunction
• Diagnose and treat woman with sexual dysfunction presenting in a community setting with FDA-approved and off label medical therapies including estrogen (and progesterone) and androgen therapies
• Identify when sexual pain should be treated surgically
• Describe persistent genital arousal disorder and the current paradigm for management