Why is Talking about Dyspareunia with our Menopausal Patients so Painful?

Why is Talking about Dyspareunia with our Menopausal Patients so Painful?

Why is Talking about Dyspareunia with our Menopausal Patients so Painful?
Dr. Setty and Dr. Kingsberg discuss ways to open patient-clinician dialogue surrounding the issue of dyspareunia in menopausal patients.

Available credits: 0.25

Time to complete: 15 minutes


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  • Overview

    Vulvar vaginal atrophy is the loss of estrogen stimulation on vaginal and vulvar tissue, resulting in atrophy of these tissues.   About half of the 64 million postmenopausal women in the U.S. may suffer from VVA symptoms, which include dyspareunia - or painful sexual intercourse. Dyspareunia can negatively impact a woman’s sexual function and sexual relationships, as well as her overall quality of life. Research has demonstrated that both postmenopausal women and their healthcare clinicians want to engage in discussions surrounding the impact of dyspareunia on sexual functioning and relationships – but for a variety of reasons these discussions do not take place. 

    This interview will focus on identifying patient and clinician factors that inhibit discussion in the office setting and ways to open the dialogue surrounding 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.


    Prathima Setty, MD, FACOG, NCMP
    Private Practice
    Herndon, VA

    Dr. Setty has nothing to disclose.


    Sheryl A. Kingsberg, PhD
    Chief, Division of Behavioral Medicine
    Department of Ob/Gyn
    University Hospitals Cleveland Medical Center
    Professor, Department of Reproductive Biology & Psychiatry
    Case Western Reserve University
    Cleveland, OH

    Dr. Kingsberg receives consulting fees from AMAG Pharmaceuticals, Emotional Brain, Palatin, and Valeant Pharmaceuticals, is a speaker for AMAG Pharmaceuticals, Palatin and Valeant Pharmaceuticals and has contracted research with Palatin.


    • Sean T. Barrett has nothing to disclose.
    • Carole Drexel, PhD, CHCP has nothing to disclose.
    • Kia K. Gray, MPH has nothing to disclose.
    • Amanda Hilferty has nothing to disclose.
    • Robert Schneider, MSW has nothing to disclose.
    • Mache Seibel, MD has nothing to disclose. 
  • Learning Objectives

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

    • Identify the factors – for both the patient and clinician – that inhibit discussion surrounding dyspareunia in the office setting
    • Define clinician counseling approaches that facilitate patient discussion surrounding dyspareunia
  • Target Audience

    This activity is designed to meet the educational needs of Obstetricians/Gynecologists, Primary Care Physicians, Registered Nurses, Nurse Practitioners, and Physician Assistants.

  • 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 has a core focus on women's health and the ways in which diseases and conditions impact the female patient. That unique focus has transformed the CME learning environment for healthcare professionals nationwide. We impact thousands of clinicians annually, many of whom return each year for clinical updates and connectivity with regional peers.

  • Commercial Support

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

  • 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.

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