CME: Dyspareunia: Enhancing Diagnosis and Management via Enhanced Patient/Clinician Discussion

Dyspareunia: Enhancing Diagnosis and Management via Enhanced Patient/Clinician Discussion

Dyspareunia: Enhancing Diagnosis and Management via Enhanced Patient/Clinician Discussion
Participate in the following ECHO™ —a digital reinforcement tool that emphasizes content from the Female Sexual Dysfunction activity series.

Available credits: 0.25

Time to complete: 15 minutes


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  • Overview

    Vulvar vaginal atrophy (VVA) is the loss of estrogen stimulation on vaginal and vulvar tissue and affects about 32 million postmenopausal women in the U.S. Atrophy of vaginal and vulvar tissues can be a result of VVA which may cause women to suffer from dyspareunia (painful sexual intercourse), which can negatively impact a woman’s sexual function and sexual relationships, in addition to her overall quality of life.

    This article will define VVA and genitourinary syndrome (GSM) and their impact on post-menopausal dyspareunia and discusses counseling approaches to facilitate patient discussion surrounding this condition. He will also identify the physiological impact of the loss of estrogen and androgens locally to help facilitate the diagnosis of VVA, as well as identify the benefits and risks of the innovative therapeutic modalities indicated for the management of dyspareunia.

  • Disclosure of Conflicts of Interest

    In accordance with the ACCME Standards for Commercial Support, The Omnia-Prova Education Collaborative (TOPEC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. TOPEC resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs.

    David J. Portman, MD
    Director Emeritus, Columbus Center for Women’s Health Research
    Adjunct Instructor, Obstetrics and Gynecology
    The Ohio State University
    Columbus, OH

    Dr. Portman receives a salary from Sermonix Pharmaceuticals, consulting fees from AMAG Pharmaceuticals, Duchesnay, Endoceutics, Palatin, Sprout, and Therapeutics MD, is a speaker for AMAG Pharmaceuticals and Therapeutics MD, and has ownership interest in Sermonix Pharmaceuticals.  

    Reviewers/Content Planners/Authors:

    • Carole Drexel, PhD, CHCP has nothing to disclose.
    • Amanda Hilferty has nothing to disclose.
    • Ashley Rosenthal has nothing to disclose.
    • Robert Schneider, MSW has nothing to disclose. 
  • Learning Objectives

    After participating in this educational activity, participants should be better able to:

    • Define vulvovaginal atrophy (VVA), and genitourinary syndrome (GSM), their pathophysiology and impact on post-menopausal dyspareunia.
    • Define counseling approaches that facilitate patient discussion surrounding dyspareunia.
    • Identify the physiologic impact of the loss of estrogen and androgens locally (vagina/vulva) so as to facilitate the diagnosis of vulvovaginal atrophy.
    • Identify the benefits and risk profiles of the innovative therapeutic modalities indicated for the management of dyspareunia.
  • Target Audience

    This activity is designed to meet the educational needs of obstetricians and gynecologists, family medicine physicians, internal medicine physicians, physician assistants, nurse practitioners, and certified nurse midwives.

  • Accreditation and Credit Designation Statements

    The Omnia-Prova Education Collaborative, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The Omnia-Prova Education Collaborative, Inc. designates this enduring material for a maximum of .25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Provider

    Omnia Education is the leading provider of education for women’s health professionals. Our activities are recognized nationwide for providing credible, relevant, and practical information on issues impacting the female patient. Additionally, our unique focus has transformed the CME learning environment, and our ability to help learners recognize and overcome barriers to optimal performance and optimal patient outcomes has positioned us as a leader in women’s health education.

  • Commercial Support

    This activity is supported by an independent educational grant from AMAG Pharmaceuticals, Inc.

  • Disclaimer

    The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of TOPEC and Omnia Education. This presentation is not intended to define an exclusive course of patient management; the participant should use his/her clinical judgment, knowledge, experience and diagnostic skills in applying or adopting for professional use any of the information provided herein. 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 patients’ conditions and possible contraindications or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. Links to other sites may be provided as additional sources of information. Once you elect to link to a site outside of Omnia Education you are subject to the terms and conditions of use, including copyright and licensing restriction, of that site.

    Reproduction Prohibited

    Reproduction of this material is not permitted without written permission from the copyright owner.

  • System Requirements

    Our site requires a computer, tablet or mobile device and a connection to the Internet. For best results, a high-speed Internet connection is recommended (DSL/cable). We also recommend using the latest version of your favorite browser to ensure compliance with W3C standards, such as Internet Explorer, Microsoft Edge, Chrome, Firefox or Safari. Users accustomed to IE8, IE9 IE10 are advised to update their browsers for the best experience.

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