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Menopause and Sexual Health: Dyspareunia Therapeutic Advances

Curriculum:
Menopause and Sexual Health: An Update on Dyspareunia and Female Sexual Dysfunction
Credits:
0.75 ANCC Contact Hours 0.75 AMA PRA Category 1 Credit(s)
Launch Date:
December 04, 2017
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

OB/GYNs, Primary Care Physicians, Nurse Practitioners, Physician's Assistants, Endocrinologists

Relevant Terms:

Women's Health, Vulvovaginal atrophy, Genitourinary Syndrome of Menopause

James Simon, MD

James Simon, MD
Clinical Professor of Obstetrics and Gynecology,
George Washington University School of Medicine,
Washington, DC

Dr. Simon earned his bachelor's degree from Washington University in St. Louis and his medical degree from Rush Medical College in Chicago. He completed an internship and residency in obstetrics and gynecology at The George Washington University Hospital and a fellowship in endocrinology and infertility at Harbor-University of California, Los Angeles Medical Center. 

His research interests include clinical management of peri- and postmenopausal women, female sexual dysfunction, osteoporosis, clinical densitometry, contraception and reproductive endocrinology. He has served as principal investigator on more than 300 clinical trials, research grants and scholarships in the area of women's health, with support from such noted institutions as the National Institutes of Health, the American Heart Association and the U.S. Environmental Protection Agency.

Dr. Simon's work has been published extensively, and he is an active contributor to numerous medical and scientific periodicals. In 2001, he co-authored the book "Restore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for Life," and in 2012, he was featured in the film "Hot Flash Havoc." He is a past president of the North American Menopause Society and the Washington Gynecological Society, and currently sits on the board of the International Society for Study of Women's Sexual Health.

Irwin Goldstein, MD

Irwin Goldstein, MD
Director of Sexual Medicine, Alvarado Hospital
Clinical Professor of Surgery, University of California at San Diego
Director, San Diego Sexual Medicine

Dr. Goldstein has been involved with sexual dysfunction research since the late 1970's.  His interests include penile microvascular bypass surgery, surgery for dyspareunia, sexual health management post cancer treatment, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women.  Dr. Goldstein has authored more than 350 publications in the field of sexual dysfunction, and edited books on erectile dysfunction and on women's sexual health. He is also Editor-in-Chief of Sexual Medicine Reviews and past Editor-in-Chief of The Journal of Sexual Medicine, official journals of the International Society for Sexual Medicine, its regional affiliate societies, and the International Society for the Study of Women's Sexual Health.  Dr. Goldstein is Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at University of California at San Diego and Director of San Diego Sexual Medicine where he maintains his clinical practice.
 
Dr. Goldstein holds a bachelor's degree in engineering from Brown University, with an honors thesis in biomedical engineering.  In 1975, he graduated from McGill University Faculty of Medicine in his hometown of Montreal, Quebec, Canada.  He was on the faculty of Boston University School of Medicine for 25 years where he was Professor of Urology and Gynecology and founding Director of the former Institute for Sexual Medicine at BUSM. Dr. Goldstein is currently President of The Institute for Sexual Medicine, Inc., a charitable corporation for education and research in the field.  He is President of the International Society for the Study of Women's Sexual Health, a former President of the Sexual Medicine Society of North America, a member of the International Society for Sexual Medicine, the International Academy of Sex Research, the American Urological Association, the American Association of Sex Educators, Counselors and Therapists, and the International Society for the Study of Vulvovaginal Disease. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the International Society for the Study of Women's Sexual Health Award for Distinguished Service in Women's Sexual Health, in 2013 the Sexual Medicine Society of North America awarded him their Lifetime Achievement Award and in 2014 he received the ISSM Lifetime Achievement Award from the International Society for Sexual Medicine.
 
1. Discuss how the science of Intracrinology and DHEA relates to the physiologic, histologic and morphologic changes associated with menopause and treatment of dyspareunia/Vulvovaginal atrophy (VVA)/Genitourinary Syndrome of Menopause (GSM), and potentially Hypoactive Sexual Desire Disorder (HSDD)
2. Summarize key data for new, intracrine-based therapy for dyspareunia
3. Discuss potential therapies in development for the treatment of dyspareunia and Hypoactive Sexual Desire Disorder (HSDD)
4. Summarize key safety and efficacy information on traditional therapies for Vulvovaginal atrophy (VVA)/Genitourinary Syndrome of Menopause (GSM)

Statement of Need/Program Overview
This activity is designed to raise awareness and knowledge of new therapeutic approaches designed to overcome widespread treatment gaps in the management of GSM, VVA, FSD and dyspareunia patients. A focus on a new, non-estrogen mechanistic approach based on fundamentally unique sex steroid science will be accompanied by a look at two new approaches to estrogen based and SERM therapy.
 
Educational Objectives
After completing this activity, the participant should be better able to:
 
  • Discuss how the science of Intracrinology and DHEA relates to the physiologic, histologic and morphologic changes associated with menopause and treatment of dyspareunia/Vulvovaginal atrophy (VVA)/Genitourinary Syndrome of Menopause (GSM), and potentially Females Sexual Dysfunction (FSD)
  • Summarize key data for new, intracrine-based therapy for dyspareunia
  • Discuss potential therapies in development for the treatment of dyspareunia and Hypoactive Sexual Desire Disorder (HSDD)
  • Summarize key safety and efficacy information on traditional therapies for Vulvovaginal atrophy (VVA)/Genitourinary Syndrome of Menopause (GSM)
Program Agenda
This activity will cover topics such as:
(1) Intracrine science as it relates to the physiologic and histologic vaginal changes associated with menopause
(2) The role of DHEA in sex steroid production and the treatment of dyspareunia
(3) Key data for new, intracrine-based therapy for dyspareunia
(4) Potential therapies in development for the treatment of dyspareunia and FSD
(5) Key safety and efficacy data on traditional therapies for VVA/GSM
 
Physician Credit
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint provider-ship of Medical Education Resources (MER) and ReardenCME. MER is accredited by the ACCME to provide continuing medical education for physicians.
 
Credit Designation
Medical Education Resources designates this enduring material for a maximum of .75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nursing Credit
Medical Education Resources is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
 
This CE activity provides 0.75 contact hours of continuing nursing education.
 
Medical Education Resources is a provider of continuing nursing education by the California Board of Registered Nursing, Provider #CEP 12299, for 0.75 contact hours.
 
Disclosure of Conflicts of Interest
Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality activities that promote improvements or quality in health care and not the business interest of a commercial interest.
 
The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
 
James A. Simon, MD has participated in clinical trials with Endoceutics.
 
The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
 
Planners at Medical Education Resources have no financial relationships to disclose.
 
Planners at ReardenCME have no financial relationships to disclose.
 
Method of Participation
There are no fees for participating in and receiving credit for this activity. During the period November 30, 2017 through November 30, 2018, participants must 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the posttest with a score of 60% or better by recording the best answer to each question in the answer key on the evaluation form, 4) complete the evaluation form, and 5) claim / submit for the certificate.
 
Media
Internet
 
Disclaimer
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources, ReardenCME, and/or Endoceutics. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.
 
Fee Information
There is no fee for this educational activity.
 
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COURSE VIEWING REQUIREMENTS
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Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above
 
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Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above.