Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Relate the definition of primary anorgasmia 2. Discuss with the patient key physical and psychological elements related to orgasm
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies. All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.
The PIM planners and others have nothing to disclose. The OBG Project planners and others have nothing to disclose.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Dec 31 2017 through Dec 31 20189, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the test and evaluation. Upon registering and successfully completing the test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
Primary anorgasmia is a condition in which a patient has never had an orgasm in any context (via masturbation, manual, oral or penile stimulation). If a patient complains of never having achieved orgasm, and other causes of primary anorgasmia are ruled out following a good history and physical exam, consider the following approach:
Encourage the patient to take time to explore her own body and learn what arouses her
Book recommendations that can be very helpful to patients:
Becoming Orgasmic: A Sexual and Personal Growth Program for Women
Heiman, LoPiccolo and Palladini
One of the oldest books of this genre, it is still one of the most basic and comprehensive guides for women learning to experience an orgasm
The Multi-Orgasmic Woman: How any Woman Can Experience Ultimate Pleasure and Dramatically Enhance Her Health and Happiness
Mantak Chial and Rachel Carlton Abrams, MD
Despite its somewhat hyperbolic name, this is a practical and helpful guide with step by step instructions to help women experience pleasure during sexual activity
Strong vibrators can be extremely helpful in these situations
If the patient expresses unease with the above, a referral to a sex therapist may be beneficial
Primary anorgasmia, a condition in which a woman has never achieved orgasm, can be a complex multifaceted condition, but treatment is often successful. Before introducing medical interventions, consider providing appropriate education, recommendations for behavioral changes and referrals. If the healthcare provider lacks the expertise or resources to coach the patient, consider referral to a sex therapist for treatment.
Basic psychoeducation can include discussion of the following:
Most female orgasms do not occur as a result of penile/vaginal stimulation alone
There is a varying threshold for orgasm, and every woman is different
Important components involve practicing solo, that is via masturbation and taking the time to allow for arousal
The brain needs to be involved to allow for maximum arousal and patient should read or watch erotica or learn to fantasize to engage the brain in the process
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. 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 and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
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