Jennifer Romanello and Olivia Negris, senior medical students at Rush Medical School in Chicago, discussed a recent meeting and paper produced by the Medical Student Forum. This is a group of medical students from the Chicago area medical schools and beyond, who are interested in learning about sexual medicine. We discussed the lack of training in sexual medicine by the medical education system and what they are doing to change this situation.

Show Notes

https://drive.google.com/drive/folders/1lae8P_aRkdQOQaYfQ04lkQIqNdGEE9XK

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Today Dr Sara Yunghans will take us through a simulation of taking a sexual history with a standardized patient. This podcast is intended to be a follow up to podcast #38, “Best practices for taking a sexual history”. Dr Yunghans is a pelvic floor physical therapist who is a graduate of the Sexual Health Certificate Program through University of Michigan. She demonstrates that a sexual history can be done quickly during a patient interview.

We will be taking a short break to re-work Sex Ed for Sex Med. We plan to return in March 2024.

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We are talking to Anna Myers CNP about pelvic organ prolapse and personal lubricants. Anna is in a urologic pelvic medicine practice and is a certified sex counsellor and a part of the female sexual medicine team at University Hospitals in Cleveland. These 2 subjects are important topics as they effect so many women at the midlife. Both are essential to the discussion of sexual health.

Show Notes:

https://drive.google.com/drive/folders/1gd8aqb3DF7K_WNoaw1RZP47EXVGe8NUI?usp=sharing

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Dr Sharon Parish discuss some of her work in sexual medicine education for the student and/or the practitioner. She has co-authored several articles that we review to give the listener an understanding of key issues for discussing sexual health with a patient. The how to ask and what to ask is covered. This is an important episode as sexual medicine education in medical schools is scant but getting a sexual history is crucial to a comprehensive medical history.

Show Notes:

https://drive.google.com/drive/folders/1vpiRbsYycYj490SIC684_rZm6c9U-mvL?usp=sharing

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Please join me for this entertaining discussion with Dr Lauren Streicher, an international expert in menopause and sexual medicine. We discussed her landmark paper on dyspareunia in menopause, as well as orgasm dysfunction in the menopause. We also discussed her favorite examples of misinformation about menopause. A subject extensively covered at the annual meeting of The Menopause Society

Show Notes:

https://drive.google.com/drive/folders/1UuhM3L19WeCNgN4OX9kmGplMudG5snvm?usp=sharing

Dr Streicher's Podcast "Dr Streicher’s Inside Information"

Dr Streicher's Books: Slip Sliding Away; Hot Flash Hell; Sex Rx; The Essential Guide to Hysterectomy

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This episode, I am doing a recap of some of the main discussions that we heard at the annual meeting for the menopause Society. Studies show that female sexual dysfunction is most frequent at the midline. The entire scientific program can be found at the menopause society’s website, menopause.org, under annual meetings. One can order the recordings of this magnificent meeting at nams.OnDemand.org. There was new information presented that is important for anyone taking care of women.

Show Notes:

https://tinyurl.com/333z65tm

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We are talking to Dr. Erica Kelly about several complex sexual health cases involving recent emotional trauma. She reviews several cases that required multiple specialists to help resolve. She explains how she deals with the psychologic trauma after the physical injury is corrected. It is a great example of how one should use The Biopsychosocial Model to evaluate and manage complex sexual health issues.

Show Notes

https://drive.google.com/drive/folders/1A9RHz0ncYTclH5WADJIXW6oKewz_c6X6

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There are many factors in the postpartum period including breastfeeding that can affect sexual functioning. Theresa Dible NP discusses how to support new mothers who want to breastfeed but have a low desire for sexual activity. She explains how breastfeeding and other factors can play a role in low desire. She then outlines detailed management of symptoms so as to help patients enjoy a rewarding postpartum period.

Show Notes

https://drive.google.com/drive/folders/1ez1P02brcsHv-ZgWznQRAoOEKDWws9sG

Contact info 614-293-2076

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Today, we are focusing on cultural competence and sexual health. Those of us with little exposure to cultures and cultural practices outside our own can be quite challenged when talking to those patients. We are talking with Dr. Rachel Pope, from the dept of Urology at Case Western Reserve University in Cleveland. She has worked extensively in Southern Africa, helping women with extensive childbirth injuries. She explains how she approaches talking to women with cultural practices like clitoral cutting.

Show Notes

https://drive.google.com/drive/folders/1MWamFFw0DBeHnCZFGeYFopwCElbhAXqr?usp=sharing

Contact Information:

Dr. Rachel Pope- 216-844-5661

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Theresa Dible discusses weight loss and poor body image this week. It is well documented that poor body image can have an impact on hypoactive sexual desire disorder. She explains that helping patients be more confident about themselves can involve weight loss. She includes all the steps to make that happen, including the use of weight loss meds. She goes over all the anti-obesity meds and how to use them.

Show Notes: https://drive.google.com/drive/folders/1yPdIuhfp2ocThAxf12_GhtFMvu5L5abv?usp=sharing

Contact Information: 614-293-2076

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We are talking about the prevention of HIV with Dr. Joan Duggan, an infectious disease specialist. Questions about HIV risk should always be a part of the sexual history. A working knowledge of PEP and PrEP is necessary for any practitioner, even if you do not personally prescribe the meds used for prophylaxis. Dr. Duggan covers the science, counseling, guidelines for use, and many other aspects of these important tools for the fight against HIV.

Show Notes:

https://docs.google.com/document/d/15e4g0gTl0ktTBP6s3O0cqvELGMq71NYlkPjomD8HJ6o/edit?usp=sharing

Contact info: (419) 383-6843‬

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Hot flashes during menopause can cause disrupted sleep, fatigue, and mood issues, which will likely cause sexual dysfunction. Estrogen is the standard of care for such problems, however, for those who can’t or won’t take estrogen, there are non-hormonal meds to help, including a new med, Fezoinetant. We will discuss these meds included in the new position statement on non-hormonal treatment of hot flashes from the Menopause Society.

Show Notes

https://drive.google.com/drive/folders/1atgU81BgzeRrWq7vV3IUp7oBnvDWnPuZ?usp=sharing

Contact Info

Anna 440-870-8239

Jean 216-844-3941

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There has been a lot of encouragement to respectfully provide healthcare for the transgender community, however, do you know how? What are the issues to cover? In this episode, we discuss this topic with Dr. Brett Worley, clinical associate professor of OB-GYN at Ohio State University and lead physician of the Women’s Sexual Health Clinic. He provides an extensive review of issues that should be covered with trans men and women.

Show Notes

https://drive.google.com/drive/folders/175wAicfqnViah1aLG4djp_eVYtNjF-CY

Contact info: 614 293 2076

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This episode discusses one of the worst female pain conditions, PGAD, or persistent genital arousal disorder. One must be aware of this uncommon but debilitating condition as it is usually misdiagnosed. Most clinicians are unaware of this disorder. Dr. Sally MacPhedron discusses the consensus paper on the subject. The consensus paper is included in the show notes.

Show Notes: https://drive.google.com/drive/folders/1Fm6_GsXZB01ADXritwYJB11s8KN1ukSI

Contact information: 216-778-4444

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We are continuing our discussion on mental health issues on sexual health. We are talking to Dr. Kristen Carpenter, an associate professor in the Departments of Psychiatry and Behavioral Health, Psychology, and Obstetrics and Gynecology. She is explaining the impact of serious illnesses, like cancer, on mental and sexual health. She outlines a good evaluation for the non-sexual medicine clinician and how to get them appropriate help. She uses an article she co-authored which is a must-read listed in the show notes.

Articles discussed can be found here: https://drive.google.com/file/d/1bvx0RmdeWijqfVllX69gxeu1MIv-tPm_/view?usp=sharing

Contact info for eval: WISH clinic 614-293-9600

Other resources to find help:

AASECT(all sex therapy)

ABCT(sex therapy is a filter)

APA find a provider(sex therapy is a filter)

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To observe mental health awareness month, we are doing 2 podcasts focusing on this crucial aspect of evaluating female sexual dysfunction. Today we are talking to Dr. Erika Kelly, a psychologist who is an expert in female sexual dysfunction. She will discuss the importance of looking at mental health and how it impacts sexual health. She will outline how the biopsychosocial model works and the treatments of different mental issues keeping sexual health in mind.

Articles discussed can be found here:

https://drive.google.com/file/d/1YWuPxwww5hjnRPVanCbCnwmnmU7AgYeS/view?usp=sharing

Contact info: 216-844-5086

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Today we are discussing vulvar skin disorders with Dr. Kelly Tyler, an associate professor of dermatology at Ohio State University. These disorders have a devastating effect on one’s sexual health. However, what is worse is that they are under-diagnosed and go untreated for years. This is likely due to a lack of awareness of this disorder. Dr. Tyler will give this her evaluation and management of vulvar irritation and pain.

Contact information: 614-293-1707

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In several past episodes, we have discussed the importance of pelvic floor physical therapists being a part of the team for treating female sexual dysfunction (FSD). Today, pelvic floor physical therapist, Dr. Sara Yunghans, will go through cases of her evaluation and treatment of different causes of FSD. It is an excellent discussion of why the approach to FSD should be multidisciplinary.

Contact info: 567-585-0240

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Today we will be discussing the common benign gynecologic disorder endometriosis. It is the cause of a lot of patient visits. Dr. Heather Wahl will discuss its pathology, and mechanism for causing pain and infertility. Finally, she will relate these to the patient’s sexual health and how to manage this disorder. It will be apparent that it can take a village to help patients. Dr. Wahl is a pelvic pain specialist in Toledo Ohio.

Articles discussed can be found here

https://drive.google.com/drive/folders/1BJDvm79gW-yMUYOB2Cg09kUK_CktFQtD?usp=sharing

Contact info: 567-585-0240

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Today is part 2 of developing a focused sexual medicine practice. In the last episode, we talked to a sexual medicine clinical specialist. Today we are talking to a sex therapist. Christy Haas is a licensed sex therapist in Cincinnati Ohio. She will be discussing the role of sex therapy in the treatment of sexual dysfunction and how she collaborates with the rest of her sexual medicine team. She will then present the journey that led her to become a sex therapist. This will help those aspiring to become therapists in Women's Health.

Articles discussed can be found here: https://www.aasect.org/aasect-requirements-sex-therapist-certification

Contact info: Christy@christyhaas.com

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ohiosexualhealthcollaborative@gmail.com